{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T01:05:52Z","timestamp":1785546352217,"version":"3.56.0"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T00:00:00Z","timestamp":1727654400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the efficacy of a newborn hearing screening program in an urban hospital 24\u2009years after a longitudinal study identified failings in its program and recommended solutions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A hospital\u2010specific, Pennsylvania database was queried to determine rates of in\u2010hospital testing, referral, and diagnosis for Temple University Hospital (TUH), and to compare these with reporting sites statewide. At TUH, interviews with newborn hearing screeners and audiologists were conducted to identify barriers to care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the year 2022, 2,006\/2,069 newborns (97%) were successfully screened prior to hospital discharge at TUH. (63 babies were never tested). There were 73 who did not pass automated auditory brainstem response testing (ABR) in at least one ear. All of these 73 infants returned for repeat automated ABR testing and 50\/73 passed in both ears. 23\/2006 (1%) were referred to diagnostic testing. 13\/23 were successfully scheduled. 11\/23 passed in both ears. 2\/13 were found to have hearing losses. 10 infants (43%) were lost to follow\u2010up and were never diagnosed. Examining lost\u2010to\u2010follow\u2010up rates statewide, we identified a relationship between successful follow\u2010up and local median family income.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Legislation on the state level and improvements in audiometric technology have led to highly successful in\u2010hospital screening with relatively low false\u2010positive rates. Despite this, inadequate outpatient follow\u2010up testing and inequities in the American health care system continue to delay audiometric diagnosis and habilitation of congenital hearing loss. Lack of transportation, childcare for siblings, and newborn insurance status impede access to diagnostic testing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>3 evidence\u2014retrospective review comparing cases and controls <jats:italic>Laryngoscope<\/jats:italic>, 135:942\u2013947, 2025<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31806","type":"journal-article","created":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T10:04:07Z","timestamp":1727690647000},"page":"942-947","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Newborn Hearing Screening Success\u2026 Patient Care Failure"],"prefix":"10.1002","volume":"135","author":[{"given":"Akailah","family":"Jennings","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2013 Head &amp; Neck Surgery Lewis Katz School of Medicine at Temple University  Philadelphia Pennsylvania U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5977-1796","authenticated-orcid":false,"given":"Glenn","family":"Isaacson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head &amp; Neck Surgery Lewis Katz School of Medicine at Temple University  Philadelphia Pennsylvania U.S.A"},{"name":"Department of Pediatrics Lewis Katz School of Medicine at Temple University  Philadelphia Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,30]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Infant Hearing Education Assessment Reporting and Referral (IHEARR) ACT Act of Nov. 30 2001 P.L. 849 No. 89 Cl. 35.https:\/\/www.legis.state.pa.us\/WU01\/LI\/LI\/US\/HTM\/2001\/0\/0089..HTM accessed 4\/29\/24."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000001312"},{"issue":"13","key":"e_1_2_6_4_1","first-page":"351","article-title":"Centers for Disease Control and Prevention (CDC). Progress in identifying infants with hearing loss\u2014United States, 2006\u20132012","volume":"64","author":"Williams TR","year":"2015","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.26077\/6sj1-mw42"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000915"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.31242"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.221"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200006000-00002"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.12.12006"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2011-301501"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-307516"},{"key":"e_1_2_6_13_1","first-page":"1","article-title":"Year 2019 position statement: principles and guidelines for early hearing detection and intervention programs","volume":"4","author":"Joint Committee on Infant Hearing","year":"2019","journal-title":"J Early Hear Detect Interv"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1044\/2019_AJA-18-0001"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/children8090743"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.01.045"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2019.05.004"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.109.1.e7"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-015-0086-1"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2021.110708"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.22605\/RRH8574"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2012.07.041"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.574"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.322"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-022-03218-0"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.3390\/audiolres13040058"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2006.0137"},{"key":"e_1_2_6_28_1","unstructured":"2021 Summary of Diagnostics Among Infants Not Passing Hearing Screening.https:\/\/www.cdc.gov\/ncbddd\/hearingloss\/2021-data\/documents\/06-2021-HSFS-Diag-h.pdf(accessed 5\/26\/2024)."}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.31806","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T06:07:23Z","timestamp":1736748443000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.31806"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,30]]},"references-count":27,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1002\/lary.31806"],"URL":"https:\/\/doi.org\/10.1002\/lary.31806","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,30]]},"assertion":[{"value":"2024-05-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}