Document Detail

Delayed first otoacoustic emissions test decreases failure on neonatal hearing screening after cesarean delivery.
MedLine Citation:
PMID:  23363315     Owner:  NLM     Status:  Publisher    
AIM: Cesarean delivery (CD) was associated with a 3.2-fold higher failure on 1(st) otoacoustic emissions (OAE) hearing test. We aimed to verify whether postponing 1(st) OAE beyond 48 hours in CD infants decreases hearing screening failure. METHODS: We compared two groups of CD infants as to failure on 1(st) OAE test: early-1(st) OAE (n=560): 1(st) OAE at 12-48 hours-old, and, late-1(st) OAE (n=566): 1(st) OAE at 48-132 hours-old. RESULTS: Compared to early-1(st) OAE-group, the failure rate among late-1(st) OAE infants was significantly six-fold lower (20.5% vs. 3.4%), with six-fold lower need for repeated tests: 205 vs. 34 tests/1,000 CD neonates (p<0.001). The failure rate decreased with increasing age in both groups (p<0.001). Univariate analysis: timing of 1(st) OAE (late vs. early) was significantly associated with failure on 1(st) OAE. Multivariable analysis: late (48-132 hrs) 1(st) OAE test was associated with a 7.7-fold lower risk for failure of 1(st) OAE, OR (95% CI): 0.13 (0.08-0.21). CONCLUSION: Among CD infants, the risk for failure in late-1(st) OAE-group (>48 hrs) was 7.7-fold-lower, with a six-fold-lower need for repeated hearing tests. Delaying 1(st) OAE in CD infants beyond 48-hours-of-age (preferably between 48 and 132 hrs) decreases neonatal OAE screening failure. ©2013 The Author(s)/Acta Paediatrica ©2013 Foundation Acta Paediatrica.
Tatiana Smolkin; Sharehan Awawdeh; Shraga Blazer; Orna Mick; Imad R Makhoul
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-30
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  -     ISSN:  1651-2227     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
©2013 The Author(s)/Acta Paediatrica ©2013 Foundation Acta Paediatrica.
Department of Neonatology, Meyer Children's Hospital, Rambam Health Care Campus; Rappaport Faculty of Medicine, Technion - Israel Institute of Technology.
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