2024 Early Hearing Detection & Intervention Conference
March 17-19, 2024 • Denver, CO
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| Exploring EHDI Data: Unveiling Novel Parameters for State-to-State Comparison
Exploring EHDI Data: Unveiling Novel Parameters for State-to-State Comparison
Exploring EHDI Data: Unveiling Novel Parameters for State-to-State Comparison.
Introduction
Hearing loss in the newborn is seen to hamper linguistic development and social skills. Early intervention has proved to minimize hearing loss-related outcomes. The Early Hearing Detection and Intervention (EHDI) state program, supported by the Centers for Disease Control and Prevention (CDC), aims to mitigate these challenges. Our study delved into EHDI data spanning 2014 to 2020, aiming to compare states and assess program effectiveness. Through the creation of novel parameters and visualizations, we added depth to the analysis, shedding light on variations and potential improvements within the program.
Methods
We collected the EHDI data from the year 2014 to 2020 shared by the CDC for 50 states including the District of Columbia. We identified 25 variables from the EHDI data for our calculations using RStudio 2023.06.0+42. We did not account for any missing data. We calculated 27 additional parameters. The national average was calculated based on available state data in a year. Parameters were visualized to have a comparison of states' performance and EHDI program effectiveness. Finally, all visualizations were hosted on a public website for EHDI professionals to explore and utilize.
Results
We found that the state of California has the best screening service under the EHDI program where 99.5-99.6% of newborns are screened each year. Out of the total screened infants Hawaii has been reported as the state with the highest prevalence of infant diagnosed with hearing loss with the exception of 2020 where Idaho also reported 3 in 1000. We also found that the highest percentage of infants who did not pass inpatient screening (NPIS) at the time of birth were from the states of North Dakota (11.9%, 2020) except in years 2017 and 2018 where the state of Alabama reported the highest percentage with 61.1% and 52.1% respectively. Upon investigating those infants who did not participate in this program considering three main reasons, we found that West Virginia for years 2014, 2016, and 2017 had the highest prevalence of loss to follow-up. The District of Columbia had the highest prevalence in 2015, 2018, and 2019, and South Dakota in 2020.
Conclusion
This study looked at EHDI data – where available – from 2014 to 2020 from 50 states and the District of Columbia and discovered differences in newborn hearing screening rates, hearing loss prevalence, inpatient screening failure percentages, and among other parameters. These findings highlight potential program enhancement areas, states requiring special attention, informing targeted interventions to improve EHDI effectiveness across the country.
- Participants will be able to calculate the national average of 27 parameters to assess the EHDI program
- Participants will be able to analyze the prevalence of hearing loss across the states and years
- Participants will be able to figure out the states requiring special attention under EHDI Program
Presentation:
3478265_16220KeshavKumar.pdf
3478265_16220VeronicaChaitan.pdf
Handouts:
Handout is not Available
Transcripts:
3478265_16220KeshavKumar.rtf
Presenters/Authors
Keshav Kumar
(Primary Presenter,Author), Center for Public Health Systems Science, Brown School at Washington University in St. Louis, k.keshav@wustl.edu;
Aspiring data analyst with expertise in large dataset analysis by working on CDCEHDI large dataset using R Studio. Headed metabolomics study on breast cancerand enrolled participants in the DUET Study at Washington University School ofMedicine. Proficient using Python for deep learning and machine learning tasks.Graduated with honors in Bachelor of Dental Surgery from Banaras HinduUniversity. Demonstrated strong leadership during the COVID-19 pandemic andcontributed significantly to healthcare initiatives at Tata Memorial Center, SouthAsia’s largest cancer center. Recognized as a top 4 finalist in India’s prestigiousInter-Institutional School of Diagnostic Innovation in Biodesign Fellowship.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
AAA DISCLOSURE:
Financial -
Financial relationship with .
Nature: This work is funded by Dr. James W. Seeser and is consistent with the non-profit mission of Washington University in St. Louis.
Nonfinancial -
No relevant nonfinancial relationship exists.
Veronica Chaitan
(Co-Presenter,Author), Center for Public Health Systems Science, Brown School at Washington University in St. Louis, vlchaitan@wustl.edu;
Veronica is a Senior Data Analyst at the Center. Her current work includes the Advancing Science & Practice in the Retail Environment (ASPiRE) Tobacco Town project, PreventEd-led implementation grants focused on addressing the opioid epidemic in rural communities, and analyses of local adult tobacco surveys and CDC’s Early Hearing Detection and Intervention (EHDI) data. Her responsibilities include data collection, management and analysis, online survey development and administration, and preparation of findings for dissemination products. Her interests include data management, visualization, and translation.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
AAA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
Laura Brossart
(Author), Washington University in St. Louis, lbrossart@wustl.edu;
Laura is the Assistant Director of Communications and Dissemination for CPHSS. She directs the Center’s communications plan and activities, overseeing all internal and external communications. Laura also oversees the design and dissemination of all Center evaluation and research products (print, web, and interactive).
Additionally, Laura serves as the Co-Investigator on the long-running User Guide project, funded by the Centers for Disease Control and Prevention (CDC). Laura also serves as manager of the Dissemination & Implementation (D&I) core for the Advancing Science & Practice in the Retail Environment (ASPiRE) project and as Dissemination Lead for the Translational Science Benefits Model project.
ASHA DISCLOSURE:
Financial -
Nonfinancial -
AAA DISCLOSURE:
Financial -
Nonfinancial -
Marie Richter
(Co-Presenter,Author,Co-Author), Center for Public Health Systems Science, Brown School at Washington University in St. Louis, mrichter@wustl.edu;
Marie is currently an Audiology Consultant. The majority of her clinical career has been with the birth-3 population; first at St. Joseph Institute for the Deaf (SJID) and then at Central Institute for the Deaf (CID). She consults on an NIH grant, “The Effects of Early Acoustic Hearing for Pediatric Cochlear Implant Recipients” (NIDCD R01 DC012778 (PI: Davidson). She is the Chair, Missouri NBHS Program Standing Committee and, she advocates for NBHS issues and Universal cCMV Screening.
ASHA DISCLOSURE:
Financial -
• Receives Other financial benefit for Consulting from Washington University in Saint Louis.
Nonfinancial -
• Has a Personal
relationship for Other volunteer activities.
AAA DISCLOSURE:
Financial -
Financial relationship with Washington University in Saint Louis.
Nature: Washington University in Saint Louis.
Nonfinancial -
No relevant nonfinancial relationship exists.
Todd Combs
(Author), Washington University in St. Louis, toddcombs@wustl.edu;
Todd Combs is an Assistant Professor and the Associate Director of the Brown School’s Center for Public Health Systems Science. He oversees the Center’s research portfolio and focuses on expanding scientific and methodological capacities through identifying research opportunities, mentoring staff, and collaborating with the leadership team. His research interests include health and social policy, dissemination and implementation science, and systems science. Much of his research focuses on policies that affect the built environment to promote behavioral change.
He currently leads or works on several projects, including ASPiRE (Advancing Science & Practice in the Retail Environment), which uses agent-based modeling to test the potential impact of retail tobacco policies, and the evaluation of the Washington University Institute for Clinical & Translational Sciences, which focuses on the benefits of membership and collaboration in the large-scale research initiative. Todd also has years of graduate teaching experience in applied quantitative research methods for social science, social work, and public health.
ASHA DISCLOSURE:
Financial -
Nonfinancial -
AAA DISCLOSURE:
Financial -
Nonfinancial -