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Abstract

The primary objective of this study was to determine the impact of the COVID-19 pandemic on newborn hearing screening guideline adherence and the respective rates of screening, diagnosis, and intervention. This was a review of newborn hearing screening data compiled from the Departments of Health of six states for the time periods of March-September 2019 and March-September 2020. Endpoints included the numbers of live births as well as the numbers and timeframes of screening, diagnostic, and intervention events. Two-tailed paired t-tests were performed to determine statistical significance. 181,662 births in six states were assessed. Compared to March-September 2019, March-September 2020 had a significantly lower mean rate of screening before 1 month of age (97.3% vs. 96.2%, p < 0.001) and mean screen rate overall (98.9% vs. 98.0%, p < 0.001). Additionally, the 2020 time period had a significantly higher mean rate of patients lost to follow up for referral to early intervention (14.7% vs. 28.9%, p = 0.005). The COVID-19 pandemic has had a significant impact on the newborn hearing screening programs of several states in the Western US. This information holds significant implications for the current evaluation of these newborn hearing screening programs.

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