Neonatal at risk screening and the identification of deafness.

Watkin, Peter; Baldwin, Margaret; McEnery, G

doi:10.1136/adc.66.10_spec_no.1130

“…In different studies, this variable is responsible for between 11 and 16% of the cases of hearing loss, increasing the risk of these children presenting with impairment by up to 5 times. 17,23,24 In the literature, syndromes associated with sensorineural deafness, as well as structural defects with or without chromosomal abnormalities, have been described as a risk factor, which is in agreement with the results found in the present study, in which the presence of the genetic syndrome was significantly associated with greater risk of hearing impairment. 22,24 As regards comorbidities, asphyxia was associated with 3.5 times more risk of hearing impairment.…”

Section: Discussionsupporting

confidence: 93%

Triagem auditiva em recém-nascidos internados em UTI neonatal

Lima¹,

Marba²,

Santos³

2006

J. Pediatr. (Rio J.)

View full text Add to dashboard Cite

Objective: Investigate the prevalence of hearing impairment in newborns hospitalized at the Intensive and Intermediate Care Unit at the Women s Comprehensive Health Center Neonatology Service (UNICAMP) and associated risk factors.Methods: 979 newborn babies were assessed between January 2000 and January 2003, through automated auditory brainstem response (AABR) (ALGO 2e color screener). The result was considered normal when the newborn showed response to a 35dBNA signal bilaterally. The prevalence of AABR impairment and the odds ratio were analyzed with a 95% confidence interval using bivariate analysis. To identify the independent risk factors for hearing alterations, multivariate analyses were used with logistic regression.Results: The prevalence of AABR impairment was 10.2%, of which 5.3% was unilateral and 4.9% bilateral. From the multivariate analyses, the following observations were made: family history of congenital hearing loss (OR = 5.192; p = 0.016), craniofacial deformity (OR = 5.530; p < 0.001), genetic syndromes associated with hearing loss (OR = 4.212; p < 0.001), weight below 1,000 g (OR = 3.230; p < 0.001), asphyxia (OR = 3.532; p < 0.001), hyperbilirubinemia (OR = 4.099; p = 0.002) and use of mechanical ventilation (OR = 1.826; p < 0.031) were the indicators that best characterized the group at risk for hearing impairment. Conclusions:The prevalence of hearing impairment using AABR is high. Therefore, it is essential for all newborns who present isolated or associated risk factors to undergo hearing screening in situations in which it is not possible to have universal hearing screening.

show abstract

“…Including moderate sensorineural hearing losses the prevalence rate has been reported as high as 6/1000 live births. [5][6][7] The high prevalence rate of 13/1000 in this institution's NICU can be attributed to the severity of diseases and high risk factors characteristic of this NICU population. Saint Barnabas Medical Center is a level III Regional Perinatal Center accepting transports of high-risk obstetric as well as neonatal patients from surrounding hospitals.…”

Section: Resultsmentioning

confidence: 99%

“…4 The prevalence of newborn hearing loss has been estimated between 1.5 and 6.0/1000 live births. [5][6][7] The average age of identification of children continues to exceed 12 months, 8 and most often is between 24 to 30 months. 2,9,10 Children with moderate hearing losses frequently are not identified until they are 5 to 6 years old when they receive screenings in school.…”

mentioning

confidence: 99%

Universal Newborn Hearing Screenings: A Three-Year Experience

Barsky-Firkser

¹

,

Sun

²

1997

View full text Add to dashboard Cite

ABSTRACT. Objective. To perform hearing screenings on all newborns before hospital discharge, using auditory brainstem evoked responses with analysis of time, cost, and failure rates to evaluate and determine the screening practicality.Method. Over a 3-year period from January 1, 1993 to December 31, 1995, auditory brainstem evoked response screenings were performed on 15 749 infants born at Saint Barnabas Medical Center, Livingston, New Jersey, before their hospital discharge by certified/licensed audiologists. The auditory brainstem evoked response screenings were conducted using the Nicolet Compass Evoked Potential System.Results. A 3-year experience of testing 15 749 infants proved to be a cost-effective program with costs less than $30.00/baby. To date, 46 babies have been identified with bilateral sensorineural hearing loss and 6 babies with unilateral sensorineural hearing loss.Conclusions. The universal newborn hearing screening program at Saint Barnabas Medical Center has proved to be effective, beneficial, and necessary for an institution with more than 5000 births, annually. Early identification of hearing loss has resulted in infants receiving early intervention, and the screening program has provided education and follow-up services to both parents and physicians. Pediatrics 1997;99(6). URL: http: //www.pediatrics.org/cgi/content/full/99/6/e4; auditory brainstem evoked responses, early hospital discharge of newborns, early identification of hearing loss, screening auditory brainstem evoked responses, universal newborn hearing screening.

