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Reading and communication skills after universal newborn screening for permanent childhood hearing impairment
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McCann, D. C., Worsfold, S., Law, C. M., Mullee, M., Petrou, Stavros, Stevenson, J., Yuen, H. M. and Kennedy, C. R. (2009) Reading and communication skills after universal newborn screening for permanent childhood hearing impairment. Archives of Disease in Childhood, 94 (4). pp. 293-297. doi:10.1136/adc.2008.151217 ISSN 0003-9888.
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Official URL: http://dx.doi.org/10.1136/adc.2008.151217
Abstract
Background: Birth in periods with universal newborn
screening (UNS) for permanent childhood hearing
impairment (PCHI) and early confirmation of PCHI have
been associated with superior subsequent language
ability in children with PCHI. However their effects on
reading and communication skills have not been
addressed in a population-based study.
Methods: In a follow-up study of a large birth cohort in
southern England, we measured reading by direct
assessment and communication skills by parent report in
120 children with bilateral moderate, severe or profound
PCHI aged 5.4–11.7 years, of whom 61 had been born in
periods with UNS, and in a comparison group of 63
children with normal hearing.
Results: Compared with birth during periods without
UNS, birth during periods with UNS was associated with
better reading scores (inter-group difference 0.39 SDs,
95% CI 0.02 to 0.76, p = 0.042) and communication skills
scores (difference 0.51 SDs, 95% CI 0.06 to 0.95,
p = 0.026). Compared with later confirmation, confirmation
of PCHI by age 9 months was also associated with
better reading (difference 0.51 SDs, 95% CI 0.15 to 0.87,
p = 0.006) and communication skills (difference 0.56
SDs, 95% CI 0.12 to 1.00, p = 0.013). In the children with
PCHI, reading, communication and language ability were
highly correlated (r = 0.62–0.84, p,0.001).
Conclusion: Birth during periods with UNS and early
confirmation of PCHI predict better reading and communication
abilities at primary school age. These benefits
represent functional gains of sufficient magnitude to be
important in children with PCHI
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: | Archives of Disease in Childhood | ||||
Publisher: | BMJ | ||||
ISSN: | 0003-9888 | ||||
Official Date: | 2009 | ||||
Dates: |
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Volume: | 94 | ||||
Number: | 4 | ||||
Page Range: | pp. 293-297 | ||||
DOI: | 10.1136/adc.2008.151217 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Open Access (Creative Commons) |
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