title: Effectiveness of targeted surveillance to identify moderate to profound permanent childhood hearing impairment in babies with risk factors who pass newborn screening.
abstract: OBJECTIVE
  To examine the effectiveness of targeted surveillance for the identification of moderate-profound PCHI in babies who pass the newborn hearing screen in England and have risk factors.
  
  
  METHODS
  Retrospective analysis.
  
  
  METHODS
  2,307,880 children born 01/04/06-30/09/09 in England.
  
  
  RESULTS
  Overall the prevalence for all PCHI in children with risk factors who pass newborn hearing screening is 1.49/1000. The risk factors with the highest prevalence are (1) Syndrome (other than Down's) associated with a hearing loss; (2) NICU with refer in both ears at OAE and pass in both ears at AABR; (3) Craniofacial anomaly; (4) Down's syndrome; (5) Congenital infection.
  
  
  CONCLUSIONS
  Targeted surveillance for children who pass the screen and have the risk factors 1-5 listed above will be retained within the English NHSP; targeted surveillance for children who pass the screen and have other risk factors is not effective and has been discontinued.
authors.affiliation: Newborn Hearing Screening Programme Centre (England), Royal Free London NHS Foundation Trust, London, UK. sally.wood3@nhs.net
authors.forename: Sally A
authors.initials: SA
authors.lastname: Wood
authors.forename: Adrian C
authors.initials: AC
authors.lastname: Davis
authors.forename: Graham J
authors.initials: GJ
authors.lastname: Sutton
mesh_terms: D003141:Communicable Diseases / Q000453:epidemiology; D015897:Comorbidity; D019465:Craniofacial Abnormalities / Q000453:epidemiology; D004314:Down Syndrome / Q000453:epidemiology; D004739:England / Q000453:epidemiology; D006309:Hearing; D006311:Hearing Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000503:physiopathology; D006320:Hearing Tests; D006801:Humans; D007231:Infant, Newborn; D015997:Neonatal Screening / Q000379:methods*; D011159:Population Surveillance; D011237:Predictive Value of Tests; D015995:Prevalence; D015397:Program Evaluation; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors