Neonatal hearing screening model: An Italian regional experience

M. G. Calevo, P. Mezzano, E. Zullino, P. Padovani, F. Scopesi, G. Serra, D. Panico, A. Agnese, V. Visino, M. C. Poggi, M. Goslino, G. Garaventa, A. Allodi, E. Mora, P. Santini, G. Ottonello, V. Tarantino, R. Renda, D. Cosso, A. MuraL. Perroni, F. Dagna Bricarelli, S. Maccarone, L. Mazzarello, R. Franchini, A. Morchio, M. F. Corona, M. De Ciccio, G. Zaccagnini

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Objective. To produce a model for routine centralized hearing screening including all aspects of the screening, from diagnosis to psychological counseling and early rehabilitation. Methods. A prospective observational study on a geographically defined pediatric population (Liguria region, northwestern Italy) and data collection in a data bank. The model proposed was created for the audiological screening of all newborns of the Liguria region. The model includes four phases: (1) preliminary identification of contractual, administrative, legal aspects; (2) screening for identification of congenital hearing impairment; (3) therapy and rehabilitation of identified subjects and genetic analysis; (4) epidemiology, data management, and workload management. To test the feasibility of the model proposed and to establish the workload required according to the resources available in the regional health plan, we performed a pilot study on all infants born in four of the 13 regional birth centers of Liguria region from 1 April 2001 to 30 September 2001. Results. Out of the 3268 newborns enrolled during the 6-month pilot study, 3238 (99.1%) were screened with otoacoustic emissions (OAE), while screening was refused in 30 newborns (0.9%). OAE resulted in a 'pass' for 3180 newborns (98.2%) and a 'refer' in 58 (1.8%). The standard auditory brainstem response (ABR) test was performed in 156 newborns, 58 of them as a result of the 'refer' at the second OAE and 98 others at audiological risk. Results were positive or uncertain at first ABR in 45 patients. Workload was calculated on the basis of the data obtained in the pilot study to allocate financial and organizational resources. Conclusions. The results of the pilot study allowed project planning. We think that the screening model proposed is an example of how a regional organization can deliver improved quality care through a rationalization and optimization process.

Original languageEnglish
Pages (from-to)441-448
Number of pages8
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume20
Issue number6
DOIs
Publication statusPublished - 2007

Fingerprint

Neonatal Screening
Hearing
Newborn Infant
Workload
Brain Stem Auditory Evoked Potentials
Rehabilitation
Birthing Centers
Quality of Health Care
Jurisprudence
Hearing Loss
Italy
Observational Studies
Counseling
Epidemiology
Organizations
Databases
Prospective Studies
Pediatrics
Psychology
Health

Keywords

  • Infant screening
  • Otoacoustic emission (OAE)
  • Permanent childhood hearing impairment
  • Standard auditory brainstem response (ABR)
  • Universal neonatal hearing screening (UNHS)

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynaecology

Cite this

Calevo, M. G., Mezzano, P., Zullino, E., Padovani, P., Scopesi, F., Serra, G., ... Zaccagnini, G. (2007). Neonatal hearing screening model: An Italian regional experience. Journal of Maternal-Fetal and Neonatal Medicine, 20(6), 441-448. https://doi.org/10.1080/14767050701398090

Neonatal hearing screening model : An Italian regional experience. / Calevo, M. G.; Mezzano, P.; Zullino, E.; Padovani, P.; Scopesi, F.; Serra, G.; Panico, D.; Agnese, A.; Visino, V.; Poggi, M. C.; Goslino, M.; Garaventa, G.; Allodi, A.; Mora, E.; Santini, P.; Ottonello, G.; Tarantino, V.; Renda, R.; Cosso, D.; Mura, A.; Perroni, L.; Dagna Bricarelli, F.; Maccarone, S.; Mazzarello, L.; Franchini, R.; Morchio, A.; Corona, M. F.; De Ciccio, M.; Zaccagnini, G.

In: Journal of Maternal-Fetal and Neonatal Medicine, Vol. 20, No. 6, 2007, p. 441-448.

