Screening for Hearing Impairment in High Risk Neonates: A Hospital Based Study

Maqbool, Mohammad; Najar, Bilal Ahmad; Gattoo, Imran; Chowdhary, Javed

doi:10.7860/jcdr/2015/14509.6104

Cited by 22 publications

(28 citation statements)

References 4 publications

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“…The present study showed that 22% of the newborns presented some degree of hearing abnormality, which was more common among those with risk factors for hearing loss. Most abnormalities were characterized by cochlear damage, a finding similar to that of other studies in the literature (22,23) .…”

Section: Discussionsupporting

confidence: 80%

“…However, when this relationship was established with the ABR (a test considered the gold standard in the diagnosis of hearing loss in newborns), only meningitis and craniofacial malformation showed statistical significance. Similarly, a study (23) has found an increased risk of deafness in the association between meningitis and craniofacial malformation. Other studies, in turn, have found increased rates of deafness associated with the use of mechanical ventilation, ototoxic drugs, and family history of congenital hearing loss.…”

Section: Discussionmentioning

confidence: 99%

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Influência dos indicadores de risco nas diferentes etapas da Triagem Auditiva Neonatal

Silva

Lopez

Montovani

2016

Audiol., Commun. Res.

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Purpose: To determine risk indicators for hearing loss affecting different evaluation steps of a universal newborn hearing screening program. Methods: Longitudinal, retrospective study of newborn hearing screening in a tertiary public hospital, including 832 newborns born between January and December 2012. Transient evoked otoacoustic emissions were measured at the first hearing evaluation in all newborns and retested in cases of "failure". When a "failure" result persisted, auditory brainstem responses (ABR) was performed. All newborns with risk indicator for hearing loss were evaluated with ABR screening regardless of the outcome of the otoacoustic emissions test. Results: The presence of at least one risk indicator for hearing loss, associated or not with craniofacial malformations, genetic syndromes and birth weight below 1500 g significantly increased the chances of "failure" in the otoacoustic emissions test. Meningitis and craniofacial malformations significantly increased the odds of an abnormal ABR. Two newborns with normal otoacoustic emissions were diagnosed with auditory neuropathy. Conclusion: Craniofacial malformation was an indicator strongly associated with a diagnosis of deafness, regardless of the hearing screening being performed by otoacoustic emissions or ABR at different steps of a universal newborn hearing screening program. This finding justifies continuous and systematic monitoring of the screening service seeking quality improvement of the newborn health hearing program.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Influência dos indicadores de risco nas diferentes etapas da Triagem Auditiva Neonatal

Silva

Lopez

Montovani

2016

Audiol., Commun. Res.

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“…Thomson et al, Gouri et al and Maqbool et al reported an incidence of hearing impairment of 1.2%, 16.7% and 12.5% respectively in low APGAR babies. 16,18,25 All of them concluded that first minute APGAR score ≤5 is a significant risk factor for hearing impairment. JCIH also included low APGAR as a risk factor for hearing impairment in newborns.…”

Section: Discussionmentioning

confidence: 99%

“…Maqbool et al in their study reported that gender doesn't affect hearing outcome. 18 68.42% (n = 26) of hearing impaired babies had NICU stay for more than 24 hours. JCIH 2007 guidelines conclude that, any illness or condition requiring admission of 24 hours or more to NICU is a risk factor for hearing impairment.…”

