Role of Newborn Hearing Screening Done Over One Year in a Tertiary Care Hospital: A Cross-Sectional Study.

Autor:	Kumar G A; Pediatrics and Neonatology, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS) Saveetha University, Chennai, IND., Kamalakannan SK; Pediatrics and Neonatology, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS) Saveetha University, Chennai, IND., A A; Pediatrics and Neonatology, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS) Saveetha University, Chennai, IND., Sudarsanan H; Pediatrics and Neonatology, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS) Saveetha University, Chennai, IND., J K; Pediatrics and Neonatology, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS) Saveetha University, Chennai, IND.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Sep 16; Vol. 16 (9), pp. e69521. Date of Electronic Publication: 2024 Sep 16 (Print Publication: 2024).
DOI:	10.7759/cureus.69521
Abstrakt:	Background: Newborn hearing screening (NHS) is universally acknowledged as a critical early intervention to prevent adverse developmental outcomes caused by undetected hearing loss. Despite its proven benefits, the implementation of NHS varies, especially in tertiary care hospitals that manage high-risk neonates. This study investigates the effectiveness and implementation of NHS protocols in these settings. Methodology: This cross-sectional study was conducted in the Department of Neonatology at Saveetha Medical College, Chennai. All newborns delivered between January 2023 and December 2023 were included. Screening involved initial otoacoustic emissions (OAEs) tests, automated auditory brainstem response (AABR) followed by brainstem evoked response audiometry (BERA) for those who failed. Data on demographic characteristics, screening results, and follow-up compliance were collected and analyzed. Results: A total of 1,398 neonates were screened. Initial screening resulted in 416 (29.7%) referrals. Follow-up screenings showed high compliance rates, with significant detections of hearing impairments through BERA. The screening was completed for 1,341 babies. Fifty-five babies were lost to follow-up. Of these, 2 babies (0.1%) with a high risk for hearing loss were diagnosed with bilateral severe hearing loss. The study also noted demographic factors such as kinship and obstetric history that might influence hearing loss risks. Conclusions: NHS plays a vital role in the early detection and management of hearing impairments, which is crucial for preventing negative impacts on a child's development. This study advocates for the systematic implementation of NHS protocols in all tertiary care hospitals, especially those serving high-risk neonates, to ensure optimal developmental outcomes. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Saveetha Institutional Review Board issued approval 161/04/2024/PG/SRB/SMCH. This study was conducted following the receipt of Saveetha Institutional Review Board (IRB) approval, approval number bearing 161/04/2024/PG/SRB/SMCH. All protocols and procedures were reviewed and approved by the IRB to ensure adherence to ethical standards. In addition, due compliance with obtaining informed consent from all participating patients was strictly followed. Each participant, or their legal guardian/parents in the case of newborns, was provided with comprehensive information regarding the study's purpose, procedures, potential risks, and benefits. Written consent was obtained prior to their inclusion in the study, ensuring that all participants were fully informed and voluntarily agreed to participate. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Kumar G. et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu