An initial overestimation of sensorineural hearing loss in NICU infants after failure on neonatal hearing screening

Coenraad, Saskia; Goedegebure, André; Hoeve, L.J.

doi:10.1016/j.ijporl.2010.10.026

Cited by 38 publications

(32 citation statements)

References 21 publications

(35 reference statements)

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“…Literature studies also found a significant relationship between hearing loss and the risk factors: neonatal asphyxia [23, 35], syndromes associated with hearing loss [23], and craniofacial anomalies [23]. Craniofacial anomalies had a significant relationship with conductive hearing loss [11], as in this study.…”

Section: Discussionsupporting

confidence: 79%

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Newborn Hearing Screening and Early Diagnostic in the NICU

Colella-Santos

Hein

Souza

et al. 2014

BioMed Research International

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The aim was to describe the outcome of neonatal hearing screening (NHS) and audiological diagnosis in neonates in the NICU. The sample was divided into Group I: neonates who underwent NHS in one step and Group II: neonates who underwent a test and retest NHS. NHS procedure was automated auditory brainstem response. NHS was performed in 82.1% of surviving neonates. For GI, referral rate was 18.6% and false-positive was 62.2% (normal hearing in the diagnostic stage). In GII, with retest, referral rate dropped to 4.1% and false-positive to 12.5%. Sensorineural hearing loss was found in 13.2% of infants and conductive in 26.4% of cases. There was one case of auditory neuropathy spectrum (1.9%). Dropout rate in whole process was 21.7% for GI and 24.03% for GII. We concluded that it was not possible to perform universal NHS in the studied sample or, in many cases, to apply it within the first month of life. Retest reduced failure and false-positive rate and did not increase evasion, indicating that it is a recommendable step in NHS programs in the NICU. The incidence of hearing loss was 2.9%, considering sensorineural hearing loss (0.91%), conductive (1.83%) and auditory neuropathy spectrum (0.19%).

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Section: Discussionsupporting

confidence: 79%

“…The literature indicated that the follow-ups conducted in infants in the NICU showed that hearing deteriorated in a small percentage of children [34]. It was diagnosed progressive or late onset hearing loss in children followed until the age of three with less than 28 weeks of gestational age and weighing less than 1250 g [35]. …”

Section: Discussionmentioning

confidence: 99%

Newborn Hearing Screening and Early Diagnostic in the NICU

Colella-Santos

Hein

Souza

et al. 2014

BioMed Research International

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“…2). With a prevalence rate of 11.97 % of SNHL NICU babies, our percentage is higher than those reported by Coenrad et al [14,21,31,33,35,36]. According to Dauman et al [37], the high variability in incidence of SNHL among newborns admitted to NICU reflects a heterogeneous distribution of different neonatal risk factors more or less involved in the development of SNHL.…”

Section: Discussionmentioning

confidence: 49%

Prevalence and risk factors for sensorineural hearing loss: Western Sicily overview

Salvago

Martines

2013

Eur Arch Otorhinolaryngol

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The objective of this work was to evaluate the prevalence of sensorineural hearing loss (SNHL) and distribution of the main risk factors associated to it focusing on their role in the development of deafness and their interaction. We performed a global audiological assessment (through TEOAE, tympanometry and ABR) in 508 infants at risk studying the main risk factors reported by Joint Committee on Infant Hearing (2007). Fifty-one infants (10.03 %) were diagnosed with SNHL (45 bilateral and 6 unilateral) with a mean hearing threshold of 87.39 ± 28.25 dB HL; family history of hearing impairment (HI) and TORCH infections indicated independent significant risk factors (P < 0.00001 and P = 0.024, respectively). High SNHL percentages were evidenced also in NICU babies, due to the various pathologies and risk factors presented by these infants, and among newborns who suffered from hyperbilirubinemia (11.97 and 9.52 %, respectively). The mean degree of hearing loss for children with family history of HI (>100 dB HL) emphasizes the necessity of an early diagnosis to avoid the consequences of auditory deprivation. Craniofacial abnormalities and syndromes associated to HI showed an important relationship (P < 0.00001) with conductive hearing loss. A progressive increase was evidenced in SNHL incidence as the number of risk factors rises (from 5.12 for 2 risk factors to 28.5 % for 5 or more) with a significant difference among the groups (P = 0.049); multiple risk factors showed an additional cofactor for HL (r (2) = 0.93). Considering the high SNHL prevalence (10.03 %) in infants at risk, this study highlights the necessity to implement a neonatal hearing screening program in Western Sicily.

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“…Coenraad et al reported an initial overestimation of 10% of sensorineural hearing loss in NICU infants . In this high‐risk neonate cohort (median gestational age at birth was 34.7 weeks), the median ABR thresholds improved by 10 dBnHL.…”

Section: Introductionmentioning

confidence: 72%