17th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 18-20, 2018 • Denver, CO
| Using High Risk Factors to Predict Audiometric Profiles in Infants
Using High Risk Factors to Predict Audiometric Profiles in Infants
The Joint Committee on Infant Hearing (JCIH, 2007) identified eleven risk factors associated with childhood hearing loss. Presently these risk factors are used to help identify infants who pass their initial newborn hearing screening but are at risk for developing delayed onset hearing loss and infants or who may have a mild hearing loss that is overlooked by the initial screen. Lieu et al. (2013) proposed that risk factors could also be used to predict the risk of hearing loss in infants who refer on their initial screen, thus increasing the follow up-rate and the positive predictive value for true hearing loss. Four independent risk factors were found to be most significant in a well-baby population: intracranial complication, APGAR score at 5 minutes ?6, prematurity, and craniofacial abnormality. The purpose of the current study is to replicate the Lieu et al. study using a NICU population to determine if significant risk factors remain the same or vary, and to create a new prognostic stratification system for use with NICU infants. A secondary aim was to use the identified risk factors to encourage urgency of follow-up to parents and physicians of NICU patients who refer on their initial newborn hearing screening. Implications for application in EHDI programs and newborn screening programs are provided.
- 1. Recognize the JCIH 2007 high risk factors used to help identify infants who pass their initial NHS but are at risk for developing delayed onset hearing loss and infants or who may have a mild hearing loss that is overlooked by the newborn hearing screening
- 2. Identify the four independent risk factors reported by Lieu et al. (2013) in a well-baby nursery to be most significant in predicting delayed onset and/or mild hearing loss
- 3. Name the risk factors identified in the current study to be the most significant in predicting the audiometric profile in a NICU population
Presentation:
15805_7961NannetteNicholson.pdf
Handouts:
15805_7961NannetteNicholson.pdf
Transcripts:
CART transcripts are NOT YET available, but will be posted shortly after the conference
Presenters/Authors
Nannette Nicholson
(), Nova Southeastern University, nnichols@nova.edu;
Nannette Nicholson is a Professor at Nova Southeastern University in Ft. Lauderdale, FL. Her areas of interest include early hearing detection and intervention systems, pediatric audiology, and family support. She currently teaches counseling, pediatric aural rehabilitation, and research methods. Dr. Nicholson has served as a reviewer for the Journal of Early Hearing Detection and Intervention (JEHDI) and is an active member of the ASHA Committee on Clinical Research, Implementation Science, and Evidence-Based Practice.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Loni Briley
(), Hearing Life, lbri@hearinglife.com;
Loni Briley completed a 3 year graduate assistantship focusing on Newborn Hearing Screening in the NICU at Arkansas Children's Hospital. She earned her Au.D. at the University of Arkansas for Medical Sciences and is currently in practice with Hearing Life.
ASHA DISCLOSURE:
Financial -
Nonfinancial -
Patti Martin
(), Arkansas Children's Hospital, martinpf@archildrens.org;
Patti Martin, Ph.D., is the Director of Audiology and Speech Language Pathology at Arkansas Children’s Hospital (ACH). Her areas of expertise include infant screening/assessment, family support and program development. Her efforts with infant hearing screening began with a collaboration project to investigate the efficacy of TEOAEs as a newborn screening tool in the early 1990s and continue through her work on the board of the American Speech-Language-Hearing Association Special Interest Division on Childhood Hearing Disorders and as a Consultant for NCHAM. Dr. Martin’s ongoing passion centers around how professionals can help support families in improving the outcomes of children with hearing loss.
ASHA DISCLOSURE:
Financial -
Receives Consulting fee for Consulting from National Center for Hearing Assessment and Management.
Receives Consulting fee for Consulting from NCHAM.
Receives Consulting fee for Consulting from NCHAM.
Receives Grants for Consulting from Oberkotter Foundation.
Receives Grants for Consulting from Oberkotter Foundation.
Receives Grants for Consulting from Oberkotter Foundation.
Receives Grants for Consulting from Oberkotter Foundation.
Receives Consulting fee for Consulting from The Care project.
Receives Consulting fee for Consulting from The Care project.
Receives Consulting fee for Consulting from The Care project.
Receives Consulting fee for Consulting from The Care project.
Receives Consulting fee for Consulting from NCHAM.
Receives Consulting fee for Consulting from NCHAM.
Receives Consulting fee for Consulting from NCHAM.
Receives Consulting fee for Consulting from NCHAM.
Nonfinancial -
No relevant nonfinancial relationship exist.