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Language ability after early detection of permanent childhood hearing impairment
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Kennedy, Colin R., McCann, Donna C., Campbell, Michael J., Law, Catherine M., Mullee, Mark, Petrou, Stavros, Watkin, Peter, Worsfold, Sarah, Yuen, Ho Ming and Stevenson, Jim (2006) Language ability after early detection of permanent childhood hearing impairment. New England Journal Of Medicine , 354 (20). pp. 2131-2141. doi:10.1056/NEJMoa054915 ISSN 0028-4793.
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Official URL: http://dx.doi.org/10.1056/NEJMoa054915
Abstract
BACKGROUND
Children with bilateral permanent hearing impairment often have impaired language and speech abilities. However, the effects of universal newborn screening for permanent bilateral childhood hearing impairment and the effects of confirmation of hearing impairment by nine months of age on subsequent verbal abilities are uncertain.
METHODS
We studied 120 children with bilateral permanent hearing impairment identified from a large birth cohort in southern England, at a mean of 7.9 years of age. Of the 120 children, 61 were born during periods with universal newborn screening and 57 had hearing impairment that was confirmed by nine months of age. The primary outcomes were language as compared with nonverbal ability and speech expressed as z scores (the number of standard deviations by which the score differed from the mean score among 63 age-matched children with normal hearing), adjusted for the severity of the hearing impairment and for maternal education
RESULTS
Confirmation of hearing impairment by nine months of age was associated with higher adjusted mean z scores for language as compared with nonverbal ability (adjusted mean difference for receptive language, 0.82; 95 percent confidence interval, 0.31 to 1.33; and adjusted mean difference for expressive language, 0.70; 95 percent confidence interval, 0.13 to 1.26). Birth during periods with universal newborn screening was also associated with higher adjusted z scores for receptive language as compared with nonverbal ability (adjusted mean difference, 0.60; 95 percent confidence interval, 0.07 to 1.13), although the z scores for expressive language as compared with nonverbal ability were not significantly higher. Speech scores did not differ significantly between those who were exposed to newborn screening or early confirmation and those who were not.
CONCLUSIONS
Early detection of childhood hearing impairment was associated with higher scores for language but not for speech in midchildhood.
Item Type: | Journal Article | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | New England Journal Of Medicine | ||||
Publisher: | Massachusetts Medical Society | ||||
ISSN: | 0028-4793 | ||||
Official Date: | 2006 | ||||
Dates: |
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Volume: | 354 | ||||
Number: | 20 | ||||
Page Range: | pp. 2131-2141 | ||||
DOI: | 10.1056/NEJMoa054915 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
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