Research output: Contribution to journalArticle

Calevo, MG, Mezzano, P, Zullino, E, Padovani, P, Scopesi, F, Serra, G, Panico, D, Agnese, A, Visino, V, Poggi, MC, Goslino, M, Garaventa, G, Allodi, A, Mora, E, Santini, P, Ottonello, G, Tarantino, V, Renda, R, Cosso, D, Mura, A, Perroni, L, Dagna Bricarelli, F, Maccarone, S, Mazzarello, L, Franchini, R, Morchio, A, Corona, MF, De Ciccio, M & Zaccagnini, G 2007, 'Neonatal hearing screening model: An Italian regional experience', Journal of Maternal-Fetal and Neonatal Medicine, vol. 20, no. 6, pp. 441-448. https://doi.org/10.1080/14767050701398090
Calevo, M. G. ; Mezzano, P. ; Zullino, E. ; Padovani, P. ; Scopesi, F. ; Serra, G. ; Panico, D. ; Agnese, A. ; Visino, V. ; Poggi, M. C. ; Goslino, M. ; Garaventa, G. ; Allodi, A. ; Mora, E. ; Santini, P. ; Ottonello, G. ; Tarantino, V. ; Renda, R. ; Cosso, D. ; Mura, A. ; Perroni, L. ; Dagna Bricarelli, F. ; Maccarone, S. ; Mazzarello, L. ; Franchini, R. ; Morchio, A. ; Corona, M. F. ; De Ciccio, M. ; Zaccagnini, G. / Neonatal hearing screening model : An Italian regional experience. In: Journal of Maternal-Fetal and Neonatal Medicine. 2007 ; Vol. 20, No. 6. pp. 441-448.
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abstract = "Objective. To produce a model for routine centralized hearing screening including all aspects of the screening, from diagnosis to psychological counseling and early rehabilitation. Methods. A prospective observational study on a geographically defined pediatric population (Liguria region, northwestern Italy) and data collection in a data bank. The model proposed was created for the audiological screening of all newborns of the Liguria region. The model includes four phases: (1) preliminary identification of contractual, administrative, legal aspects; (2) screening for identification of congenital hearing impairment; (3) therapy and rehabilitation of identified subjects and genetic analysis; (4) epidemiology, data management, and workload management. To test the feasibility of the model proposed and to establish the workload required according to the resources available in the regional health plan, we performed a pilot study on all infants born in four of the 13 regional birth centers of Liguria region from 1 April 2001 to 30 September 2001. Results. Out of the 3268 newborns enrolled during the 6-month pilot study, 3238 (99.1{\%}) were screened with otoacoustic emissions (OAE), while screening was refused in 30 newborns (0.9{\%}). OAE resulted in a 'pass' for 3180 newborns (98.2{\%}) and a 'refer' in 58 (1.8{\%}). The standard auditory brainstem response (ABR) test was performed in 156 newborns, 58 of them as a result of the 'refer' at the second OAE and 98 others at audiological risk. Results were positive or uncertain at first ABR in 45 patients. Workload was calculated on the basis of the data obtained in the pilot study to allocate financial and organizational resources. Conclusions. The results of the pilot study allowed project planning. We think that the screening model proposed is an example of how a regional organization can deliver improved quality care through a rationalization and optimization process.",
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T2 - An Italian regional experience

AU - Calevo, M. G.

AU - Mezzano, P.

AU - Zullino, E.

AU - Padovani, P.

AU - Scopesi, F.

AU - Serra, G.

AU - Panico, D.

AU - Agnese, A.

AU - Visino, V.

AU - Poggi, M. C.

AU - Goslino, M.

AU - Garaventa, G.

AU - Allodi, A.

AU - Mora, E.

AU - Santini, P.

AU - Ottonello, G.

AU - Tarantino, V.

AU - Renda, R.

AU - Cosso, D.

AU - Mura, A.

AU - Perroni, L.

AU - Dagna Bricarelli, F.

AU - Maccarone, S.

AU - Mazzarello, L.

AU - Franchini, R.

AU - Morchio, A.

AU - Corona, M. F.

AU - De Ciccio, M.

AU - Zaccagnini, G.

PY - 2007

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N2 - Objective. To produce a model for routine centralized hearing screening including all aspects of the screening, from diagnosis to psychological counseling and early rehabilitation. Methods. A prospective observational study on a geographically defined pediatric population (Liguria region, northwestern Italy) and data collection in a data bank. The model proposed was created for the audiological screening of all newborns of the Liguria region. The model includes four phases: (1) preliminary identification of contractual, administrative, legal aspects; (2) screening for identification of congenital hearing impairment; (3) therapy and rehabilitation of identified subjects and genetic analysis; (4) epidemiology, data management, and workload management. To test the feasibility of the model proposed and to establish the workload required according to the resources available in the regional health plan, we performed a pilot study on all infants born in four of the 13 regional birth centers of Liguria region from 1 April 2001 to 30 September 2001. Results. Out of the 3268 newborns enrolled during the 6-month pilot study, 3238 (99.1%) were screened with otoacoustic emissions (OAE), while screening was refused in 30 newborns (0.9%). OAE resulted in a 'pass' for 3180 newborns (98.2%) and a 'refer' in 58 (1.8%). The standard auditory brainstem response (ABR) test was performed in 156 newborns, 58 of them as a result of the 'refer' at the second OAE and 98 others at audiological risk. Results were positive or uncertain at first ABR in 45 patients. Workload was calculated on the basis of the data obtained in the pilot study to allocate financial and organizational resources. Conclusions. The results of the pilot study allowed project planning. We think that the screening model proposed is an example of how a regional organization can deliver improved quality care through a rationalization and optimization process.

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