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245866

Neonatal Auditory Screening is a Necessity in The Neonatal Intensive Care Unit: Single Center Study

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Last updated: 22 Jan 2023

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Abstract

Background: Hearing impairment early in life interferes with normal healthy psychosocial, linguistic and educational development. Neonatal morbidities might be complicated by increased hearing impairment. 
Aim of the Work: To study the frequency of hearing loss among neonates with morbidities necessitating admission to neonatal intensive care units.
Materials and Methods: This cross-sectional study involved screening of 250 neonate on day of discharge from Neonatal Intensive Care Unit (NICU), Children Hospital, Cairo University Hospitals, Egypt during 2020 using evoked otoacoustic emission (EOAE). Automated auditory brain stem response (AABR) was used as a confirmatory test for those who failed EOAE.
Results: among the 250 neonates, 70 (28%) failed the screening by EOAE, and hearing loss was confirmed by AABR among 35(14%). Morbidity risk factors that contributed to hearing impairment was prematurity (p = 0.001), low birth weight (p = 0.003), low APGAR score at 1 and 5 minutes (p = 0.004), long NICU stay duration (p = 0.001), complications of pregnancy and delivery (p = 0.001 and p = 0.006 respectively), hypoxic ischemic encephalopathy (p = 0.001), intracranial hemorrhage (p = 0.001), meningitis (p = 0.003), mechanical ventilation for more than 5 days (p = 0.005), ototoxic drug use (p = 0.007) and hyperbilirubinemia at level of exchange transfusion (p = 0.001).
Conclusion: EOAE and confirmatory AABR non- invasively and objectively detected  14% hearing loss among neonates admitted to NICU. Implementation of screening for hearing impairment among those with morbidity risk factors is a necessity to allow prompt diagnosis and early management of hearing loss.

DOI

10.21608/cupsj.2022.142685.1060

Keywords

Hearing Impairment, neonatal risk factors, Hyperbilirubinemia, ototoxic drug use, Preterm

Authors

First Name

Hala Ahmed

Last Name

ElGindy

MiddleName

-

Affiliation

Department of Pediatrics, Faculty of Medicine, Cairo University, Egypt

Email

elgindyhala@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Mohamed

MiddleName

Farouk

Affiliation

Department of Pediatrics, Faculty of Medicine, Cairo University, Egypt

Email

m.farouk76@gmail.com

City

-

Orcid

-

First Name

Magd

Last Name

Kotb

MiddleName

-

Affiliation

Department of Pediatrics, Faculty of Medicine, Cairo University, Egypt

Email

magdkotb@kasralainy.edu.eg

City

-

Orcid

https://orcid.org/00

First Name

Zahraa

Last Name

Ezz ElDin

MiddleName

-

Affiliation

Department of Pediatrics, Faculty of Medicine, Cairo University, Egypt

Email

zahraezzeldin@yahoo.com

City

Cairo

Orcid

-

First Name

Hussein

Last Name

Hamdy

MiddleName

-

Affiliation

Department of Otolaryngology, Faculty of Medicine, Cairo University, Egypt

Email

husseinhamdy87@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Elmaghraby

MiddleName

-

Affiliation

Department of Pediatrics, Fawzy Moaz Pediatric Hospital , Alexandria, Egypt

Email

mmaghraby5@gmail.com

City

-

Orcid

-

First Name

Walaa

Last Name

Elnaggar

MiddleName

-

Affiliation

Department of Pediatrics, Faculty of Medicine, Cairo University, Egypt

Email

walaa_elnaggar@yahoo.com

City

Cairo

Orcid

-

Volume

2

Article Issue

2

Related Issue

35212

Issue Date

2022-07-01

Receive Date

2022-06-03

Publish Date

2022-07-01

Page Start

120

Page End

126

Print ISSN

2805-279X

Online ISSN

2682-3985

Article File

CUPSJ_Volume 2_Issue 2_Pages 120-126.pdf

PDF . 713.2kB

Link

https://cupsj.journals.ekb.eg/article_245866.html

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https://cupsj.journals.ekb.eg/service?article_code=245866

Order

2

Type

Original Research

Type Code

1,229

Publication Type

Journal

Publication Title

Pediatric Sciences Journal

Publication Link

https://cupsj.journals.ekb.eg/

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Details

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Article

Created At

22 Jan 2023