Document Detail


Prevalence and independent risk factors for hearing loss in NICU infants.
MedLine Citation:
PMID:  17655618     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To determine the prevalence and independent relationship between hearing loss and risk factors in a representative neonatal intensive care unit (NICU) population. METHODS: Automated auditory brainstem response (AABR) hearing screening has been introduced since 1998 in the Dutch NICUs. After a second AABR failure, diagnostic ABR was used to establish diagnosis of hearing loss. Newborns who died before the age of 3 months were excluded. In the present study only the NICU infants who were born with a gestational age <30 weeks and/or a birth weight <1000 g between October 1, 1998 and January 1, 2002 were included. Risk factors included in the study were familial hearing loss, in utero infections, craniofacial anomalies, birth weight <1500 g, hyperbilirubinemia, ototoxic medications, cerebral complications, severe birth asphyxia, assisted ventilation > or =5 days and syndromes. RESULTS: A nationwide cohort of 2186 newborns were included. Mean gestational age was 28.5 weeks (SD 1.6) and mean birth weight was 1039 g (SD 256). Prevalence of uni- or bilateral hearing loss was 3.2% (71/2186; 95% CI 2.6-4.1). Multivariate analysis revealed that the only independent risk factors for hearing loss were severe birth asphyxia (OR 1.7; 95% CI 1.0-2.7) and assisted ventilation > or =5 days (OR 3.6; 95% CI 2.1-6.0). CONCLUSION: The prevalence of hearing loss in a representative NICU population was 3.2%. Independent risk factors for hearing loss were severe birth asphyxia and assisted ventilation > or =5 days.
Authors:
Elysée T M Hille; Hlm Irma van Straaten; Paul H Verkerk;
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  96     ISSN:  0803-5253     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-07-27     Completed Date:  2007-10-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  1155-8     Citation Subset:  IM    
Affiliation:
TNO Quality of Life, Business unit Prevention and Health, Leiden, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Asphyxia Neonatorum / complications
Evoked Potentials, Auditory, Brain Stem
Gestational Age
Hearing Loss / epidemiology,  etiology*
Humans
Infant, Newborn
Infant, Premature
Infant, Very Low Birth Weight*
Intensive Care Units, Neonatal
Neonatal Screening* / methods,  organization & administration
Netherlands / epidemiology
Respiration, Artificial / adverse effects
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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