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• W2078012944 abstract "Abstract Background Effective early detection of infants with permanent hearing impairment requires parental compliance with various stages of a screening protocol. However, many infants who failed initial screening tests are often not presented for follow‐up evaluation, thus compromising prospects for early detection and intervention. This study set out to determine maternal and infant factors associated with loss to follow‐up in a hospital‐based universal hearing screening programme in a low‐income country. Methods A cross‐sectional study in which babies in a tertiary maternity hospital were enrolled into a two‐stage hearing screening programme with transient‐evoked otoacoustic emissions followed by automated auditory brainstem response (AABR) for all transient‐evoked otoacoustic emissions referrals before hospital discharge. Diagnostic evaluation was scheduled for AABR referrals on outpatient basis. Correlates of non‐compliance were determined through multivariable logistic regression analyses of relevant maternal and infant factors. Results Some 1330 babies participated in the first‐stage screening and of 551 scheduled for AABR; 56 (10.2%) did not complete. Some 37 (84.1%) of the 44 AABR referrals did not complete the diagnostic evaluation. There were no significant differences between the profile of those who did not complete either the second‐stage screening or diagnostic evaluation and those who completed across virtually all socio‐demographic factors except that Christian mothers were significantly more likely not to complete the second‐stage screening than diagnostic evaluation compared with their Muslim counterparts (odds ratio: 3.01; 95% confidence intervals: 1.17–7.87). The only independent predictors of non‐compliance with pre‐discharge screening were delivery by spontaneous vertex (odds ratio: 2.76; 95% confidence intervals: 1.47–5.19) and admission into special care baby unit (odds ratio: 5.62; 95% confidence intervals: 2.92–10.84) while no factor was predictive of non‐compliance with diagnostic evaluation. Conclusions Mode of delivery or having high‐risk baby influences compliance before hospital discharge while factors other than maternal or infant socio‐demographic/medical profile such as unfavourable cultural beliefs and stigma may be key determinants of follow‐up compliance after discharge." @default.
• W2078012944 created "2016-06-24" @default.
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• W2078012944 date "2009-02-03" @default.
• W2078012944 modified "2023-10-15" @default.
• W2078012944 title "Follow-up default in a hospital-based universal newborn hearing screening programme in a low-income country" @default.
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• W2078012944 doi "https://doi.org/10.1111/j.1365-2214.2008.00923.x" @default.
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