Austria: Difference between revisions

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==Germany==
===Austria===


* Population (2012 est): 81,305,856
* <font size='4pt' color='blue'>Percent of children screened for hearing loss:
* Percent of Annual Births (2012 est): 677,300
* Incidence of permanent hearing loss among newborns:</font>
* Birth rate: 8.33 per 1,000
* Percent of GDP spent on health care (2009): 10.5%
* Percent of Health Care expenditures spent by government: 74.6%
* Physician density: 3.531 per 1,000
* Percent of newborns attended by skilled providers: 100%
* Infant Mortality: 3.51 per 1,000
* Literacy (age 15 and over can read and write): 99%
* Percent of children screened for hearing loss:  
* Incidence of permanent hearing loss among newborns:  


===Current Status of Early Hearing Detection and Intervention for Children (500 word limit)===
===Current Status of Early Hearing Detection and Intervention for Children===
In Austria (Central Europe), the beginnings of newborn hearing screening date back to the early nineties, when a few hospitals implemented screening programs in their neonatal intensive care units or maternal wards. In 1995, the Austrian ENT Society released a position paper, which endorsed early detection of infant hearing loss through the UNHS and set up guidelines for its nationwide implementation. According to these guidelines, UNHS is performed as a hospital-based, two-stage TEOAE screen: newborns are first tested a few days after birth and, if they fail, undergo a second test prior to discharge from hospital.
Since 1995, a growing number of Austrian hospitals have introduced UNHS, so that it’s current coverage (Spring 2005) is estimated at 90% of all Austrian newborns. With a total of approximately 70,000 children born per year [9], and a prevalence rate of 1.11:1000 for congenital hearing impairment [10], some 70 hearing-impaired infants are expected to be born annually in Austria.
UNHS is not anchored in legislation (except in one Austrian Federal State). However, testing an infant’s hearing became a routine check in the national child health care program in 2003. Hence, the UNHS can be considered a quasi-mandatory preventive measure. To keep this status, the official advisory committee to the Austrian government requires the ongoing provision of evidence to show that the measure contributes to improving or preserving the health status of the society. The current study was thus undertaken to evaluate the efficacy of the Austrian UNHS program from its early implementation to the present.


In Germany, newborn hearing screening has been mandatory since 1 January 2009. Screening is designed to detect a permanent hearing loss of 35 dBHL or greater. The goal is to diagnose congenital hearing loss before the end of the 3rd month of life and begin therapy before the end of the 6th month of life. Screening is performed binaurally as a TEOAE-AABR two-stage screening or as a one-stage AABR screening. For babies with a risk factor for hearing loss, AABR is required. All parents receive written information on newborn hearing screening, and those who do not want to have their baby screened must sign a form indicating that screening has been refused in the booklet which documents the child’s regular medical check-ups. For healthy babies, screening is recommended by the 3rd day of life and before discharge from the maternity ward (if the baby is born in a clinic), and must occur before the 10th day of life. For severely ill babies, screening should be done as soon as is practical considering the baby’s medical condition, and before the end of the 3rd month of life. For pre-term babies screening should occur by the calculated birth date.
===Demographics===


Tracking of screening is done by documenting in the child’s booklet its first occurrence, the results, the occurrence of a second screening (if necessary), and the follow-up to final diagnosis and therapy. The home paediatrician is responsible for initiating any examinations that are lacking. However, the responsibility for the initiation, performance, documentation and quality assurance of the screening is clearly defined for hospitals and practices. Clinics have to provide annual hearing-screening reports, while nationwide evaluations of screening allow for the quality control of the overall newborn hearing screening programme.
* Population: 8,504,850 (2014 est.)
 
