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An analysis of hearing screening test results in 2291 premature infants of Chinese population.

Abstract The aim of this study was to analyze the hearing screening program among preterm infants as well as to identify risk factors associated with failing primary newborn hearing screening.
PMID
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Authors

Mayor MeshTerms
Keywords

Automated auditory brainstem response

Hearing screening

Premature infant

Risk factors

Journal Title international journal of pediatric otorhinolaryngology
Publication Year Start




PMID- 28576525
OWN - NLM
STAT- In-Process
DA  - 20170603
LR  - 20170603
IS  - 1872-8464 (Electronic)
IS  - 0165-5876 (Linking)
VI  - 95
DP  - 2017 Apr
TI  - An analysis of hearing screening test results in 2291 premature infants of
      Chinese population.
PG  - 15-19
LID - S0165-5876(17)30043-5 [pii]
LID - 10.1016/j.ijporl.2017.01.027 [doi]
AB  - OBJECTIVE: The aim of this study was to analyze the hearing screening program
      among preterm infants as well as to identify risk factors associated with failing
      primary newborn hearing screening. METHODS: The retrospectively selected
      population included all preterm infants who had primary hearing screening in a
      neonatal ward from January 1st, 2013 to December 31st, 2015 at West China Second 
      University Hospital, Sichuan University. The newborn hearing screening (NHS)
      procedure was performed in all preterm infants by automated auditory brainstem
      response (AABR). Infants who failed the primary hearing screening received a
      second screening at 42 days after birth. Infants who failed both tests were
      referred to a tertiary audiology center for diagnostic confirmation and
      management before 6 months of age. The final diagnosis for referred infants was
      obtained by telephone follow-up. The risk factors associated with failure to pass
      the primary hearing screen were evaluated and analyzed for preterm infants.
      RESULTS: Among 2291 preterm infants recruited, 155 infants (6.8%) failed the
      primary hearing screening with an abnormal AABR. Of these 155 infants, 113
      (72.9%) passed the secondary screening. At the end of the follow-up, 1 infant
      (0.04%) was diagnosed with hearing loss, 3 infants had delayed language
      development, and 40 infants were lost to follow up. Multivariate regression
      analysis revealed that gestational age </=32 weeks (Odds ratio [OR] = 2.093, 95% 
      confidence interval [CI] 1.370-3.196), super hyperbilirubinemia (>/=25 mg/dl) (OR
      = 3.560, 95% CI 1.009-12.560), and respiratory failure (OR = 1.971, 95% CI
      1.188-3.265) were associated with failure to pass newborn hearing screening.
      CONCLUSION: The prevalence of failure to pass primary hearing screening among
      preterm infants was 6.8% in our study, and we found a relatively low prevalence
      of hearing loss (0.04%). Super hyperbilirubinemia, gestational age </=32weeks,
      and respiratory failure were risk factors associated with failure of preterm
      infants to pass the primary hearing screening. Our results suggest that preterm
      infants with hyperbilirubinemia, gestational age </=32 weeks, and respiratory
      failure should be closely followed.
CI  - Copyright (c) 2017 Elsevier B.V. All rights reserved.
FAU - Huang, Lili
AU  - Huang L
AD  - Department of Pediatrics, West China Second University Hospital, Sichuan
      University, Chengdu, Sichuan, 610041, China; Key Laboratory of Birth Defects and 
      Related Diseases of Women and Children (Sichuan University), Ministry of
      Education, China. Electronic address: [email protected]
FAU - Xiong, Fei
AU  - Xiong F
AD  - Department of Pediatrics, West China Second University Hospital, Sichuan
      University, Chengdu, Sichuan, 610041, China; Key Laboratory of Birth Defects and 
      Related Diseases of Women and Children (Sichuan University), Ministry of
      Education, China. Electronic address: [email protected]
FAU - Li, Jinrong
AU  - Li J
AD  - Department of Pediatrics, West China Second University Hospital, Sichuan
      University, Chengdu, Sichuan, 610041, China; Key Laboratory of Birth Defects and 
      Related Diseases of Women and Children (Sichuan University), Ministry of
      Education, China. Electronic address: [email protected]
FAU - Yang, Fan
AU  - Yang F
AD  - Department of Pediatrics, West China Second University Hospital, Sichuan
      University, Chengdu, Sichuan, 610041, China; Key Laboratory of Birth Defects and 
      Related Diseases of Women and Children (Sichuan University), Ministry of
      Education, China. Electronic address: [email protected]
LA  - eng
PT  - Journal Article
DEP - 20170127
PL  - Ireland
TA  - Int J Pediatr Otorhinolaryngol
JT  - International journal of pediatric otorhinolaryngology
JID - 8003603
OTO - NOTNLM
OT  - Automated auditory brainstem response
OT  - Hearing screening
OT  - Premature infant
OT  - Risk factors
EDAT- 2017/06/04 06:00
MHDA- 2017/06/04 06:00
CRDT- 2017/06/04 06:00
PHST- 2016/08/25 [received]
PHST- 2017/01/18 [revised]
PHST- 2017/01/21 [accepted]
AID - S0165-5876(17)30043-5 [pii]
AID - 10.1016/j.ijporl.2017.01.027 [doi]
PST - ppublish
SO  - Int J Pediatr Otorhinolaryngol. 2017 Apr;95:15-19. doi:
      10.1016/j.ijporl.2017.01.027. Epub 2017 Jan 27.

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