Hearing Loss Clinical Trial
Official title:
Equipment Evaluation for Newborn Hearing Screening. A Randomised Comparison of Screen Outcome Between Standard Madsen 'Accuscreen New' and Madsen 'Accuscreen New' With Fast Refer Disabled and Increased Test Time
An evaluation and comparison of results between the 'Accuscreen New' currently in use and an
'Accuscreen New' with different settings to see if the new settings reduce unnecessary
referrals for babies from newborn hearing screening.
Babies will be tested with the standard and modified equipment. Referrals for diagnostic
testing will be based on the standard equipment. A comparison in referrals between the
standard and modified equipment will be made.
All newborn babies undergo hearing screening, usually within the first few days of life and
some are tested with the automated auditory brainstem response test (AABR). This involves
recording activity from the hearing nerve and parts of the brainstem from three small sensors
placed on the baby's head and neck when a series of clicking sounds are played in to the ear.
In March 2015 we started using an 'Accuscreen New' to record the AABR, which is approved by
the Newborn Hearing Screening Programme (NHSP) and used widely across the UK. However, since
introducing the new equipment the 'screen refer' rate increased significantly in very young
babies (less than 48 hours old) and diagnostic testing showed they had satisfactory hearing.
The impact of the increased referral rate caused increased delays on diagnostic testing and
also lead to unnecessarily increased parental anxiety in relation to the hearing of their new
born baby.
The equipment suppliers (GN Otometrics) and the NHSP Programme centre have agreed to an
evaluation and comparison of results between the 'Accuscreen New' currently in use and an
'Accuscreen New' with different settings which we believe will reduce unnecessary referrals
of so many young babies to Audiology (the modified equipment will test for up to 10 minutes
to see if a response is present, instead of stopping after one or two minutes).
Babies will be tested with the standard and modified equipment. Referrals for diagnostic
testing will be based on the standard equipment. A comparison in referrals between the
standard and modified equipment will be made.
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