- Randomized controlled trial for early v. late intervention is seemingly
impossible. Most states have mandated universal newborn hearing screening.
In addition, patients with suspected hearing loss are protected by the
Individual with Disabilities Education Act.
- Universal newborn hearing screening is extremely costly. However,
it remains impossible to determine the educational resources saved down
- The AAP, 1994 Joint Committee on Infant Hearing, Health People 2000,
NIH consensus statement and the American Academy of Audiology endorse
universal newborn hearing screening.3
Yoshinaga-Itano C, Sedey AL, Coulter DK, Mehl AL. Language of early-
and later-identified children with hearing loss. Pediatrics 1998;
AR, Downs SM. A cost-effectiveness analysis of newborn hearing screening
strategies. Archives of Pediatrics and Adolescent Medicine 2000;
Force on Newborn and Infant Hearing. Newborn and infant hearing loss:
Detection and intervention. Pediatrics 1999; 103(2): 527-30.