Strategies to improve follow-up of the Universal Newborn Hearing Screening Program
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Keywords
Hearing Loss, Lost to Follow-Up, Neonatal Screening
Abstract
Introduction: The Newborn Hearing Screening Program (NHSP) at Clinica Las Condes began in 2001 and up to date, has evaluated over 18.000 children. Our current challenge is to achieve that children with referred screening, receive early evaluation and intervention. Aim: To analyze the impact of strategies to improve program’s follow-up reducing the percentage of follow-up losses. Material and method: During 2010 nine NHSP strategies were implemented to im- prove the follow-up. By a retrospective cohort NHSP’s results were evaluated 12 months previous and after the implementation of these strategies. Results: In 2009 1.797 children were evaluated, 71,1% completed the protocol, with 28,9% lost in the follow-up. In 2011, after strategies’ implementation, 1.823 children were evaluated, 85,1 %, completed the protocol and only 14,9 % were lost in the follow-up. The difference in the percentage lost between 2009 and 2011 was 13.87 % (p: 0.042). Discussion and conclusions: It is necessary to discover the reasons of loss to follow- up, in order to establish strategies that may allow every referred child to be diagnosed in time. Implementation of strategies like the raised in this investigation is a practical and effective way to improve the follow-up of NHSP.
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