2022 Early Hearing Detection & Intervention Virtual Conference
March 13 - 15, 2022
3/06/2012 | 9:40 AM - 10:40 AM | Risk Monitoring Infants for Late-onset Hearing Loss | Burlington Route | 2
Risk Monitoring Infants for Late-onset Hearing Loss
In 2007, the Joint Committee on Infant Hearing (JCIH) recommended audiological monitoring for newborns identified with risk indicators for late-onset hearing loss. The list of risk indicators included caregiver concerns, family history of permanent childhood hearing loss, NICU stay greater than 5 days, assisted ventilation, ototoxic medications, hyperbilirubinemia requiring transfusions, in-utero infections, craniofacial anomalies, physical findings or syndromes associated with hearing loss or progressive or late-onset hearing loss, neurodegenerative disorders, culture-positive postnatal infections associated with hearing loss, head trauma and Chemotherapy. Some risk indicators are more concerning and require frequent audiological evaluations.
JCIH statement did not provide a detailed protocol for monitoring of risk indicators in infants. As a result, there are inconsistencies in risk monitoring protocols from state to state, clinic to clinic, and even audiologist to audiologist.
The presentation describes Idaho’s “best practice” protocol for monitoring risk indicators in newborns and young children. The pros and cons of the current risk monitoring protocol will be addressed. The presentation will provide a look into a “revised” risk monitoring protocol currently used at one of the NICU programs in Idaho.
In Idaho, approximately 50% of infants identified with hearing loss present with risk indicators. At least half of infants with risk indicators and diagnosed hearing loss had more than one risk indicator identified. Data will be presented on the incidence of risk indicators and diagnosed hearing loss in Idaho.
The presentation addresses risk monitoring at the pediatric audiology clinic level. It describes the tracking procedures for risk monitoring in one pediatric audiology clinic in Idaho. The clinic’s risk monitoring program data will be presented from the last three years.
Overall, the presentation describes risk indicators for late onset hearing loss, provides audiology protocols for risk monitoring and gives recommendations for tracking risk indicators at a clinic and state level.
- Learner will be able to identify high risk indicators which require monitoring in newborns for late-onset hearing loss. Learner will be able to identify high risk indicators which require more frequent audiological monitoring. Learner will be able to explain options for high risk monitoring protocols.
Presentation:
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Handouts:
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Transcripts:
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Presenters/Authors
Jessica Stich-Hennen
(POC,Primary Presenter,Author), Idaho Elks Hearing & Balance Center -Boise , stichhej@slhs.org;
Dr. Jessica Stich-Hennen, AuD, PASC, earned her doctorate degree in audiology from Idaho State University. In 2011, Dr. Stich-Hennen earned Specialty Certification in Pediatric Audiology from American Board of Audiology. Her areas of clinical and research focus include: pediatric diagnostics, pediatric amplification, osseointegrated implants, central auditory processing disorder evaluations, newborn hearing screening programs and risk monitoring for delayed-onset hearing loss in pediatrics.
Dr. Stich-Hennen is the Director of Audiology for Idaho Speech Language Hearing Association and works as the primary audiologist for the Idaho Cleft Palate and Craniofacial Deformities team. Dr. Stich-Hennen has given numerous professional presentations (locally and nationally) and published a chapter in the 2013-2015 EHDI E-book on risk indicator monitoring for delayed-onset hearing loss. In 2017, she co-authored an article on EHDI risk indicator monitoring system in the Journal of Early Hearing Detection and Intervention (JEHDI).
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