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Abstract：
OBJECTIVE: In this paper we draw on evidence to address the impact of earlier identification of congenital hearing loss through universal newborn hearing screening (UNHS) and the associated earlier access to interventions including cochlear implant technology on outcomes of children with hearing loss.
METHODS: Data from the Longitudinal Outcomes of Children with Hearing Impairment (LOCHI) study were analyzed to examine the impact of UNHS and earlier intervention on language outcomes. The LOCHI study includes more than 450 deaf and hard of hearing Australian children whose hearing losses were identified variously through newborn hearing screening or later paths to confirmation and intervention.
RESULTS: Seventy-two percent of the screened group received hearing aid fitting before 6 months of age, which more than doubled the 32% in the non-screened group. On average, children who received earlier intervention achieved language at age 5 years commensurate with their typically developing peers. Children who do not have disabilities in addition to hearing loss and received their first cochlear implants before age 12 months achieved language scores within the range of typically developing peers.
CONCLUSIONS: Newborn hearing screening led to earlier intervention. Children who received earlier intervention achieved better outcomes than those who received later intervention.
METHODS: Data from the Longitudinal Outcomes of Children with Hearing Impairment (LOCHI) study were analyzed to examine the impact of UNHS and earlier intervention on language outcomes. The LOCHI study includes more than 450 deaf and hard of hearing Australian children whose hearing losses were identified variously through newborn hearing screening or later paths to confirmation and intervention.
RESULTS: Seventy-two percent of the screened group received hearing aid fitting before 6 months of age, which more than doubled the 32% in the non-screened group. On average, children who received earlier intervention achieved language at age 5 years commensurate with their typically developing peers. Children who do not have disabilities in addition to hearing loss and received their first cochlear implants before age 12 months achieved language scores within the range of typically developing peers.
CONCLUSIONS: Newborn hearing screening led to earlier intervention. Children who received earlier intervention achieved better outcomes than those who received later intervention.
摘要：
目的：在本文中，我们利用证据来解决通过通用新生儿听力筛查（UNHS）早期识别先天性听力损失的影响，以及早期获得包括人工耳蜗植入技术在内的相关干预措施对听力损失儿童预后的影响。
方法：分析了听力障碍儿童（LOCHI）研究的纵向结果数据，以检查UNHS和早期干预对语言结果的影响。LOCHI研究包括450多名失聪和听力困难的澳大利亚儿童，他们的听力损失是通过新生儿听力筛查或后来的确认和干预途径进行的。
结果：72％的筛查组在6个月大之前接受了助听器验配，这是非筛查组32%的两倍多。平均而言,接受较早干预的儿童在5岁时获得的语言与通常发育中的同龄人相称.除听力损失外，没有残疾并在12个月大之前接受首次人工耳蜗植入的儿童的语言得分在通常发展中的同龄人范围内。
结论：新生儿听力筛查导致早期干预。接受较早干预的儿童比接受较晚干预的儿童获得更好的结果。
方法：分析了听力障碍儿童（LOCHI）研究的纵向结果数据，以检查UNHS和早期干预对语言结果的影响。LOCHI研究包括450多名失聪和听力困难的澳大利亚儿童，他们的听力损失是通过新生儿听力筛查或后来的确认和干预途径进行的。
结果：72％的筛查组在6个月大之前接受了助听器验配，这是非筛查组32%的两倍多。平均而言,接受较早干预的儿童在5岁时获得的语言与通常发育中的同龄人相称.除听力损失外，没有残疾并在12个月大之前接受首次人工耳蜗植入的儿童的语言得分在通常发展中的同龄人范围内。
结论：新生儿听力筛查导致早期干预。接受较早干预的儿童比接受较晚干预的儿童获得更好的结果。
