NEONATAL HEARING SCREENING IN INTENSIVE CARE UNITS
Journal Title: Journal of Hearing Science - Year 2014, Vol 4, Issue 2
Abstract
Background: Diagnosis of neonatal hearing impairment depends on universal hearing screening programs (otoacoustic emissions, OAEs, and/or auditory brainstem responses, ABRs). The aim of this study is to determine the prevalence of hearing impairment among high-risk newborns and identify the risk factors involved. Materials and methods: This is a prospective cohort study on 173 newborns hospitalized in a neonatal intensive care unit (NICU) with one or more risk factors for hearing impairment. Both TEOAEs and a-ABRs were performed a few days before discharge Results: On examination with TEOAEs, 170 neonates eventually passed the test and 3 failed (1 bilaterally and 2 unilaterally). All neonates were also examined with a-ABR, and 10 failed the test, 7 of which passed TEOAE and were diagnosed as having possible auditory neuropathy spectrum disease (ANSD). The remaining 3 infants who failed both tests were diagnosed as having possible hearing loss (HL). From the risk factors, only TORCH infections were clearly related to the likelihood of hearing impairment, either ANSD or HL (p=0.004). The need for mechanical ventilation was also significantly higher in newborns with possible HL, compared to those with normal results (66.7% vs. 18.4%, p=0.03). Conclusions: Combined TEOAE/ABR is the gold standard examination for NICU infants due to the increased incidence of HL, especially ANSD, in this high-risk population.
Authors and Affiliations
Vasilios F. Chalkiadakis, Ioannis Geramas, Pavlos Marangoudakis, Dimitrios Kandiloros, Petros Vlastarakos, Thomas P. Nikolopoulos
Keywords
Related Articles
- EP ID EP169122
- DOI -
- Views 78
- Downloads 0
PEDIATRIC COCHLEAR IMPLANT RECIPIENTS IN INDIA: PARENTAL SATISFACTION WITH REHABILITATION SERVICES AND CORRELATION WITH OUTCOMES
Background: Rehabilitation centres for cochlear implant (CI) recipients act as gateways for increasing auditory perception and developing speech and language. In the case of children, such centres must strive not only to...
A RARE CASE OF VASCULAR ANOMALY OF THE VERTEBROBASILAR SYSTEM IN A PATIENT WITH MIXED TYPE VERTIGO
Background: The aim of the study is to present a patient who suffered from severe vertigo with rare arterial vascular anomaly of the vertebrobasilar system. Conclusions: In the presented case, the basilar artery was foun...
EDITORIAL
I invite you to read the first number of the Journal of Hearing Science for 2015.
REPORT ON THE 27TH CONGRESS OF THE UNION OF THE EUROPEAN PHONIATRICIANS
.
SHORT-TERM REPEATABILITY OF CONTRALATERAL SUPPRESSION OF TRANSIENTLY EVOKED OTOACOUSTIC EMISSIONS PRELIMINARY RESULTS
Background: The effect of suppression of otoacoustic emissions (OAEs) by contralateral acoustic stimulation (CAS) is very small, on the level of 1–2 dB. At the same time, OAEs are known to have quite high variability acr...