Hearing loss associated with neonatal ECMO: a clinical investigation

Sweitzer, Richard S.; Lowry, James K; Georgeson, Keith E.; Nelson, Kathleen G.; Johnson, Susan E.

doi:10.1016/s0165-5876(97)00095-5

Cited by 10 publications

(6 citation statements)

References 11 publications

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“…One cross-sectional study showed that 12 to 19 year olds (n = 872) actively involved in work on a modern mechanized farm had an increased prevalence of mild hearing loss and early noiseinduced hearing loss. 42 An observational cohort compared children of families living on a farm (n = 204, ages [6][7][8][9][10][11][12][13][14][15][16][17][18][19] with adolescents in NHANES 1988-1994 and demonstrated significantly worse hearing (high frequency and any type) in the farm youth. 44 One retrospective cohort study and one case-control study both suggested that living or attending school close to an airport was associated with pediatric hearing loss.…”

Section: Farms Airports School Workhops and Urban Environmentsmentioning

confidence: 99%

“…Pediatric hearing loss may be attributed to genetic mutations, environmental factors, or idiopathic causes 12 . Among environmental exposures, some are clearly established but may occur by necessity, such as treatment with cisplatin, gentamicin, or extracorporeal membrane oxygenation 13,14 . Others are challenging to prevent, such as cytomegalovirus infection, low birth weight, or meningitis 15‐17 .…”

Section: Introductionmentioning

confidence: 99%

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Personally Modifiable Risk Factors Associated with Pediatric Hearing Loss: A Systematic Review

Vasconcellos

Kyle

Gilani

et al. 2014

Otolaryngol.--head neck surg.

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Background Pediatric hearing loss is an increasingly recognized problem with significant implications. Increasing our quantitative understanding of potentially modifiable environmental risk factors for hearing loss may form the foundation for prevention and screening programs. Objective To determine whether specific threshold exposure levels of personally modifiable risk factors for hearing loss have been defined, with the overarching goal of providing actionable guidance for the prevention of pediatric hearing loss. Data Sources A systematic review was performed. Computerized searches of PubMed, EMBASE, and the Cochrane Library were completed and supplemented with manual searches. Review Methods Inclusion/exclusion criteria were designed to determine specific threshold values of personally modifiable risk factors on hearing loss in the pediatric population. Searches and data extraction were performed by independent reviewers. Results There were 38 criterion-meeting studies, including a total of 50,651 subjects. Threshold noise exposures significantly associated with hearing loss in youth included: (1) more than 4 hours per week or more than 5 years of personal headphone usage, (2) more than 4 visits per month to a discotheque, and (3) working on a mechanized farm. Quantified tobacco levels of concern included any level of in utero smoke exposure as well as secondhand exposure sufficient to elevate serum cotinine. Conclusions Specific thresholds analyses are limited. Future studies would ideally focus on stratifying risk according to clearly defined levels of exposure, in order to provide actionable guidance for children and families.

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Section: Farms Airports School Workhops and Urban Environmentsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Personally Modifiable Risk Factors Associated with Pediatric Hearing Loss: A Systematic Review

Vasconcellos

Kyle

Gilani

et al. 2014

Otolaryngol.--head neck surg.

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“…Reported problems include sensorineural hearing loss, 1 mental retardation, 9 behavioral problems, hyperactivity, and high risk for school failure. 4,10 Most of the larger studies of sick term and near-term infants have evaluated newborns treated with ECMO or who qualified to receive ECMO, socalled "near miss ECMO." In contrast, only 1 of the 14 patients in our pilot study showed significant cognitive impairment or abnormal school performance.…”

Section: Discussionmentioning

confidence: 99%

Neurodevelopmental and Health Outcomes in Term Infants Treated With Surfactant for Severe Respiratory Failure

et al. 2000

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OBJECTIVE:Analysis of health, neurodevelopmental, and school performance outcomes in a pilot study of term and near-term infants with respiratory failure due to pneumonia or meconium aspiration treated with surfactant. STUDY DESIGN:Retrospective review of medical records, neurodevelopmental and psychosocial evaluations, and parent and teacher surveys. RESULTS:Of the 14 patients enrolled, only one was rehospitalized, for pneumonia. Three were reported to have episodes of wheezing, two of whom required bronchodilators. One patient had unilateral hearing loss, one had a full-scale intelligence quotient that was below normal, and all but one patient for whom complete results were obtained were performing at or above grade level. CONCLUSION:Term and near-term newborns with moderately severe respiratory failure treated with surfactant can, in general, be expected to recover completely and have normal general health, neurodevelopmental outcome, and school performance.