Section: Discussionmentioning

confidence: 99%

Audiological screening of high risk infants and prevalence of risk factors

Regina¹,

Moideen

Mohan

et al. 2017

Int J Contemp Pediatr

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Background: Hearing loss in early life can have deleterious effects on child’s psychosocial, scholastic and social-emotional development. Early identification and timely intervention can provide the child with better speech and language development. This study has been done to estimate the prevalence of hearing impairment among high risk infants as per Joint Committee on Infant Hearing (JCIH) criteria and to study the risk factors associated with neonatal hearing impairment.Methods: This multicentric observational study was conducted among 613 high risk infants admitted and discharged from neonatal intensive care units (NICU) of Academy of Medical Sciences, Kannur, Kerala and Sri Siddhartha Medical College and Research Centre, Tumakuru, Karnataka, India (level III neonatology units with an NICU admissions of average around 1200 per year), during the period August 2015 - August 2016 (12 months). The babies were selected based on the JCIH 2007 criteria. All babies were subjected to behavioral audiometry (BA) and Oto Acoustic Emissions (OAE), preferably within 3 weeks. Those failing OAE were reevaluated at 6th week and with Auditory brain stem response (ABR) within 3 months time. Results: A total of 613 high risk babies were screened. 42 (6.76%) among them were having hearing impairment. The most common risk factors associated with hearing impairment was NICU stay for more than 24 hours, prematurity, low birth weight and meningitis/sepsis etc.Conclusions: Hearing impairment among high risk babies is not a rare condition. In our study, the prevalence was 6.76%. Low birth weight, admission to NICU for more than 24 hours, low APGAR, meningitis/sepsis, maternal and neonatal complications are significant risk factors for hearing impairment among neonates. This highlights the need for neonatal screening. Though we recommend a universal screening program, at least a targeted approach should be practiced in neonatal care. Those babies who are found to have hearing impairment should be closely followed up with early intervention and rehabilitation.

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“…In terms of maternal alterations, studies carried out in India, in the city of Srinagar, by Magbool et al (19) , and by Wróbel et al (20) in Poland, indicate the same factors predictive of risk of hearing impairments, such as: family history of hearing loss, intrauterine infections by toxoplasmosis, rubella, cytomegalovirus, Herpes -(TORCH) and Human Immunodeficiency Virus (HIV) infection, craniofacial anomalies, hyperbilirubinemia requiring exosanguineous transfusion, ototoxic medication, meningitis, low weight at birth, Apgar Index (birth conditions) below four in the first minute and less than six in the fifth minute, mechanical ventilation for more than five days, and syndromes associated with hearing loss. The results presented in Table 2, were similar to those of Korres et al (17) , who observed in a population of newborn individuals at low and high risk for hearing impairments, a family history of hearing impairment, congenital anomalies, ototoxicity, mechanical ventilation for more than 24 hours, prematurity and low weight.…”

Section: Discussionmentioning

confidence: 99%

Rastreamento e monitoramento da Triagem Auditiva Neonatal em Unidade de Estratégia de Saúde da Família: estudo-piloto

Sabbag

Lacerda

2017

CoDAS

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RESUMO Objetivo A Triagem Auditiva Neonatal Universal (TANU) visa ao diagnóstico precoce e à reabilitação de neonatos em situação de risco ou não para deficiência auditiva. O objetivo principal foi analisar o fluxo de Triagem Auditiva Neonatal Universal em Unidade de Estratégia de Saúde da Família por meio do rastreamento e monitoramento das crianças. Método É um estudo retrospectivo, quantitativo. O rastreamento foi realizado a partir da terceira via da Declaração de Nascido Vivo preenchida na maternidade. O monitoramento foi realizado pela ficha de acompanhamento do recém-nascido preenchida pelo agente comunitário e uma entrevista com os pais ou responsáveis, na unidade da Secretaria Municipal de Saúde, ou por visita domiciliar. Também foram coletadas informações na caderneta de saúde da criança e acompanhamento em serviços de alta complexidade. Resultados A casuística foi constituída por 50 neonatos, sendo que 52% deles estavam entre 30 e 89 dias de vida e 54% eram do gênero masculino. Apresentaram fator de risco para deficiência auditiva, 12% dos neonatos e 86% realizaram a triagem neonatal. As ações em Saúde Auditiva mostram que está havendo integralidade de atendimento na etapa hospitalar e ambulatorial, na unidade básica de saúde analisada e em serviços de alta complexidade. Conclusão O fluxo de atendimento em Triagem Auditiva Neonatal Universal converge para a Diretriz de Atenção à Saúde da Criança Curitibana, mas ainda não é universal. Concluindo-se assim, que a participação da Unidade de Estratégia de Saúde da Família, no rastreamento e monitoramento das crianças submetidas ao programa de Triagem Auditiva Neonatal Universal no município, é viável e recomendada.

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Screening for Hearing Impairment in High Risk Neonates: A Hospital Based Study

Cited by 22 publications

References 4 publications

Influência dos indicadores de risco nas diferentes etapas da Triagem Auditiva Neonatal

Influência dos indicadores de risco nas diferentes etapas da Triagem Auditiva Neonatal

Audiological screening of high risk infants and prevalence of risk factors

Rastreamento e monitoramento da Triagem Auditiva Neonatal em Unidade de Estratégia de Saúde da Família: estudo-piloto

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