Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-25T20:06:05.231Z Has data issue: false hasContentIssue false
  • English
  • Français

Risk factors for hearing loss in neonates admitted to neonatal intensive care units

Published online by Cambridge University Press:  20 December 2021

L Pan Open the ORCID record for L Pan [Opens in a new window] ,
X Fang ,
H Chen ,
F Zhai  and
J Chen Open the ORCID record for J Chen [Opens in a new window]
L Pan
Affiliation:
Department of Otolaryngology, Shanghai Children's Medical Center and Shanghai Jiaotong University School of Medicine, China
X Fang
Affiliation:
Department of Otolaryngology, Shanghai Children's Medical Center and Shanghai Jiaotong University School of Medicine, China
H Chen
Affiliation:
Department of Child Health Care, Sanya City Womenfolk & Infant Health Care Hospital Affiliated to Shanghai Children's Medical Center, Sanya, China
F Zhai*
Affiliation:
Department of Otolaryngology, Shanghai Children's Medical Center and Shanghai Jiaotong University School of Medicine, China
J Chen*
Affiliation:
Department of Otolaryngology, Shanghai Children's Medical Center and Shanghai Jiaotong University School of Medicine, China
*
Authors for correspondence: Dr J Chen and Feng Zhai, Department of Otolaryngology, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Outpatient Building, 1678 Dongfang Road, Apt 1–3, Shanghai 200127, China E-mails: [email protected]; [email protected]
Authors for correspondence: Dr J Chen and Feng Zhai, Department of Otolaryngology, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Outpatient Building, 1678 Dongfang Road, Apt 1–3, Shanghai 200127, China E-mails: [email protected]; [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

This study aimed to research risk factors of hearing loss among neonates in the neonatal intensive care unit.

Method

Hearing screening tests were performed on 572 neonates in the neonatal intensive care unit. Those who failed screening tests were referred for diagnostic tests.

Results

The pass rates for automated auditory brainstem response, distortion product otoacoustic emission and acoustic impedance tests at first hearing screening were 69.93 per cent, 70.02 per cent and 92.92 per cent for 1144 ears. Failure in the first screening correlated with preterm birth, very low birth weight, revised advanced maternal age, neonatal hyperbilirubinaemia and Activity, Pulse, Grimace, Appearance, Respiration score less than 8. Thirty cases failed in diagnostic hearing tests for brainstem auditory evoked potentials, 28 failed in otoacoustic emissions and 33 failed in acoustic impedance, which correlated with preterm birth, very low birth weight, twins, advanced maternal age and revised advanced maternal age.

Conclusion

Abnormalities in the hearing levels of most neonates who needed hearing retests were completely or partially reversible. Preterm birth, very low birth weight, twins and advanced maternal age are potential risk factors for hearing impairment.

Keywords

NewbornHearing LossBrain Stem Auditory Evoked PotentialsOtoacoustic EmissionsAcoustic Impedance Tests
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 12 , December 2022 , pp. 1196 - 1202
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr J Chen takes responsibility for the integrity of the content of the paper

References

Wilson, BS, Tucci, DL, Merson, MH, O'Donoghue, GM. Global hearing health care: new findings and perspectives. Lancet 2017;390:2503–15CrossRefGoogle Scholar
Johnson, JL, White, KR, Widen, JE, Gravel, JS, James, M, Kennalley, T et al. A multicenter evaluation of how many infants with permanent hearing loss pass a two-stage otoacoustic emissions/automated auditory brainstem response newborn hearing screening protocol. Pediatrics (Evanston) 2005;116:663–72CrossRefGoogle Scholar
Martínez-Cruz, CF, Poblano, A, García-Alonso, Themann P. Changes in tonal audiometry in children with progressive sensorineural hearing loss and history of neonatal intensive care unit discharge. A 20 year long-term follow-up. Int J Pediatric Otorhinolaryngol 2017;101:235–40CrossRefGoogle ScholarPubMed
Keren, R, Helfand, M, Homer, C, McPhillips, H, Lieu, TA. Projected cost-effectiveness of statewide universal newborn hearing screening. Pediatrics 2002;110:855–64CrossRefGoogle ScholarPubMed
The Joint Committee on Infant Hearing. Year 2019 position statement: principles and guidelines for early hearing detection and intervention programs. J Early Hear Detect Intervent 2019;4:1–44Google Scholar
Salvago, P, Martines, E, Martines, F. Prevalence and risk factors for sensorineural hearing loss: Western Sicily overview. Eur Arch Otorhinolaryngol 2013;270:3049–56CrossRefGoogle ScholarPubMed
Morton, CC, Nance, WE. Newborn hearing screening – a silent revolution. New Engl J Med 2006;354:2151–64CrossRefGoogle ScholarPubMed
Korver, AM, Smith, RJ, Van, Camp G, Schleiss, MR, Bitner-Glindzicz, MA, Lustig, LR et al. Congenital hearing loss. Nat Rev Dis Primers 2017;3:16094CrossRefGoogle ScholarPubMed
Zhai, F, Fang, X, Li, Y, Chen, H, Chen, J. Risk factors for failure in first-time hearing screening tests among high-risk neonates in neonatal intensive care unit. Audiol Neurootol 2021;26:338–45CrossRefGoogle ScholarPubMed
Khairy, MA, Abuelhamed, WA, Ahmed, RS, El Fouly, HES, Elhawary, IM. Hearing loss among high-risk newborns admitted to a tertiary neonatal intensive care unit. J Maternal-Fetal Neonatal Med 2018;31:1756–61CrossRefGoogle ScholarPubMed
van Straaten, HL, Hille, ET, Kok, JH, Verkerk, PH. Implementation of a nation-wide automated auditory brainstem response hearing screening programme in neonatal intensive care units. Acta Paediatr 2003;92:332–8CrossRefGoogle ScholarPubMed
Hille, ET, van Straaten, HI, Verkerk, PH. Prevalence and independent risk factors for hearing loss in NICU infants. Acta Paediatr 2007;96:1155–8CrossRefGoogle ScholarPubMed
Psarommatis, I, Florou, V, Fragkos, M, Douniadakis, E, Kontrogiannis, A. Reversible auditory brainstem responses screening failures in high risk neonates. Eur Arch Otorhinolaryngol 2011;268:189–96CrossRefGoogle ScholarPubMed
Hoffmann, A, Deuster, D, Rosslau, K, Knief, A, Am Zehnhoff-Dinnesen, A, Schmidt, C-M. Feasibility of 1000 Hz tympanometry in infants: tympanometric trace classification and choice of probe tone in relation to age. Int J Pediatric Otorhinolaryngol 2013;77:1198–203CrossRefGoogle ScholarPubMed
Wroblewska-Seniuk, K, Greczka, G, Dabrowski, P, Szyfter-Harris, J, Mazela, J. Hearing impairment in premature newborns—analysis based on the national hearing screening database in Poland. PLoS One 2017;12:e0184359CrossRefGoogle ScholarPubMed
van Dommelen, P, Verkerk, PH, van Straaten, HLM, Baerts, W, von Weissenbruch, M, Duijsters, C et al. Hearing loss by week of gestation and birth weight in very preterm neonates. J Pediatric 2015;166:840–3.e1CrossRefGoogle ScholarPubMed
Wang, C, Jiang, ZD. Brainstem auditory abnormality in extremely premature babies and the impact of neonatal bronchopulmonary dysplasia. Acta Obstet Gynecol Scand 2018;97:545–51CrossRefGoogle ScholarPubMed
Martínez-Cruz, CF, García, A-TP, Poblano, A, Ochoa-López, JM. Hearing loss, auditory neuropathy, and neurological co-morbidity in children with birthweight <750 g. Arch Med Res 2012;43:457–63CrossRefGoogle ScholarPubMed
Kim, SY, Choi, BY, Jung, EY, Park, H, Yoo, HN, Park, KH. Risk factors for failure in the newborn hearing screen test in very preterm twins. Pediatr Neonatol 2018;59:586–94CrossRefGoogle ScholarPubMed
Sasireka, BI, Jaya, V, Vignesh, SS, Muthukumar, R. Clinical experience on hearing screening in twins and triplets: a retrospective study. Ind J Otolaryngol Head Neck Surg 2019;71:401–5CrossRefGoogle ScholarPubMed
Sheen, J-J, Wright, JD, Goffman, D, Kern-Goldberger, AR, Booker, W, Siddiq, Z et al. Maternal age and risk for adverse outcomes. Am J Obstet Gynecol 2018;219:390.e1–390.e15CrossRefGoogle ScholarPubMed
Biagioni, EM, May, LE, Broskey, NT. The impact of advanced maternal age on pregnancy and offspring health: a mechanistic role for placental angiogenic growth mediators. Placenta (Eastbourne) 2021;106:15–21CrossRefGoogle Scholar
Olds, C, Oghalai, JS. Bilirubin-induced audiologic injury in preterm infants. Clin Perinatol 2016;43:313–23CrossRefGoogle ScholarPubMed
Boskabadi, H, Zakerihamidi, M, Moradi, A, Bakhshaee, M. Risk factors for sensorineural hearing loss in neonatal hyperbilirubinemia. Iran J Otorhinolaryngol 2018;30:195–202Google ScholarPubMed
Kvestad, E, Lie, KK, Eskild, A, Engdahl, B. Sensorineural hearing loss in children: the association with Apgar score. A registry-based study of 392 371 children in Norway. Int J Pediatric Otorhinolaryngol 2014;78:1940–4CrossRefGoogle ScholarPubMed
Jiang, ZD, Shao, XM, Wilkinson, AR. Brainstem auditory-evoked responses in full-term newborn infants with temporary low Apgar score. Acta Otolaryngol 2005;125:163–8CrossRefGoogle ScholarPubMed