Next Article in Journal
Performance of Expanded Newborn Screening in Norway Supported by Post-Analytical Bioinformatics Tools and Rapid Second-Tier DNA Analyses
Previous Article in Journal
Considerations for Newborn Screening for Critical Congenital Heart Disease in Low- and Middle-Income Countries
Open AccessArticle

Referral and Lost to System Rates of Two Newborn Hearing Screening Programs in Saudi Arabia

College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh 11481, Saudi Arabia
Int. J. Neonatal Screen. 2020, 6(3), 50; https://doi.org/10.3390/ijns6030050
Received: 3 June 2020 / Revised: 15 June 2020 / Accepted: 19 June 2020 / Published: 27 June 2020
Congenital hearing loss has been commonly reported as a significant health problem. Lost to system (LTS) is a major challenge facing newborn hearing screening (NHS) programs. This retrospective cross-sectional descriptive study aimed to determine the referral and LTS rates after the two-stage NHS based on transient evoked otoacoustic emissions (TEOAEs) in two main hospitals in Riyadh, Saudi Arabia (SA). NHS was performed on newborns before hospital discharge. Newborns were only rescreened if NHS initially revealed a fail/refer outcome in one or both ears. Those who failed the first and second screenings or had risk factors were referred for auditory brainstem response (ABR) testing to confirm or exclude hearing loss. In total, 20,171 newborns (40,342 ears; 52% males; 48% females) were screened, of whom 19,498 (96.66%) passed the initial screening, while 673 (3.34%) failed. Of the 673 newborns, 235 (34.92%) were LTS, and 438 (65.08%) were rescreened, of whom 269 (61.42%) failed and were referred for a comprehensive audiological assessment to confirm the existence of hearing loss. The referral rate after the initial two-stage screening was equal to 1.33%. The lack of awareness of the importance of NHS among parents seems to be the major cause behind the LTS rate. The stakeholders have to work efficiently to reduce the LTS rate. View Full-Text
Keywords: hearing screening; hearing loss; lost to system; newborns; referral rate; Saudi Arabia hearing screening; hearing loss; lost to system; newborns; referral rate; Saudi Arabia
Show Figures

Figure 1

MDPI and ACS Style

Alanazi, A.A. Referral and Lost to System Rates of Two Newborn Hearing Screening Programs in Saudi Arabia. Int. J. Neonatal Screen. 2020, 6, 50.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop