Early Hearing Testing of Still Critically Ill Neonates

Eavey, Roland D.; Pinto, Luís Eduardo Veras; Thornton, Aaron R.; Herrmann, Barbara S.; Bertero, Maria do Carmo; Sáenz, Alberto

doi:10.1001/archotol.1996.01890150065012

Cited by 3 publications

(7 citation statements)

References 28 publications

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“…Therefore, clinical alertness continues to be warranted. Severe hearing impairment is an important handicap aecting 0.1% of live-born infants and 0.5%±6% of newborns graduating from special care units [14,28,30]. The present investigation demonstrates that risk factors for neonatal auditory screening dier widely with respect to their predictive value to identify neonates at high risk of hearing loss.…”

Section: Discussionmentioning

confidence: 62%

Hearing in newborn infants of opiate-addicted mothers

Grimmer¹,

Bührer²,

Aust³

et al. 1999

European Journal of Pediatrics

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Section: Discussionmentioning

confidence: 62%

Hearing in newborn infants of opiate-addicted mothers

Grimmer¹,

Bührer²,

Aust³

et al. 1999

European Journal of Pediatrics

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“…The patients described in this article are from a larger study using prospective ABR screening to test auditory function in critically ill NICU infants. 9 The conventional rate of ABR screening failure among study survivors was 6%, an expected result. However, since premortem ABR results had never been collected by anyone, the failure rate of 25 of 30 ears in nonsurvivors was unexpectedly high.…”

Section: Commentmentioning

confidence: 80%

“…Details of the testing technique have been published previously. 9 This study had received institutional review board approval from both that hospital and the Massachusetts Eye and Ear Infirmary, Boston. The Hospital Nacional de Niñ os is a modern 350-bed facility.…”

Section: Hearing Testsmentioning

confidence: 99%

“…Additionally, these hair cell losses usually appeared to reflect fully resolved degeneration, with phalangeal scars resealing the reticular lamina, reinforcing a previous impression that hair cell loss occurred in utero. 9 One implication of these findings is that hearing loss might be better considered a coexisting medical condition rather than an adverse effect of necessary NICU treatment. Another implication is that an effort to improve hearing in most NICU survivors via postnatal treatment modification will be fruitless.…”

Section: Commentmentioning

confidence: 99%

“…In a previous study, we accomplished a unique prospective hearing screening on patients while they were still in critical condition in an NICU, using an automated system designed to measure auditory brainstem responses (ABRs) in the noisy NICU environment. 9 This article summarizes the ear histopathologic findings in 15 of these NICU patients. The results are relevant not only to the pathophysiology of the hearing loss but also to possible limitations and interpretations of current techniques used to test hearing.…”

mentioning

confidence: 99%

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Selective Inner Hair Cell Loss in Premature Infants and Cochlea Pathological Patterns From Neonatal Intensive Care Unit Autopsies

Amatuzzi

Northrop²,

Liberman³

et al. 2001

Arch Otolaryngol Head Neck Surg

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Auditory brainstem response failure among these neonatal intensive care unit infants who died was extremely common in part owing to an unexpected histological alteration, selective inner hair cell loss among premature newborns, that should be detectable uniquely by the ABR testing method. Additional histological patterns suggest more than one cause for neonatal intensive care unit hearing loss. Hair cell loss patterns seem frequently compatible with in utero damage.

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Hearing screening outcomes in pediatric critical care survivors: a 1-year report

Suwannatrai¹,

Chaiyakulsil²

2022

Acute Crit Care

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Background: Hearing loss is a potentially serious complication that can occur after surviving a critical illness. Study on screening for hearing problems in pediatric critical care survivors beyond the neonatal period is lacking. This study aimed to identify the prevalence of abnormal hearing screening outcomes using transitory evoked otoacoustic emission (TEOAE) screening in children who survived critical illness and to find possible associating factors for abnormal hearing screening results.Methods: This study was a single-center, prospective, observational study. All children underwent otoscopy to exclude external and middle ear abnormalities before undergoing TEOAE screening. The screening was conducted before hospital discharge. Descriptive statistics, chi-square, and logistic regression tests were used for data analysis.Results: A total of 92 children were enrolled. Abnormal TEOAE responses were identified in 26 participants (28.3%). Children with abnormal responses were significantly younger than those with normal responses with a median age of 10.0 months and 43.5 months, respectively (P<0.001). Positive association with abnormal responses was found in children younger than 12 months of age (adjusted odds ratio [OR], 3.07; 95% confidence interval [CI], 1.06–8.90) and children with underlying genetic conditions (adjusted OR, 6.95; 95% CI, 1.49–32.54).Conclusions: Our study demonstrates a high prevalence of abnormal TEOAE screening responses in children surviving critical illness, especially in patients younger than 12 months of age. More extensive studies should be performed to identify the prevalence and associated risk factors of hearing problems in critically ill children.

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Early Hearing Testing of Still Critically Ill Neonates

Cited by 3 publications

References 28 publications

Hearing in newborn infants of opiate-addicted mothers

Hearing in newborn infants of opiate-addicted mothers

Selective Inner Hair Cell Loss in Premature Infants and Cochlea Pathological Patterns From Neonatal Intensive Care Unit Autopsies

Hearing screening outcomes in pediatric critical care survivors: a 1-year report

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