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Impact of newborn hearing screening: comparing outcomes in pediatric cochlear implant users

Birgit Philips (UGent) , Paul Corthals (UGent) , Leo De Raeve, Wendy D'Haenens (UGent) , Leen Maes (UGent) , Annelies Bockstael (UGent) , Hannah Keppler (UGent) , Freya Swinnen (UGent) , EDDY DE VEL, Bart Vinck (UGent) , et al.
(2009) LARYNGOSCOPE. 119(5). p.974-979
Author
Organization
Abstract
Objectives/Hypothesis: To evaluate the impact of a newborn hearing screening program on the management and outcome of deaf children and to identify underlying factors that may be responsible for the differences between high and low performing implanted children. Study Design: Retrospective cohort study of 391 implanted children in Flanders (Belgium). Methods: First, implanted children were sorted into two groups on account of screening age (early screened, n = 195 vs. late screened, n = 196). Both groups were compared with respect to several variables. Second, outcome of cochlear implantation was measured in terms of the child's speech perception and production skills (n = 355). A subgroup of high performing cochlear implant (CI) users was compared with low performing CI users with regard to several variables. Results: Early screened children differ significantly from late screened children with respect to age of hearing loss detection and age at cochlear implantation. Furthermore, early screening and implantation is associated with better auditory receptive skills and speech intelligibility. Additional impairments negatively influence both receptive and productive skills. In addition, children who communicate orally and wear bilateral cochlear implants perform better on speech production, whereas a better speech perception was found in children who became progressively deaf as opposed to congenitally deaf children. Conclusions: The results of this extensive study of profoundly deaf children with CIs in Flanders indicate that a newborn hearing screening program results in earlier intervention in deaf children, which beneficially influences the auditory receptive skills and speech intelligibility.
Keywords
DEAF-CHILDREN, COMMUNICATION, AUDITORY PERFORMANCE, SPEECH-INTELLIGIBILITY, high and low performers, speech production, speech perception, Pediatric cochlear implantation, newborn hearing screening, RELIABILITY, LANGUAGE, FLANDERS, MODE, AGE

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Chicago
Philips, Birgit, Paul Corthals, Leo De Raeve, Wendy D’Haenens, Leen Maes, Annelies Bockstael, Hannah Keppler, et al. 2009. “Impact of Newborn Hearing Screening: Comparing Outcomes in Pediatric Cochlear Implant Users.” Laryngoscope 119 (5): 974–979.
APA
Philips, B., Corthals, P., De Raeve, L., D’Haenens, W., Maes, L., Bockstael, A., Keppler, H., et al. (2009). Impact of newborn hearing screening: comparing outcomes in pediatric cochlear implant users. LARYNGOSCOPE, 119(5), 974–979. Presented at the International conference on Newborn Hearing Screening.
Vancouver
1.
Philips B, Corthals P, De Raeve L, D’Haenens W, Maes L, Bockstael A, et al. Impact of newborn hearing screening: comparing outcomes in pediatric cochlear implant users. LARYNGOSCOPE. 2009;119(5):974–9.
MLA
Philips, Birgit, Paul Corthals, Leo De Raeve, et al. “Impact of Newborn Hearing Screening: Comparing Outcomes in Pediatric Cochlear Implant Users.” LARYNGOSCOPE 119.5 (2009): 974–979. Print.
@article{595066,
  abstract     = {Objectives/Hypothesis: To evaluate the impact of a newborn hearing screening program on the management and outcome of deaf children and to identify underlying factors that may be responsible for the differences between high and low performing implanted children.
Study Design: Retrospective cohort study of 391 implanted children in Flanders (Belgium).
Methods: First, implanted children were sorted into two groups on account of screening age (early screened, n = 195 vs. late screened, n = 196). Both groups were compared with respect to several variables. Second, outcome of cochlear implantation was measured in terms of the child's speech perception and production skills (n = 355). A subgroup of high performing cochlear implant (CI) users was compared with low performing CI users with regard to several variables.
Results: Early screened children differ significantly from late screened children with respect to age of hearing loss detection and age at cochlear implantation. Furthermore, early screening and implantation is associated with better auditory receptive skills and speech intelligibility. Additional impairments negatively influence both receptive and productive skills. In addition, children who communicate orally and wear bilateral cochlear implants perform better on speech production, whereas a better speech perception was found in children who became progressively deaf as opposed to congenitally deaf children.
Conclusions: The results of this extensive study of profoundly deaf children with CIs in Flanders indicate that a newborn hearing screening program results in earlier intervention in deaf children, which beneficially influences the auditory receptive skills and speech intelligibility.},
  author       = {Philips, Birgit and Corthals, Paul and De Raeve, Leo and D'Haenens, Wendy and Maes, Leen and Bockstael, Annelies and Keppler, Hannah and Swinnen, Freya and DE VEL, EDDY and Vinck, Bart and Dhooge, Ingeborg},
  issn         = {0023-852X},
  journal      = {LARYNGOSCOPE},
  keyword      = {DEAF-CHILDREN,COMMUNICATION,AUDITORY PERFORMANCE,SPEECH-INTELLIGIBILITY,high and low performers,speech production,speech perception,Pediatric cochlear implantation,newborn hearing screening,RELIABILITY,LANGUAGE,FLANDERS,MODE,AGE},
  language     = {eng},
  location     = {Cernobbio, Italy},
  number       = {5},
  pages        = {974--979},
  title        = {Impact of newborn hearing screening: comparing outcomes in pediatric cochlear implant users},
  url          = {http://dx.doi.org/10.1002/lary.20188},
  volume       = {119},
  year         = {2009},
}

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