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Evidence · Systematic review or meta-analysis

Protocol and programme factors associated with referral and loss to follow-up from newborn hearing screening: a systematic review.

Systematic review or meta-analysisBMC Pediatrics2022Full text
  • Allied health
  • Eyes and hearing
  • Medical
  • Neurodevelopmental follow-up
  • Newborn hearing screening
  • Nursing
  • Postnatal and transitional care

Summary

This systematic review examines how protocol and programme factors influence referral rates and loss to follow-up in newborn hearing screening programmes. It covers well babies and NICU infants, comparing screening methods such as aABR and TEOAE, the timing of screening and rescreening before discharge. Programme features associated with lower loss to follow-up include audiologist involvement, no fees for follow-up, integration into regional or national programmes and accessible follow-up locations. It highlights higher loss to follow-up among NICU graduates and calls for better reporting and definitions.

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