Clinical Experience on Hearing Screening in Twins and Triplets: A Retrospective Study

Sasireka, B.I.; Jaya, V.; Vignesh, S. S.; Muthukumar, R

doi:10.1007/s12070-017-1117-2

Cited by 5 publications

(3 citation statements)

References 13 publications

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“…It was not surprising to find that C-section and artificial feeding were associated with lower pass rates of hearing screening tests because ** both of these 2 risk factors, like hearing loss, are actually the results instead of reasons for high-risk neonates. Sasireka et al [2019] reported that 30.26% of twin babies failed in DPOAE testing, which was significantly higher than singlets (22.13%), which was comparable to our results. Other studies reported that twin pregnancies, especially in women of low-socioeconomic profile, are more likely to have hearing loss-related complications such as LBW, preterm births, intrauterine growth restriction, anemia, and hypertensive disorders [Engdahl and Eskild, 2007;Aziz and Soomro, 2012].…”

Section: Discussionsupporting

confidence: 92%

Risk Factors for Failure in First-Time Hearing Screening Tests among High-Risk Neonates in Neonatal Intensive Care Unit

Zhai

Fang

et al. 2021

Audiol Neurotol

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Objective: The aim of the study was to investigate into the risk factors for failure in the first-time screening test among high-risk neonates in neonatal intensive care unit (NICU) in order to further clarify the etiology of neonatal hearing impairment, thus providing insights into early prevention and intervention. Methods: We performed automated auditory brainstem response (AABR), distortion product otoacoustic emission (DPOAE), and acoustic immittance (AI) on 2,194 high-risk neonates admitted into the NICU of Shanghai Children’s Medical Center from January 2015 to December 2019, and the risk factors, including premature birth, hyperbilirubinemia, and infant respiratory distress syndrome, were analyzed retrospectively by the univariate χ2 test and multivariate stepwise logistic regression analysis. Results: The pass rates of AABR, DPOAE, and AI were 70.21, 78.44, and 93.12%, respectively, in 2,194 cases of high-risk neonates screened, which are significantly lower than those of healthy controls. The most common diagnoses included artificial feeding, preterm birth, C-section, low birth weight (LBW), neonatal hyperbilirubinemia (NHB), neonatal respiratory distress syndrome (NRDS), congenital heart disease (CHD), gestational diabetes mellitus, pregnancy-induced hypertension syndrome, advanced maternal age (AMA), twins, and in vitro fertilization. Stepwise logistic regression analysis indicated that the AABR pass rate was negatively correlated with LBW (p = 0.002), NHB (p < 0.001), NRDS (p = 0.007), artificial or mixed feeding (p = 0.018), and CHD (p = 0.005). The pass rate of DPOAE was negatively correlated with artificial or mixed feeding (p = 0.041), NHB (p < 0.001), LBW (p = 0.007), very LBW (VLBW) (p = 0.008), and C-section (p < 0.001). The pass rate of AI was negatively correlated with revised AMA (≥40 year) (p < 0.001), NHB (p = 0.043), C-section (p = 0.005), and artificial/mixed feeding (p = 0.036). Conclusion: The hearing screening pass rates of high-risk neonates in the NICU were lower than those of normal neonates, among which the rate of AABR was significantly lower than that of DPOAE. NRDS, NHB, LBW, revised AMA, CHD, C-section, and artificial feeding are potential risk factors of hearing impairment. The combination of different hearing screening tests is necessary for accurate diagnosis of congenital hearing disorders.

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Section: Discussionsupporting

confidence: 92%

Risk Factors for Failure in First-Time Hearing Screening Tests among High-Risk Neonates in Neonatal Intensive Care Unit

Zhai

Fang

et al. 2021

Audiol Neurotol

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“…19 Twin babies tend to have more adverse factors, such as low birth weight, premature birth, mechanical ventilation more than five days, neonatal hyperbilirubinemia, infections, ototoxic medications and family history of hearing loss. 20 The intricate pathologies and risk factors in preterm, very low birth weight and twin neonates make it necessary for long-term monitoring and appropriate audiological management of hearing loss.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2021

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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.

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“…Çoğul gebelikten doğan bebeklerde taramadan kalma oranının tekil bebeklere göre biraz yüksek olduğu yapılan bir çalışmada saptanmış, bunun sebebinin diğer risk faktörlerine bağlı olabileceği sonucuna varılmıştır (17). Başka bir çalışmada ise multigestasyonel yeni doğanın %2 oranında işitme taramasından kaldığı rapor edilmiştir (18).…”

Section: Discussionunclassified

Yenidoğan İşitme Tarama Sonuçlarımız ve Güncel Durum

Kuduban

2021

Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi

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Yeni doğan işitme taraması ile konjenital işitme kaybı tanısı erken konularak gerekli rehabilitasyon en uygun zamanda yapılabilir. Bu retrospektif çalışmamızda Türkiye Cumhuriyeti Sağlık Bakanlığı'nın referans merkezi olan Erzurum Bölge Eğitim Araştırma Hastanesi'nde 2017 ile 2019 yıllarını kapsayan zaman aralığında yeni doğanlara yapılmış olan işitme taraması sonuçları ve işitme kaybı için risk faktörlerini değerlendirdik. Hiperbilirubinemi ve ailede işitme kaybı varlığı işitme kaybı için önemli risk faktörleri olarak saptandı. Yeni doğan işitme taraması tüm bebeklere yapılmalı, tüm risk faktörleri titizlikle sorgulanmalıdır. Taramadan geçemeyen bebeklerin istenilen zamanda test tekrarı için başvurmalarını sağlamak amacıyla çalışmalar yapılmalıdır.Newborn hearing screening enables early diagnosis of congenital hearing loss. This procedure allows the patients to have the necessary hearing rehabilitation at the most appropriate time. In this retrospective study, the results of newborn hearing screening performed in Erzurum Regional Training and Research Hospital which was appointed by Ministry of Health as a referral general hospital, between 2017 and 2019, and the risk factors for hearing loss were evaluated. Hyperbilirubinemia and positive history of hearing loss were found to be important risk factors for hearing loss. Hearing screening should be done to all newborns and all risk factors should be questioned meticulously. Studies should be carried out to ensure that newborns, who couldn't pass the test, apply again at the desired time to repeat the test.

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Clinical Experience on Hearing Screening in Twins and Triplets: A Retrospective Study

Cited by 5 publications

References 13 publications

Risk Factors for Failure in First-Time Hearing Screening Tests among High-Risk Neonates in Neonatal Intensive Care Unit

Risk Factors for Failure in First-Time Hearing Screening Tests among High-Risk Neonates in Neonatal Intensive Care Unit

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

Yenidoğan İşitme Tarama Sonuçlarımız ve Güncel Durum

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