ANALYZING RISK FACTORS AND OUTCOMES OF NEONATAL HEARING SCREENING
DOI:
https://doi.org/10.22159/ijcpr.2025v17i1.6007Keywords:
Neonatal hearing screening, Risk factors, Early hearing detection and intervention, Consanguinity, Family history, Neonatal careAbstract
Objective: Neonatal hearing loss can significantly impact a child's developmental trajectory. This study evaluates the risk factors associated with neonatal hearing impairment and analyzes the outcomes of a hearing screening program at a tertiary care center.
Methods: This prospective observational study involved 1175 neonates screened for hearing loss using Otoacoustic Emissions (OAE). Data were collected on high-risk factors such as consanguinity, family history of deafness, ototoxic drug exposure, and low birth weight, and their association with screening outcomes.
Results: The prevalence of high-risk factors included consanguinity (13.53%), family history of deafness (0.17%), ototoxic drug intake (0.26%), and low birth weight (19.91%). Of those initially referred for additional testing, 50% were lost to follow-up, and 50% confirmed for further diagnostic evaluation. Associations were noted between consanguinity and referral rates, as well as a strong correlation between family history and referrals.
Conclusion: The study highlights the effectiveness of initial neonatal hearing screenings but indicates the need for improved follow-up systems to ensure comprehensive care for all neonates at risk of hearing loss.
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Yoshinaga Itano C, Sedey AL, Coulter DK, Mehl AL. Language of early and later identified children with hearing loss. Pediatrics. 1998;102(5):1161-71. doi: 10.1542/peds.102.5.1161, PMID 9794949.
Moeller MP. Early intervention and language development in children who are deaf and hard of hearing. Pediatrics. 2000;106(3):E43. doi: 10.1542/peds.106.3.e43, PMID 10969127.
American Academy of Pediatrics Joint Committee on Infant Hearing. Year 2007 position statement: principles and guidelines for early hearing detection and intervention programs. Pediatrics. 2007;120(4):898-921. doi: 10.1542/peds.2007-2333, PMID 17908777.
White KR. The current status of EHDI programs in the United States. Ment Retard Dev Disabil Res Rev. 2003;9(2):79-88. doi: 10.1002/mrdd.10063, PMID 12784225.
Vohr BR, Widen JE, Cone Wesson B, Sininger YS, Gorga MP, Folsom RC. Identification of neonatal hearing impairment: characteristics of infants in the neonatal intensive care unit and well baby nursery. Ear Hear. 2000;21(5):373-82. doi: 10.1097/00003446-200010000-00005, PMID 11059699.
Kennedy CR, Mc Cann DC, Campbell MJ, Law CM, Mullee M, Petrou S. Language ability after early detection of permanent childhood hearing impairment. N Engl J Med. 2006;354(20):2131-41. doi: 10.1056/NEJMoa054915, PMID 16707750.
Mayne AM, Yoshinaga Itano C, Sedey AL. How early intervention affects the developmental trajectory of children with hearing loss. J Early Interv. 2000;23(3):153-63.
Fortnum HM, Summerfield AQ, Marshall DH, Davis AC, Bamford JM. Prevalence of permanent childhood hearing impairment in the United Kingdom and implications for universal neonatal hearing screening: questionnaire based ascertainment study. BMJ. 2001;323(7312):536-40. doi: 10.1136/bmj.323.7312.536, PMID 11546698.
Davis A, Hind S. The impact of hearing impairment: a global health problem. Int J Pediatr Orl. 1999;49 Suppl 1:S51-4. doi: 10.1016/s0165-5876(99)00213-x, PMID 10577775.
Watkin PM, Baldwin M, Laoide S. Parental suspicion and identification of hearing impairment. Arch Dis Child. 1990;65(8):846-50. doi: 10.1136/adc.65.8.846, PMID 2400221.
Erenberg A, Lemons J, Sia C, Trunkel D, Ziring P. Newborn and infant hearing loss: detection and intervention american academy of pediatrics. task force on newborn and infant hearing; 1998-1999. Pediatrics. 1999;103(2):527-30. doi: 10.1542/peds.103.2.527, PMID 9925859.
Calderon R, Naidu S. Further support for the benefits of early identification and intervention for children with hearing loss. Volta Rev. 2000;100(5):53-84.
Sininger YS, Doyle KJ, Moore JK. The case for early identification of hearing loss in children. Pediatric Clinics of North America. 1999;46(1):1-14. doi: 10.1016/S0031-3955(05)70077-8.
Houston KT, Munoz K, Tomblin B. Addressing disparities in hearing healthcare: professional and consumer perspectives. Health Aff. 2013;32(7):1335-41.
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Copyright (c) 2025 TRIVENI DESAI, AISHWARAYA MANTHALE, RASHMI KAMATH, ARUNKUMAR SHIRSHETTY
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