show abstract

“…Em diferentes estudos, essa variável responde entre 11 e 16% dos casos de perda auditiva, aumentando em até cinco vezes o risco dessas crianças apresentarem a alteração 17,23,24 .…”

Section: Discussionunclassified

Hearing screening in a neonatal intensive care unit

Lima

¹

,

Marba

²

,

Santos

³

2006

View full text Add to dashboard Cite

Objective: Investigate the prevalence of hearing impairment in newborns hospitalized at the Intensive and Intermediate Care Unit at the Womens Comprehensive Health Center Neonatology Service (UNICAMP) and associated risk factors.Methods: 979 newborn babies were assessed between January 2000 and January 2003, through automated auditory brainstem response (AABR) (ALGO 2e color screener). The result was considered normal when the newborn showed response to a 35dBNA signal bilaterally. The prevalence of AABR impairment and the odds ratio were analyzed with a 95% confidence interval using bivariate analysis. To identify the independent risk factors for hearing alterations, multivariate analyses were used with logistic regression.Results: The prevalence of AABR impairment was 10.2%, of which 5.3% was unilateral and 4.9% bilateral. From the multivariate analyses, the following observations were made: family history of congenital hearing loss (OR = 5.192; p = 0.016), craniofacial deformity (OR = 5.530; p < 0.001), genetic syndromes associated with hearing loss (OR = 4.212; p < 0.001), weight below 1,000 g (OR = 3.230; p < 0.001), asphyxia (OR = 3.532; p < 0.001), hyperbilirubinemia (OR = 4.099; p = 0.002) and use of mechanical ventilation (OR = 1.826; p < 0.031) were the indicators that best characterized the group at risk for hearing impairment. Conclusions:The prevalence of hearing impairment using AABR is high. Therefore, it is essential for all newborns who present isolated or associated risk factors to undergo hearing screening in situations in which it is not possible to have universal hearing screening.J Pediatr (Rio J). 2006;82(2):110-4: Newborn, diagnosis, hearing loss. ResumoObjetivo: Avaliar a prevalência de alterações auditivas em recém-nascidos internados na unidade de terapia intensiva e cuidados intermediários do serviço de neonatologia do Centro de Assistência Integral à Saúde da Mulher, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, e analisar os fatores de risco associados.Métodos: Foram avaliados 979 recém-nascidos no período de janeiro de 2000 a janeiro de 2003, utilizando-se a audiometria automá-tica de tronco encefálico (AABR), com aparelho ALGO-2e color -Natus. O resultado foi considerado normal quando o recém-nascido apresentou resposta para 35 dBNA bilateralmente. Foi analisada a prevalência de AABR alterada e odds ratio com intervalo de confiança de 95% em análise bivariada. Para identificar os fatores de risco independentes para AABR alterada, foi feita análise múltipla com modelo de regressão logística.Resultados: A prevalência de alteração no AABR foi de 10,2%, sendo 5,3% unilateral e 4,9% bilateral. Pela análise multivariada, observamos que: antecedente familiar (OR = 5,192; p = 0,016), malformação craniofacial (OR = 5,530; p < 0,001), síndrome genética (OR = 4,212; p < 0,001), peso menor que 1.000 g (OR = 3,230; p < 0,001), asfixia (OR = 3,532; p < 0,001), hiperbilirrubinemia (OR = 4,099; p = 0,002) e uso de ventilação mecânica (OR = 1,826; p < 0,031) foram os in...

show abstract

Neonatal at risk screening and the identification of deafness.

Cited by 98 publications

References 13 publications

Triagem auditiva em recém-nascidos internados em UTI neonatal

Triagem auditiva em recém-nascidos internados em UTI neonatal

Universal Newborn Hearing Screenings: A Three-Year Experience

Hearing screening in a neonatal intensive care unit

Contact Info

Product

Resources

About