{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T21:40:15Z","timestamp":1781646015316,"version":"3.54.5"},"reference-count":10,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T00:00:00Z","timestamp":1738281600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Despite significant improvements in universal newborn hearing screenings (NBHS), infants are still lost to follow\u2010up (LTF) after failed screening, delaying timely diagnosis and intervention. The challenges during the COVID\u201019 pandemic and its response likely exacerbated timely adherence to early diagnosis and intervention. This study aimed to assess the LTF rate for infants who did not pass their NBHS within Washington, DC and compare the LFT before and during the pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Cohort study analyzing variables potentially impacting LTF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Web\u2010based analysis of DC Oz e\u2010Screener Plus for NBHS reports.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Multivariate and univariate regression analyses were used to identify significant demographic and clinical factors from March 2019 to March 2021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 15,661 born during the period analyzed, 830 (5.3%) infants did not pass their initial hearing screening: 406 (48.9%) infants in the pre\u2010COVID group and 424 (51.1%) infants in the COVID group. Of those infants failing their initial screening, 388 (46.7%) did not pass a follow\u2010up outpatient screening. Of these, 342 (88.1%) had no record of receiving a Diagnostic Auditory Brainstem Response assessment. The overall LTF rate in the pre\u2010COVID group was 90.7% compared to 83% in the COVID group. Multivariate analyses showed that male gender (odds ratio [OR]\u2009=\u20091.3), income &lt;100\u2009K (OR\u2009=\u20091.9), wards 7 and 8 (OR\u2009=\u20091.9), and pre\u2010COVID group (OR\u2009=\u20090.7) were statistically associated with LTF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There are many factors impacting LTF rates and future follow\u2010up when using the protocols recommended by the Joint Committee on Infant Hearing. This study will be the basis for implementing planned improvement strategies for reducing LTF rates.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ohn.1152","type":"journal-article","created":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T09:10:12Z","timestamp":1738314612000},"page":"1756-1760","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["COVID Effects on Adherence to Joint Committee on Infant Hearing Newborn Screening Recommendations"],"prefix":"10.1002","volume":"172","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0050-8336","authenticated-orcid":false,"given":"Hengameh K.","family":"Behzadpour","sequence":"first","affiliation":[{"name":"Division of Otolaryngology Children's National Hospital Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Chappetto","sequence":"additional","affiliation":[{"name":"Department of Audiology Children's Healthcare of Atlanta Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracey","family":"Ambrose","sequence":"additional","affiliation":[{"name":"Division of Hearing and Speech Children's National Hospital Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene","family":"Sideris","sequence":"additional","affiliation":[{"name":"Division of Hearing and Speech Children's National Hospital Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Buxton","sequence":"additional","affiliation":[{"name":"Division of Hearing and Speech Children's National Hospital Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian K.","family":"Reilly","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology Children's National Hospital Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Tommie L.","family":"Robinson","sequence":"additional","affiliation":[{"name":"Division of Hearing and Speech Children's National Hospital Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Mahshie","sequence":"additional","affiliation":[{"name":"Department of Speech, Language, and Hearing Sciences George Washington University Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego A.","family":"Preciado","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology Children's National Hospital Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,31]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Strengthening Early Hearing Detection and Intervention (EHDI). Health Resources and Service Administration Maternal and Child Health. August 2024. Accessed September 9 2024.https:\/\/mchb.hrsa.gov\/programs-impact\/early-hearing-detection-intervention-ehdi"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijns4030025"},{"issue":"2","key":"e_1_2_8_4_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_8_5_1","unstructured":"Oz Systems. OAE databases. May 22 2022. Accessed September 9 2024.https:\/\/www.oae.it\/old\/software\/databases\/oz.html"},{"key":"e_1_2_8_6_1","unstructured":"What's my ward? DC Office of Planning. Accessed August 16 2024.https:\/\/planning.dc.gov\/whatsmyward"},{"key":"e_1_2_8_7_1","unstructured":"American Community Survey. Census Reporter. Accessed August 16 2024.https:\/\/censusreporter.org"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.221"},{"key":"e_1_2_8_9_1","unstructured":"Early Hearing Detection and Intervention System. National Center for Hearing Assessment and Management. Accessed September 9 2024.https:\/\/www.infanthearing.org\/components"},{"key":"e_1_2_8_10_1","unstructured":"2021 Summary of National CDC EHDI Data. Centers for Disease Control and Prevention.2022. Accessed February 2 2023. Updated January 12 2024. Accessed September 10 2024. Updated July 21 https:\/\/www.cdc.gov\/ncbddd\/hearingloss\/2021-data\/01-data-summary.html."},{"issue":"1","key":"e_1_2_8_11_1","first-page":"e694","article-title":"Provider perspectives: identification and follow\u2010up of infants who are deaf or hard of hearing","volume":"41","author":"Cree RA","year":"2024","journal-title":"Am J Perinatol"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.1152","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:31:51Z","timestamp":1760956311000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ohn.1152"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,31]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1002\/ohn.1152"],"URL":"https:\/\/doi.org\/10.1002\/ohn.1152","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,31]]},"assertion":[{"value":"2024-09-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}