Assessment of Hearing Loss by OAE in Asphyxiated Newborns

Amini, Elaheh; Farahani, Zahra; Samani, Mehdi Rafiee; Hamedi, Hamed; Zamani, Alireza; Yazdi, Alireza Karimi; Nayeri, Fatemeh; Nili, Fatemeh; Rezaeizadeh, Golnaz

doi:10.5812/ircmj.6812

Cited by 18 publications

(21 citation statements)

References 17 publications

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“…Also, in a study by Amini, a significant relationship was found between the mean birth weight and hearing loss; however, no statistical correlation was found between Apgar score and abnormal OAE [19] but, In the present study Apgar <5 and low weight birth were high-risk factors for hearing loss.…”

Section: Discussioncontrasting

confidence: 78%

Prevalence and Risk Factors for Hearing Loss in Neonates Admitted to the Neonatal Intensive Care Unit: A Hospital Study

Hardani¹,

Goodarzi²,

Delphi³

et al. 2020

Cureus

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Introduction: Hearing loss is one of the most common congenital disabilities in neonates. The aims of this study were to investigate the prevalence of hearing loss and identify the most significant risk factor in neonates hospitalized at the Neonatal Intensive Care Unit (NICU). Methods: This cross-sectional study involved 530 neonates admitted to NICU Abuzar Hospital with risk factors for hearing loss based on Joint Committee of Infant Hearing (JCIH). The hearing screening tests include transient evoked otoacoustic emissions (TEOAES) and the automated auditory brain stem response (AABR). For infants with abnormal AABR and TEOAE results, the Auditory Brainstem Response (ABR) and Auditory Steady-State Responses (ASSR) tests were performed. Result: Of 530 infants, 27 (5.09%) were diagnosed with different types of hearing loss. Ototoxic drugs, hyperbilirubinemia requiring exchange transfusion, asphyxia, low weight birth, Apgar score < 5, and a kinship marriage of parents were significant risk factors for hearing loss in our study population. Conclusion: Due to the high prevalence of hearing loss in the NICU, it is recommended that a hearing screening program be performed for all infants admitted to the NICU. Implement a comprehensive plan for neonatal hearing screening for early detection and intervention of hearing loss is essential.

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Section: Discussioncontrasting

confidence: 78%

Prevalence and Risk Factors for Hearing Loss in Neonates Admitted to the Neonatal Intensive Care Unit: A Hospital Study

Hardani¹,

Goodarzi²,

Delphi³

et al. 2020

Cureus

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show abstract

“…Furthermore, in a study by Taghdiri, poor AABR results were significantly associated with hyperbilirubinemia and birth weight less than 1500 g ( 28 ). Also, in a study by Amini, no statistical correlation was found between 5-minute Apgar score and abnormal OAE; however, a significant relationship was found between the mean birth weight and abnormal OAE ( 30 ).…”

Section: Discussionmentioning

confidence: 90%

Risk Factors for Sensorineural Hearing Loss Among High-Risk Infants in Golestan Province, Iran in 2010 - 2011

Alaee

Sirati

Taziki

et al. 2015

Iran Red Crescent Med J

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Background:Hearing impairment, as one of the most common birth defects, is a hidden disability with negative impacts on speech and cognitive development.Objectives:The aim of this study was to assess the prevalence of sensorineural hearing loss (SNHL) and determine the associated risk factors among infants admitted to neonatal intensive care units (NICUs) and neonatal wards of teaching hospitals, affiliated to Golestan University of Medical Sciences, Gorgan, Iran.Patients and Methods:In this cross-sectional study, 791 infants were recruited via non-random sampling. Demographic and clinical characteristics of the subjects were gathered, and the Automated Auditory Brainstem Response (AABR) test was performed upon admission. Afterwards, the subjects were followed-up and re-assessed, using the AABR test. For infants with abnormal AABR results, the Auditory Brainstem Response (ABR) test was performed on the day of discharge.Results:The mean age of the infants was 3.75 ± 4.86 days upon admission, and 56.4% of the subjects were female. The mean length of hospital stay was 9.63 ± 1.1 days; the subjects were hospitalized for 3.50 ± 10.21 days in the NICUs and 6.1 ± 5.27 days in the neonatal wards. In total, 3.4% of the infants presented with SNHL. No significant difference was found between SNHL and neonates’ age (P = 0.52), sex (P = 0.5), or sepsis (P = 0.94). However, SNHL was significantly associated with gestational age (P = 0.045), birth weight (P < 0.001), length of hospital stay (P < 0.001), pathological jaundice (P=0.033), antibiotic treatments (P = 0.007), and total serum bilirubin level (P = 0.01). Additionally, binary logistic regression analysis demonstrated the association between SNHL and these factors.Conclusions:In this study, the prevalence of SNHL among hospitalized neonates was similar to previous reports in Iran and other countries. Based on the findings, administration of ototoxic drugs during the neonatal period can lead to SNHL. Therefore, it seems essential to regularly screen newborns under treatment and limit the indiscriminate use of ototoxic drugs.

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“…Long NICU stay duration is usually relevant to deteriorated health of infants, prematurity, mechanical ventilation and ototoxic antibiotic use [31]. Use of ventilators for more than 7 days was significantly related to failed TEOAE screening test (p<0.001), in consistence with results of Amini et al in Iran [32]. Continuous nasal positive airway pressure applied as a respiratory support for preterm neonates proved to be a risk factor for prolonged exposure to high levels of noise [33].…”

Section: Discussionmentioning

confidence: 84%

Risk factors of hearing defects and their relationship to the outcome of hearing screening among neonates

Hameed

Malih²

2019

JFacMedBagdad

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Background: Increased exposure to risk factors of hearing loss leads to a high susceptibility to deafness among neonates admitted to neonatal care units in developing countries. Objective: This article aims to study the prevalence of risk factors for neonatal hearing defect and determine their effect on the result of transient evoked otoacoustic emissions hearing test ( TEOAE). Methods: A longitudinal study was carried out for a period of one year from 1st October, 2016 to 30 th September, 2017 in the CWTH, Medical city, Baghdad, Iraq Demographic characteristics and certain risk factors were recorded for screened neonates. TEOAE test was done and if they failed to pass two steps, they were referred to autom ated auditory brainstem - response (AABR). Results: Out of 400 neonates, 342 (85.5%) passed from step 1TEOAE, while 58 (14.5%) were referred to step 2. From 58, 26 (44.8%) have passed step 2 and 32 (55.2%) not pass step 2 and were referred to AABR. From those 32 neonates with suspected hearing defect, NICU stay >7 days, ototoxic drugs >7days, use of ventilator >7 days, birth weight <1500gm, and craniofacial malformations were the main risk factors for hearing defects occurring in (90.6%), (90.6%), (59.4%), (40.6%), and (21.9%) respectively. Conclusions: Low birth weight , long intensive care stay, mechanical ventilation, drugs ototoxicity and craniofacial malformation of neonates are the main risk factors for failed TEOAE test

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Assessment of Hearing Loss by OAE in Asphyxiated Newborns

Cited by 18 publications

References 17 publications

Prevalence and Risk Factors for Hearing Loss in Neonates Admitted to the Neonatal Intensive Care Unit: A Hospital Study

Prevalence and Risk Factors for Hearing Loss in Neonates Admitted to the Neonatal Intensive Care Unit: A Hospital Study

Risk Factors for Sensorineural Hearing Loss Among High-Risk Infants in Golestan Province, Iran in 2010 - 2011

Risk factors of hearing defects and their relationship to the outcome of hearing screening among neonates

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