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ABSTRACT INFORMATION
Title: 'Newborn Hearing Screening: High Risk Populations of Loss to Follow-up in Louisiana, 2007-2011'
Track: 6 - Follow-up, Tracking and Data Management
Keyword(s): high-risk population, newborn hearing screening, lost to follow-up, linked data, surveillance
Learning Objectives:
  1. To introduce data sources and methods to be used to define high-risk newborns of loss to follow-up of newborn screening.
  2. To discuss plans and strategies to reduce loss to follow-up of newborn screening.

Abstract:

Newborn hearing screening prior to hospital discharge is implemented in all states and some U.S. territories. All newborns who fail the hearing screening are encouraged to follow up to get further tests to confirm diagnosis of hearing loss as early as possible, preferably by three months of age. Loss to follow-up (LTF) of hearing screening is defined as a newborn who fails the initial hearing test before hospital discharge but does not follow up with further hearing tests to confirm diagnosis of hearing loss. In fact, LTF rate is still high in Louisiana as well as in U.S. The aim of the study is to define characteristics of newborns and mothers which associated with LTF by using Louisiana Early Hearing Detection and Intervention Surveillance data that were linked to birth certificates. The study included 15,145 newborns who were born between 2007 and 2011 in Louisiana and failed the initial hearing screening tests prior to hospital discharge. Logistic regression models were conducted to evaluate relationships between LTF and characteristics of newborns and mothers. The study showed that average rate of LTF was 32.3% in Louisiana between 2007 and 2011. Very preterm newborns (?36 weeks of gestational age) and those to mothers with the following characteristics were more likely to be lost to follow-up: living in urban areas, smoking during pregnancy, unmarried, paid for delivery by Medicaid, lower education, younger age, and higher number of previous live. The odds of LTF were not significantly different between groups of race and ethnicity. Defining high risk populations of loss to follow-up is necessary not only to improve the rate of loss to follow-up, but also to enhance the capacity for early confirmed diagnosis and ease of access to care for patients with hearing loss in the state.
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PRESENTER(S) / AUTHOR(S) INFORMATION
Xiaoling Ye - Primary Presenter,Author,POC
Tulane University
     Credentials: 2014 MPH Candidate, ME
      EDUCATION 2014 MPH candidate, Tulane University School of Public Health and Tropical Medicine Bachelor of Engineering in Pharmaceutical Science, Guangzhou University of Chinese Medicine, 2009 EXPERIENCE Data Analyzer,Louisiana Office of Public Health, May - August 2013 Medical Information communicator, Sanofi-Aventis (Pharmaceutical Company),July 2009 - December 2010 Medical Information Adviser, Bracco Group (Pharmaceutical Company), March - June 2009 Diabetes Medical Educator, Eli Lilly and Company, December 2008 - March 2009
      ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Tri Tran - Author
LSUHSC SCHOOL OF MEDICINE IN NEW ORLEANS
     Credentials: MD MPH
     Other Affiliations: LSUHSC School of Medicine, Department of Pediatrics
      Dr.Tri Tran, MD, MPH
      ASHA DISCLOSURE:

Financial -

Nonfinancial -
Mary Jo Smith - Author
Louisiana DHH OPH CSHS Early Hearing Detection and Intervention Program
     Credentials: BS
      Mary Jo Smith, BS. She is a LA EHDI Tracking Specialist
      ASHA DISCLOSURE:

Financial -

Nonfinancial -
Jeanette Webb - Author
Louisiana DHH OPH CSHS Early Hearing Detection and Intervention Program
     Credentials: M. ED
      Janette Webb M.ED
      ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Terri Ibieta - Author
Louisiana DHH OPH CSHS Early Hearing Detection and Intervention Program
     Credentials: M. Ed
      Terri Mohren M.Ed. She is a LA EHDI Program Manager
      ASHA DISCLOSURE:

Financial -

Nonfinancial -
Melinda Peat - Author
Louisiana EHDI
     Credentials: MS in Audiology CCC-A
     Other Affiliations: ASHA, Louisiana Speech Language Hearing Association
      State Audiology Coordinator, Hearing, Speech and Vision Program (HSV), Children’s Special Health Services (CSHS), Office of Public Health (OPH), Department of Health and Hospitals
      ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.