Infant, Maternal, and Hospital Factors' Role in Loss to Follow-Up After Failed Newborn Hearing Screening.

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Infant, Maternal, and Hospital Factors' Role in Loss to Follow-Up After Failed Newborn Hearing Screening.

Acad Pediatr. 2017 May 23;:

Authors: Cunningham M, Thomson V, McKiever E, Dickinson LM, Furniss A, Allison MA

Abstract
BACKGROUND AND OBJECTIVES: Completion of newborn hearing screening (NBHS) is recommended by 1 month old. Delays and loss to follow-up and documentation (LTF/LTD) after failed NBHS are common. Committees of experts have established hospital guidelines to reduce LTF/LTD. We aimed to identify maternal and infant factors associated with LTF/LTD and determine if adherence to hospital guidelines is associated with timely completion of follow-up screening.
METHODS: We conducted a retrospective study of all infants born in Colorado hospitals who failed the newborn admission hearing screen from 2007-2012 and a cross-sectional survey of NBHS coordinators at Colorado birthing hospitals. NICU infants were excluded.
OUTCOMES: documented completion of the follow-up NBHS and completion by 1 month.
DATA SOURCES: Electronic Birth Record, Infant Hearing Integrated Data System, NBHS coordinator survey. Data were analyzed using logistic regression.
RESULTS: 13,904 newborns did not pass the newborn admission hearing screen from 2007-2012 and11,422 (82%) had documentation of a completed follow-up screen. 10,558 (76%) completed follow-up screening by 1 month. 100% of NBHS coordinators (n=53) completed the survey. Maternal age, education, smoking, and birth country; and payer, race, birth order, and population density were associated with completion of follow-up hearing screening. Maternal education, payer, population density, birth weight and cleft lip were associated with completion by 1 month of age. Only birth in a facility that charges a re-screening fee was associated with completion of follow-up screening.
CONCLUSIONS: Low income, rural, and minority infants are at risk for LTF. Further studies are needed to determine if adherence to guidelines can overcome barriers to follow-up.

PMID: 28549746 [PubMed - as supplied by publisher]

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