Universal newborn hearing screening with automated auditory brainstem response (AABR) in Hungary: 5-year experience in diagnostics and influence on the early intervention

• Published in: European archives of oto-rhino-laryngology 2022-12, Vol.279 (12), p.5647-5654
• Main Authors: Gáborján, Anita, Katona, Gábor, Szabó, Miklós, Muzsik, Béla, Küstel, Marianna, Horváth, Mihály, Tamás, László
• Format: Article
• Language: English
• Subjects: Child; Deafness; Evoked Potentials, Auditory, Brain Stem; Female; Head and Neck Surgery; Hearing Loss - diagnosis; Hearing Loss - epidemiology; Hearing Loss, Sensorineural - congenital; Hearing Loss, Sensorineural - diagnosis; Hearing Loss, Sensorineural - epidemiology; Hearing Tests; Humans; Hungary - epidemiology; Infant, Newborn; Male; Medicine; Medicine & Public Health; Neonatal Screening; Neurosurgery; Otoacoustic Emissions, Spontaneous; Otology; Otorhinolaryngology
• ISSN: 0937-4477; 1434-4726
• DOI: 10.1007/s00405-022-07441-4

Purpose In 2015 a new regulation and guidelines for the universal newborn hearing screening by AABR measurement have been implemented in Hungary. The aim of our study was to analyse (1) the past 5 years of data from our diagnostic centre about the incidence and types of congenital hearing losses, and (2) the first experiences with the National Newborn Hearing Screening Registry, started in 2019, and (3) the influence of the screening on the pediatric cochlear implant program. Methods 1269 children referred to our diagnostic centre between 2017 and 2021 were investigated. A third AABR measurement and full audiological evaluation were performed. Furthermore, one-year period data of the screening registry, and the number of implanted children at or under the age of 3 were analysed using the national databases. Results Altogether 276 newborns (22% of the referred cases after the two-stage screening) had hearing loss, 134 (49%) out of them was conductive origin, almost twice frequent in male as in female. Permanent sensorineural hearing impairment was found in 142 (51%), 58 (40%) of them had bilateral, severe to profound hearing loss, occurring more frequently in male as in female. The national digital registration of the screening data within 12 months concerned 68%. The number of early cochlear implantation in one year increased from 1 to 23 children in the past 15 years. Conclusion A third AABR after the two-stage screening increased the efficiency and filtered the 78% false-positive cases. The audiological diagnostics verified and typed the hearing losses ensuring the early intervention.