18th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 3-5, 2019 • Chicago, IL
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:
CART transcripts are NOT YET available, but will be posted shortly after the conference
Presenters/Authors
Jessica Stich-Hennen
(POC,Primary Presenter,Author), St. Luke's Idaho Elks Hearing & Balance Center -Boise , stichhej@slhs.org;
Jessica Stich-Hennen, AuD, PASC, earned her doctorate in audiology from Idaho State University and her bachelor's degree in business administration from North Dakota State University. In 2011, Dr. Stich-Hennen earned Specialty Certification in Pediatric Audiology (PASC) from the American Board of Audiology. Dr. Stich-Hennen specializes in pediatric diagnostics and amplification, auditory osseointegrated implants (i.e. BAHA), Auditory Brainstem Response (ABR) evaluations, and Central Auditory Processing Disorder (CAPD) evaluations. Dr. Stich-Hennen works as the primary audiologist for the Idaho Cleft Palate and Craniofacial team. She has served on Idaho Hands & Voices (IDHV) Board, Idaho’s Early Hearing Detection Intervention (EHDI) Advisory Committee and several committees and executive board for the Idaho Speech Hearing Association (ISHA). Dr. Stich-Hennen has given numerous regional and national professional presentations on various topics in pediatric audiology and co-authored a chapter in the EHDI e-book titled “Risk Monitoring for Delayed-Onset Hearing Loss.”
ASHA DISCLOSURE:
Financial -
Nonfinancial -