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Risk factors for hearing loss in neonates admitted to neonatal intensive care units

Published online by Cambridge University Press:  20 December 2021

L Pan Open the ORCID record for L Pan [Opens in a new window] ,
X Fang ,
H Chen ,
F Zhai  and
J Chen Open the ORCID record for J Chen [Opens in a new window]
L Pan
Affiliation:
Department of Otolaryngology, Shanghai Children's Medical Center and Shanghai Jiaotong University School of Medicine, China
X Fang
Affiliation:
Department of Otolaryngology, Shanghai Children's Medical Center and Shanghai Jiaotong University School of Medicine, China
H Chen
Affiliation:
Department of Child Health Care, Sanya City Womenfolk & Infant Health Care Hospital Affiliated to Shanghai Children's Medical Center, Sanya, China
F Zhai*
Affiliation:
Department of Otolaryngology, Shanghai Children's Medical Center and Shanghai Jiaotong University School of Medicine, China
J Chen*
Affiliation:
Department of Otolaryngology, Shanghai Children's Medical Center and Shanghai Jiaotong University School of Medicine, China
*
Authors for correspondence: Dr J Chen and Feng Zhai, Department of Otolaryngology, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Outpatient Building, 1678 Dongfang Road, Apt 1–3, Shanghai 200127, China E-mails: [email protected]; [email protected]
Authors for correspondence: Dr J Chen and Feng Zhai, Department of Otolaryngology, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Outpatient Building, 1678 Dongfang Road, Apt 1–3, Shanghai 200127, China E-mails: [email protected]; [email protected]
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Abstract

Objective

This study aimed to research risk factors of hearing loss among neonates in the neonatal intensive care unit.

Method

Hearing screening tests were performed on 572 neonates in the neonatal intensive care unit. Those who failed screening tests were referred for diagnostic tests.

Results

The pass rates for automated auditory brainstem response, distortion product otoacoustic emission and acoustic impedance tests at first hearing screening were 69.93 per cent, 70.02 per cent and 92.92 per cent for 1144 ears. Failure in the first screening correlated with preterm birth, very low birth weight, revised advanced maternal age, neonatal hyperbilirubinaemia and Activity, Pulse, Grimace, Appearance, Respiration score less than 8. Thirty cases failed in diagnostic hearing tests for brainstem auditory evoked potentials, 28 failed in otoacoustic emissions and 33 failed in acoustic impedance, which correlated with preterm birth, very low birth weight, twins, advanced maternal age and revised advanced maternal age.

Conclusion

Abnormalities in the hearing levels of most neonates who needed hearing retests were completely or partially reversible. Preterm birth, very low birth weight, twins and advanced maternal age are potential risk factors for hearing impairment.

Keywords

NewbornHearing LossBrain Stem Auditory Evoked PotentialsOtoacoustic EmissionsAcoustic Impedance Tests
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 12 , December 2022 , pp. 1196 - 1202
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr J Chen takes responsibility for the integrity of the content of the paper

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