Role of Hearing Screening in High-Risk Newborns
| Autor: | Pavan Hosamani, Anirudh Shukla |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Asphyxia
Pediatrics medicine.medical_specialty education.field_of_study business.industry Hearing loss Population Otoacoustic emission Congenital hearing loss 03 medical and health sciences 0302 clinical medicine Otorhinolaryngology 030220 oncology & carcinogenesis otorhinolaryngologic diseases medicine Surgery Apgar score medicine.symptom 030223 otorhinolaryngology business education Prospective cohort study |
| Zdroj: | Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India. 74(Suppl 1) |
| ISSN: | 2231-3796 |
| Popis: | Hearing is one of the very important five senses. The most important period for language and speech development is generally regarded as the first three years of life. For the past 20 years, electrophysiological methods are most commonly used which include otoacoustic emission (OAE) and auditory brain stem response (ABR). Regardless of the screening method chosen, hearing screening, though critical, is only the first stage of a comprehensive early intervention plan. Screening alone is useless unless appropriate diagnostic testing services and high quality amplification and rehabilitation services are in place and are implemented in a timely fashion. Early screening does not substitute for further periodic childhood hearing screening. To screen the newborns which are high risk or born to high risk mother using optoacoustic emission and auditory brain stem response (ABR). Also to co-relate hearing loss with various risk factors involved in pre-natal, natal and post-natal. Methods: we conducted a prospective study with 100 high risk newborns in a tertiary care centre. First, all babies were screened using transient evoked otoacoustic emission(TEOAE). Babies not responsive in this were screening again after 14 days using TEOAE. Babies who were reffered to during this screening with TEOAE were subjected to further screening with ABR to confirm the diagnosis. Out of 100 infants, 73% infants passed first screening by TEOAE whereas 27% failed. those 27 infants which failed were screened after 14 days, of them, 3 (11.1%) infants failed the second screening and were referred. Further screening with BERA was conducted for 3 children who failed the second screening by TEOAE. Of them 1 (33.3%) infant passed the BERA whereas 2 infants failed. Test of significance observed no statistically significant association of OAE with prenatal risk factors in present study (p>0.05). whereas shows highly statistically significant association of OAE with natal (birth asphyxia, NICU admission and Apgar score at 5 minutes) and post natal (viral/bacterial infections) risk factors (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink