Current Issue
Volumes and Issues
For Authors
Manuscript Guidelines
Review Process
Conflict of Interest
Copyright
About the Journal
Editorial Board
Aim and Scope
Policy and Ethical Guidelines
Promotion of the Journal
Print-Version Subscription
Publisher and Contact Information
Contact Information
Sign in
ORIGINAL ARTICLE
NEONATAL HEARING SCREENING IN INTENSIVE CARE UNITS
1
2nd University ENT Department, Attiko Hospital, Athens, Greece
Publication date: 2014-06-30
Corresponding author
Vasilios F. Chalkiadakis
Vasilios Chalkiadakis, Mykonou 1, PO 17342, Agios Dimitrios, Athens, Greece, Tel. +306974357069, e-mail: chalkiadakis.v@gmail.com
Vasilios Chalkiadakis, Mykonou 1, PO 17342, Agios Dimitrios, Athens, Greece, Tel. +306974357069, e-mail: chalkiadakis.v@gmail.com
J Hear Sci 2014;4(2):9-16
KEYWORDS
ABSTRACT
Background:
Diagnosis of neonatal hearing impairment depends on universal hearing screening programs (otoacoustic emissions, OAEs, and/or auditory brainstem responses, ABRs). The aim of this study is to determine the prevalence of hearing impairment among high-risk newborns and identify the risk factors involved.
Material and Methods:
This is a prospective cohort study on 173 newborns hospitalized in a neonatal intensive care unit (NICU) with one or more risk factors for hearing impairment. Both TEOAEs and a-ABRs were performed a few days before discharge.
Results:
On examination with TEOAEs, 170 neonates eventually passed the test and 3 failed (1 bilaterally and 2 unilaterally). All neonates were also examined with a-ABR, and 10 failed the test, 7 of which passed TEOAE and were diagnosed as having possible auditory neuropathy spectrum disease (ANSD). The remaining 3 infants who failed both tests were diagnosed as having possible hearing loss (HL). From the risk factors, only TORCH infections were clearly related to the likelihood of hearing impairment, either ANSD or HL (p=0.004). The need for mechanical ventilation was also significantly higher in newborns with possible HL, compared to those with normal results (66.7% vs. 18.4%, p=0.03).
Conclusions:
Combined TEOAE/ABR is the gold standard examination for NICU infants due to the increased incidence of HL, especially ANSD, in this high-risk population.
Diagnosis of neonatal hearing impairment depends on universal hearing screening programs (otoacoustic emissions, OAEs, and/or auditory brainstem responses, ABRs). The aim of this study is to determine the prevalence of hearing impairment among high-risk newborns and identify the risk factors involved.
Material and Methods:
This is a prospective cohort study on 173 newborns hospitalized in a neonatal intensive care unit (NICU) with one or more risk factors for hearing impairment. Both TEOAEs and a-ABRs were performed a few days before discharge.
Results:
On examination with TEOAEs, 170 neonates eventually passed the test and 3 failed (1 bilaterally and 2 unilaterally). All neonates were also examined with a-ABR, and 10 failed the test, 7 of which passed TEOAE and were diagnosed as having possible auditory neuropathy spectrum disease (ANSD). The remaining 3 infants who failed both tests were diagnosed as having possible hearing loss (HL). From the risk factors, only TORCH infections were clearly related to the likelihood of hearing impairment, either ANSD or HL (p=0.004). The need for mechanical ventilation was also significantly higher in newborns with possible HL, compared to those with normal results (66.7% vs. 18.4%, p=0.03).
Conclusions:
Combined TEOAE/ABR is the gold standard examination for NICU infants due to the increased incidence of HL, especially ANSD, in this high-risk population.
REFERENCES (28)
1.
Erenberg A, Lemons J, Sia C, Trunkel D, Ziring P. American Academy of Pediatrics, Newborn and Infant Hearing loss, Detection and Intervention Task Force on Newborn and Infant Hearing. Pediatrics, 1999; 103: 527–30.
2.
Downs MP, Yoshinaga-Itano C. The efficacy of early identification and intervention for children with hearing impairment. Pediatr Clin North Am, 1999; 46: 79–87.
3.
Yoshinaga-Itano C, Sedey AL, Coulter DK, Mehl AL. Language of early and later identified children with hearing loss. Pediatrics, 1998; 102: 1161–71.
4.
American Academy of Pediatrics Joint Committee on Infant Hearing 1994 Position Statement. Pediatrics, 1995; 95: 152–6.
5.
Geelhoed EA, Lewis B, Hounsome D, O’leary P. Economic evaluation of neonatal screening for phenylketonuria and congenital hypothyroidism. J Paediatr Child Health, 2005; 41(11): 575–9.
6.
Joint Committee on Infant Hearing; American Academy of Audiology; American Academy of Pediatrics; American Speech – Language – Hearing Association; Directors of Speech and Hearing Programs in State Health and Welfare Agencies. Year 2000 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs. Pediatrics, 2000; 106: 798–817.
7.
Martines F, Salvago P, Bentivenga D, Bartolone A, Dispenza F, Martines E. Audiologic profile of infants at risk: experience of a Western Sicily tertiary care centre. Int J Pediatr Otorhinolaryngol, 2012; 76(9): 1285–91.
8.
Guidelines Development Conference on the Identification and Management of Infants with Auditory Neuropathy, International Newborn Hearing Screening Conference, Como, Italy, 2008.
9.
Joint Committee on Infant Hearing; American Academy of Audiology; American Academy of Pediatrics; American Speech – Language – Hearing Association; Directors of Speech and Hearing Programs in State Health and Welfare Agencies. Year 2007 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs. Pediatrics, 2007; 120: 898–21.
10.
Hehar SS, Nikolopoulos TP, Gibbin KP, O’ Donoghue GM. Surgery and functional outcomes in deaf children receiving cochlear implants before age 2 years. Arch Otolaryngol Head Neck Surg, 2002; 128: 11–4.
11.
Nikolopoulos TP, O’ Donoghue GM, Archbold SM. Age at implantation: its importance in pediatric cochlear implantation. Laryngoscope, 1999; 109: 595–9.
12.
O’ Neill C, O’Donoghue GM, Archbold SM, Nikolopoulos TP, Sach T. Variations in gains in auditory performance from pediatric cochlear implantation. Otol Neurotol, 2002; 23: 44–8.
13.
Nikolopoulos TP, Gibbin KP, Dyar D. Predicting speech perception outcomes following cochlear implantation using Nottingham children’s implant profile (NChIP). Int J Pediatr Otorhinolatyngol, 2004; 68: 137–41.
14.
White KR, Vohr BR, Behrens TR. Universal newborn hearing screening using transient evoked otoacoustic emissions: results of the Rhode Island Hearing Assessment Project. Semin Hear, 1993; 14: 18–29.
15.
Papacharalampous GX, Nikolopoulos TP, Davilis DI, Xenellis IE, Korres SG. Universal newborn hearing screening, a revolutionary diagnosis of deafness: real benefits and limitations. Eur Arch Otorhinolaryngol, 2011; 268: 1399–406.
16.
Mittal R, Ramesh AV, Panwar SS, Nilkanthan A, Nair S, Mehra PR. Auditory neuropathy spectrum disorder: its prevalence and audiological characteristics in an Indian tertiary care hospital. Int J Pediatr Otorhinolaryngol, 2012; 76(9): 1351–4.
17.
Biswas AK, Goswami SC, Baruah DK, Tripathy R. The potential risk factors and the identification of hearing loss in infants. Indian J Otolaryngol Head Neck Surg, 2012; 64(3): 214–7.
18.
Ohl C, Dornier L, Czajka C, Chobaut JC, Tavernier L. Newborn hearing screening on infants at risk. Int J Pediatr Otorhinolaryngol, 2009; 73: 1691–5.
19.
Bielecki I, Horbulewicz A, Wolan T. Prevalence and risk factors for auditory neuropathy spectrum disorder in a screened newborn population at risk for hearing loss. Int J Pediatr Otorhinolaryngol, 2012; 76: 1668–70.
20.
Hille ET, van Straaten HI, Verkerk H. Prevalence and independent risk factors for hearing loss in NICU infants. Dutch NICU Neonatal Hearing Screening Working Group. Acta Paediatr, 2007; 96(8): 1155–8.
21.
Korres S, Nikolopoulos TP, Komkotou V, Balatsouras D. Newborn hearing screening: effectiveness, importance of high risk factors, and characteristics of infants in the neonatal intensive care unit and well baby nursery. Otol Neurotol, 2005; 26: 1186–90.
22.
Sininger Y. Identification of auditory neuropathy in infants and children. Senim. Hear, 2002; 23(3): 193–200.
23.
Foerst A, Beutner D, Lang-Roth R, Huttenbrink KB, von Wedel H, Walger M. Prevalence of auditory neuropathy/synaptopathy in a population of children with profound hearing loss. Int J Pediatr Otorhinolaryngol, 2006; 70(8): 1415–22.
24.
Rance G. Auditory neuropathy/dys-synchrony and its perceptual consequences. Trents Amplif, 2005; 9(1): 1–43.
25.
Coenraad S, Goedegebure A, van Goudoever JB, Hoeve LJ. Risk factors for auditory neuropathy spectrum disorder in NICU infants compared to normal hearing NICU controls. Laryngoscope, 2011; 121: 852–5.
26.
Dowley AC, Whitehouse W, Mason SM, Cope Y, Grant J, Gibbin KP. Auditory neuropathy: unexpectedly common in a screened newborn population. Dev Med Child Neurol, 2009; 51: 642–6.
27.
Xionis K, Weirather Y, Mavoori H, Shaha SH, Iwamoto LM. Extremely low birth weight infants are at high risk for auditory neuropathy. J Perinatol, 2007; 27: 718–23.
28.
Vlastarakos PV, Nikolopoulos TP, Tavoulari E, Papacharalambous G, Korres S. Auditory neuropathy: endocochlear lesion or temporal processing impairment? Implications for diagnosis and management. Int J Pediatr Otorhinolaryngol, 2008; 72: 1135–50.
Share
RELATED ARTICLE
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