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“…Sensorineural hearing loss (SNHL) is one of the disabilities reported in patients who have undergone ECMO-treatment (3)(4)(5). It was found in 28 of 371 ECMO-survivors (7.5%) from 6 different centers in North America (6), Frequencies per center ranged from 3 to 21%; follow-up from 1-10 years.…”

Section: Introductionmentioning

confidence: 99%

“…It was found in 28 of 371 ECMO-survivors (7.5%) from 6 different centers in North America (6), Frequencies per center ranged from 3 to 21%; follow-up from 1-10 years. Several groups have reported delayed onset of SNHL and therefore advocated ongoing follow-up testing (4,5,7). A number of risk factors for SNHL after neonatal intensive care have been identified: presence of CDH (7), prolonged ventilatory support (8,9) prolonged ECMO (7,10), sepsis or bacterial meningitis (8,11), prolonged administration of aminoglycosides (7), severe birth asphyxia (9,11), cerebral bleeding or cerebral infarction (11), and clinical seizures prior to ECMO treatment (10).…”

Section: Introductionmentioning

confidence: 99%

Sensorineural Hearing Loss and Language Development Following Neonatal Extracorporeal Membrane Oxygenation

Hondel

Madderom

Goedegebure

et al. 2013

Pediatric Critical Care Medicine

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OBJECTIVE:To determine the prevalence of hearing loss in school-age children who have undergone neonatal extracorporeal membrane oxygenation (ECMO) treatment and to identify any effects of hearing loss on speech-and language development. DESIGN:Prospective longitudinal follow-up study within the framework of a structured post-ECMO follow-up program.SETTING: Outpatient clinic of a level III university hospital. RESULTS:Tone audiometry was performed by standardized protocol in 136 children aged 5 to 12 years. Hearing loss was considered clinically significant when >20dB. Hearing was normal in 75.7% of children. Five children (3.7%) had bilateral sensorineural or combined hearing loss; 3 of them received special audiological care (2.2% of total sample). Of the 24 children with congenital diaphragmatic hernia, 19 (79.2%) had normal hearing; and only 2 (8.3%) had mild SNHL, unilateral in one of them.Follow-up at 24 months of age had shown normal verbal and non-verbal developmental scores.Language development and intelligence median (range) scores at 5 years of age were also normal: receptive language development 104 (55-133); syntactical development 104 (68-132); and lexical development 101 (50-141) for 89 children; intelligence quotient was 104 (68-132) in 106 children.Scores did not differ between those with normal hearing, and those with mild hearing loss, or those with moderate to severe hearing loss (p=0. 800, p=0.639, p=0.876, and p=0.886, for the respective developmental tests). CONCLUSIONS:We found normal language development and intelligence in a cohort of neonatal ECMO survivors. The prevalence of bilateral sensorineural hearing loss was in accordance with that of larger series in the United States -which exceeds the prevalence in the normal population.3

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Hearing loss associated with neonatal ECMO: a clinical investigation

Cited by 10 publications

References 11 publications

Personally Modifiable Risk Factors Associated with Pediatric Hearing Loss: A Systematic Review

Personally Modifiable Risk Factors Associated with Pediatric Hearing Loss: A Systematic Review

Neurodevelopmental and Health Outcomes in Term Infants Treated With Surfactant for Severe Respiratory Failure

Sensorineural Hearing Loss and Language Development Following Neonatal Extracorporeal Membrane Oxygenation

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