Hearing loss among high-risk newborns admitted to a tertiary Neonatal Intensive Care Unit

The aim of this work is to identify the most significant risk factors for hearing impairment in high risk neonates hospitalized at our Neonatal Intensive Care Unit (NICU) and to assess the sensitivity of hearing screening tests. This study involved 260 neonates admitted to a tertiary NICU; they were...

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Bibliographic Details
Published in:The journal of maternal-fetal & neonatal medicine 2018-07, Vol.31 (13), p.1756-1761
Main Authors: Khairy, May Ahmed, Abuelhamed, Walaa Alsharany, Ahmed, Radwa Sayed, El Fouly, Hedayet El Sayed, Elhawary, Ismail Mohamed
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - adverse effects
Audiometry, Evoked Response
Case-Control Studies
Evoked Potentials, Auditory, Brain Stem
Female
Gestational Age
Hearing Loss - diagnosis
Hearing Loss - epidemiology
Hearing Loss - etiology
Hearing Tests - methods
Humans
Infant, Newborn
Infant, Premature
Intensive Care Units, Neonatal - statistics & numerical data
Male
Neonatal Screening - methods
Predictive Value of Tests
Prevalence
Respiration, Artificial - adverse effects
Risk Factors
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Summary:The aim of this work is to identify the most significant risk factors for hearing impairment in high risk neonates hospitalized at our Neonatal Intensive Care Unit (NICU) and to assess the sensitivity of hearing screening tests. This study involved 260 neonates admitted to a tertiary NICU; they were classified into two groups; 150 preterm and 110 full terms with risk factors for hearing loss. The hearing screening tests performed were transient evoked otoacoustic emissions (TEOAEs) and the automated auditory brainstem response (AABR). Forty-eight preterm neonates (32%) and 30 full term neonates (27.3%) had pathological AABR. In preterm group, mechanical ventilation more than five days, sepsis, usage of aminoglycosides, loop diuretics, vancomycin alone or in combination with aminoglycosides and prolonged duration of admission were considered risk factors of hearing affection whereas in full term group mechanical ventilation more than five days was the risk factor of hearing affection (p
ISSN:1476-7058
1476-4954
DOI:10.1080/14767058.2017.1326902