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The results of newborn hearing screening by means of transient otoacoustic emissions - has anything changed over 10 years?

Abstract Universal newborn hearing screening (UNHS) has become the standard of care in many countries. The aim of this study was to evaluate the results of UNHS after ten years of the program in Poland and to compare them with the results of 2003.
PMID
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The results of newborn hearing screening by means of transient evoked otoacoustic emissions.

Authors

Mayor MeshTerms
Keywords

Congenital hearing deficit

Hearing loss

Hearing screening

Newborn

Journal Title international journal of pediatric otorhinolaryngology
Publication Year Start




PMID- 28390612
OWN - NLM
STAT- In-Process
DA  - 20170409
LR  - 20170409
IS  - 1872-8464 (Electronic)
IS  - 0165-5876 (Linking)
VI  - 96
DP  - 2017 May
TI  - The results of newborn hearing screening by means of transient otoacoustic
      emissions - has anything changed over 10 years?
PG  - 4-10
LID - S0165-5876(17)30081-2 [pii]
LID - 10.1016/j.ijporl.2017.02.021 [doi]
AB  - OBJECTIVES: Universal newborn hearing screening (UNHS) has become the standard of
      care in many countries. The aim of this study was to evaluate the results of UNHS
      after ten years of the program in Poland and to compare them with the results of 
      2003. METHODS: In the study, we analyze the results of UNHS in the University
      Hospital in Poznan, Poland. Between 01.01.2013 and 31.12.2013, 6827 children were
      examined by means of otoacoustic emissions. RESULTS: Risk factors (RF) were
      identified in 772 (11.3%) newborns, which is significantly less than 10 years ago
      (p < 0.05). The most frequent RF were: ototoxic medications, treatment in
      neonatal intensive care unit (NICU) and prematurity < 33 weeks of gestation. In
      2003, the most frequent were ototoxic medications and prematurity, less frequent 
      was treatment in NICU and more common was low Apgar score. In 51 (6.6%) newborns 
      with RF, the result of OAE was positive either unilaterally or bilaterally. In
      infants without RF the result was positive unilaterally in 22 (0.4%) and
      bilaterally in 14 (0.2%) patients. These results are significantly lower than in 
      our former study. The relative risk of positive result was the highest in infants
      with complex congenital anomalies (RR = 44.99), craniofacial anomalies (RR =
      17.46) and mechanical ventilation for > 5 days (RR = 10.69). In our previous
      study, the highest RR of positive test results was in infants with family
      history, congenital malformations and low Apgar score. We found that most
      predictive as to the final diagnosis was bilaterally positive OAE test. In most
      patients, the second check confirmed the diagnosis, independently of RF. The
      number of false positive tests at the 1st level of screening is significantly
      lower now than 10 years ago, probably due to better staff training. CONCLUSIONS: 
      Long term monitoring and the appropriate management of hearing deficit in
      children is essential. UNHS seems to be the most efficient way of finding
      children who require treatment of hearing impairment. The prevalence of most risk
      factors of hearing deficit has significantly changed over the years. The number
      of false positive results has significantly decreased over the years thanks to
      better staff training.
CI  - Copyright (c) 2017 Elsevier B.V. All rights reserved.
FAU - Wroblewska-Seniuk, Katarzyna
AU  - Wroblewska-Seniuk K
AD  - Department of Newborns' Infectious Diseases, Poznan University of Medical
      Sciences, ul. Polna 33, 60-535 Poznan, Poland. Electronic address:
      [email protected]
FAU - Greczka, Grazyna
AU  - Greczka G
AD  - Department of Otolaryngology and Oncological Laryngology, Poznan University of
      Medical Sciences, ul. Przybyszewskiego 49, 60-355 Poznan, Poland.
FAU - Dabrowski, Piotr
AU  - Dabrowski P
AD  - Department of Otolaryngology and Oncological Laryngology, Poznan University of
      Medical Sciences, ul. Przybyszewskiego 49, 60-355 Poznan, Poland.
FAU - Szyfter, Witold
AU  - Szyfter W
AD  - Department of Otolaryngology and Oncological Laryngology, Poznan University of
      Medical Sciences, ul. Przybyszewskiego 49, 60-355 Poznan, Poland.
FAU - Mazela, Jan
AU  - Mazela J
AD  - Department of Newborns' Infectious Diseases, Poznan University of Medical
      Sciences, ul. Polna 33, 60-535 Poznan, Poland.
LA  - eng
PT  - Journal Article
DEP - 20170221
PL  - Ireland
TA  - Int J Pediatr Otorhinolaryngol
JT  - International journal of pediatric otorhinolaryngology
JID - 8003603
OTO - NOTNLM
OT  - Congenital hearing deficit
OT  - Hearing loss
OT  - Hearing screening
OT  - Newborn
EDAT- 2017/04/10 06:00
MHDA- 2017/04/10 06:00
CRDT- 2017/04/10 06:00
PHST- 2016/10/27 [received]
PHST- 2017/02/14 [revised]
PHST- 2017/02/16 [accepted]
AID - S0165-5876(17)30081-2 [pii]
AID - 10.1016/j.ijporl.2017.02.021 [doi]
PST - ppublish
SO  - Int J Pediatr Otorhinolaryngol. 2017 May;96:4-10. doi:
      10.1016/j.ijporl.2017.02.021. Epub 2017 Feb 21.

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