* Number of Annual Births (2012 est): 78,109
In the German State of Hesse, a unique network exists where all 78 birth clinics involved in the newborn hearing screening programme send their data every day directly from the screening device via a telephone line to a central server in the screening centre. The data is then automatically fed into a database that indicates which babies failed the screening or did not receive a complete screen; creates reminder letters for the parents of babies who did not show up for a follow-up; and produces various reports and statistics. These reports include the proportion of invalid measurements to valid measurements, calibration errors, and the quality of the measurements made by the screening personnel. Based on data for 150 000 babies, median age at diagnosis of congenital hearing loss has decreased to 3.7 months, with a median age of 5.8 months at initiation of therapy.
* Birth rate: 9.4 live births per 1 000 population
* Percent of GDP spent on health care (2012): 11%
* Percent of Health Care expenditures spent by government: 84%
* Physician density: 4.86 physicians/1,000 population (2010)
* Percent of newborns attended by skilled providers: 100%
* Infant Mortality: 4.26 per 1000 (2012)
* Literacy (age 15 and over can read and write): 98%
* Percent of children screened for hearing loss: 90%
* Incidence of permanent hearing loss among newborns:


===Publications about EHDI Programs in Germany (maximum of 5)===
===Publications about EHDI Programs in Austria===
# [http://www.researchgate.net/publication/7675477_Ten-year_outcome_of_newborn_hearing_screening_in_Austria, Weichbold, V., Nekahm-Heis, D., and Welzl-Mueller, K. 2006. Ten-year outcome of newborn hearing screening in Austria. International Journal of Pediatric Otorhinolaryngology 70:235-240.]
# [http://www.ncbi.nlm.nih.gov/pubmed/16585279, Weichbold V, Nekahm-Heis D, Welzi-Mueller K. Universal newborn hearing screening and postnatal hearing loss. Pediatrics. 2006;117(4):e631-6.]


# World Health Organization. 2010. Newborn and infant hearing screening- current issues and guiding principles for action. WHO Report 2010:1-39.


===Person responsible for most recent update:===
===Person responsible for most recent update:===

Latest revision as of 11:08, 8 September 2014

Austria

  • Percent of children screened for hearing loss:
  • Incidence of permanent hearing loss among newborns:

Current Status of Early Hearing Detection and Intervention for Children

In Austria (Central Europe), the beginnings of newborn hearing screening date back to the early nineties, when a few hospitals implemented screening programs in their neonatal intensive care units or maternal wards. In 1995, the Austrian ENT Society released a position paper, which endorsed early detection of infant hearing loss through the UNHS and set up guidelines for its nationwide implementation. According to these guidelines, UNHS is performed as a hospital-based, two-stage TEOAE screen: newborns are first tested a few days after birth and, if they fail, undergo a second test prior to discharge from hospital. Since 1995, a growing number of Austrian hospitals have introduced UNHS, so that it’s current coverage (Spring 2005) is estimated at 90% of all Austrian newborns. With a total of approximately 70,000 children born per year [9], and a prevalence rate of 1.11:1000 for congenital hearing impairment [10], some 70 hearing-impaired infants are expected to be born annually in Austria. UNHS is not anchored in legislation (except in one Austrian Federal State). However, testing an infant’s hearing became a routine check in the national child health care program in 2003. Hence, the UNHS can be considered a quasi-mandatory preventive measure. To keep this status, the official advisory committee to the Austrian government requires the ongoing provision of evidence to show that the measure contributes to improving or preserving the health status of the society. The current study was thus undertaken to evaluate the efficacy of the Austrian UNHS program from its early implementation to the present.

Demographics

  • Population: 8,504,850 (2014 est.)
  • Number of Annual Births (2012 est): 78,109
  • Birth rate: 9.4 live births per 1 000 population
  • Percent of GDP spent on health care (2012): 11%
  • Percent of Health Care expenditures spent by government: 84%
  • Physician density: 4.86 physicians/1,000 population (2010)
  • Percent of newborns attended by skilled providers: 100%
  • Infant Mortality: 4.26 per 1000 (2012)
  • Literacy (age 15 and over can read and write): 98%
  • Percent of children screened for hearing loss: 90%
  • Incidence of permanent hearing loss among newborns:

Publications about EHDI Programs in Austria

  1. Weichbold, V., Nekahm-Heis, D., and Welzl-Mueller, K. 2006. Ten-year outcome of newborn hearing screening in Austria. International Journal of Pediatric Otorhinolaryngology 70:235-240.
  2. Weichbold V, Nekahm-Heis D, Welzi-Mueller K. Universal newborn hearing screening and postnatal hearing loss. Pediatrics. 2006;117(4):e631-6.


Person responsible for most recent update:

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