title: [Hearing loss in infancy. Who first suspects it? A descriptive analysis?].
abstract: BACKGROUND
  The aim of this study was to analyze the sensitivity of suspicion preceding the diagnosis of a child's hearing impairment (HI).
  
  
  METHODS
  Parents of children with confirmed HI were questioned in order to evaluate the age and the initiators of the suspicion of congenital or early HI. A total of 185/199 parents provided information on their children aged from 1 to 120 months.
  
  
  RESULTS
  Parents showed more frequent correct suspicion/detection of HI than professionals. In 46% of all cases, the parents were the first to suspect HI (in 20% of all children with conductive losses and 52% of all sensorineural HIs). The first suspicion was raised by pediatricians in 25%, by otorhinolaryngologists and by school entrance examination each with 7%, and by obstetricians in 6% of cases. There was an average delay of 13.2 months from parental suspicion to a valid diagnosis of bilateral sensorineural HI (mean diagnosis age 50.9 months+/-30.3SD). Individual hearing aids were accordingly fitted late (mean aiding age 51.5 months+/-30.7).
  
  
  CONCLUSIONS
  These findings support the use of parental observation as part of the early detection of HI until universal newborn hearing screening can be implemented.
authors.affiliation: Abt. Phoniatrie und Pädaudiologie der Georg-August-Universität Göttingen. ckiese@med.uni-goettingen.de
authors.forename: C
authors.initials: C
authors.lastname: Kiese-Himmel
authors.forename: E
authors.initials: E
authors.lastname: Kruse
mesh_terms: D002648:Child; D002675:Child, Preschool; D003625:Data Collection; D005260:Female; D005858:Germany / Q000453:epidemiology; D034381:Hearing Loss / Q000151:congenital / Q000175:diagnosis* / Q000453:epidemiology*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010290:Parents