Clinical Pediatrics

 

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Clinical Pediatrics, Vol. 45, No. 6, 559-566 (2006)
DOI: 10.1177/0009922806290611

Hearing Screening Practices Among a National Sample of Primary Care Pediatricians

Terry C. Wall, MD, MPH

Division of General Pediatrics, Department of Pediatrics, University of Alabama at Birmingham, Birmingham

Emily Senicz

Division of General Pediatrics, Department of Pediatrics, University of Alabama at Birmingham, Birmingham

H. Hughes Evans, MD, PhD

Division of General Pediatrics, Department of Pediatrics, University of Alabama at Birmingham, Birmingham

Audie Woolley, MD

Department of Surgery, University of Alabama at Birmingham, Birmingham

J. Michael Hardin, PhD

Department of Information Systems, Statistics, and Management Science, University of Alabama at Tuscaloosa, Tuscaloosa, AL

The objective of this study was to describe variations in hearing screening using a survey mailed to a national sample of primary care pediatricians prior to the 2003 American Academy of Pediatrics (AAP) hearing screening guidelines. Of the 390 primary care respondents, only 303 (78%) performed audiometry, routinely beginning at age 3 (32%), 4 (44%), or 5 (17%); 81% defined abnormal audiometry primarily as failure to hear at a specified decibel level: 15 dB hearing level (HL) (<1%), 16 to 20 dB HL (10%), 21 to 25 dB HL (23%), 26 to 30 dB HL (44%), 31 to 40 dB HL (16%), and more than 40 dB HL (6%). This study serves as a baseline for comparison with postguideline practices.


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