ORIGINAL ARTICLE
HEARING LOSS AND VERY LOW BIRTHWEIGHT
More details
Hide details
1
Department of Otolaryngology, Complejo Hospitalario Universitario Insulra Materno Infantil de Gran Canaria,
Las Palmas de Gran Canaria, Spain
Publication date: 2015-09-30
Corresponding author
Silvia Borkoski Barreiro
Silvia Borkoski Barreiro, Department of Otolaryngology, Complejo Hospitalario
Universitario Insulra Materno Infantil de Gran Canaria, Las Palmas de Gran Canaria, Spain,
e-mail: silviaborkoski@hotmail.com
J Hear Sci 2015;5(3):19-24
KEYWORDS
ABSTRACT
Background:
Regardless of gestational age, any newborn (NB) with a weight at birth of <1500 g is considered to be of very
low birth weight (VLBW). The incidence of hearing loss in this population group is 5–6% but the frequency of moderate or
severe hearing loss in children of VLBW is 2%.
Material and Methods:
Retrospective study of 364 NBs with birth weight <1500 g. Two levels of TEOAE screening were conducted, followed by an ABR test if the initial testing was inconclusive. The SPSS statistical software package, version 20.0 for
Windows, was used for statistical processing of data. Fisher’s Exact Test was used to study possible associations among categorical variables
Results:
From 1 January 2007 to 31 December 2010, a total of 26,708 subjects were included in the hearing screening program.
Out of these, 364 were NBs of VLBW. Out of 112 NBs with VLBW, 76 (67.8%) had an ABR test done. Of these, 22 showed
signs of hearing loss. Eight of them (36.4%) were diagnosed with sensorioneural hearing loss (SNHL), and out of these, 2 infants had bilateral profound SNHL. The risk factor for hearing loss most frequently associated with VLBW was the use of ototoxic medications.
Conclusions:
Hearing loss diagnosis among VLBW NBs is higher than the percentage in the general population. All subjects diagnosed with hearing loss were very premature infants and had one or two other auditory risk factors associated
with their VLBW.
REFERENCES (26)
1.
Puig T, Municio A, Medà C. Cribaje (screening) auditivo neonatal universal versus Cribaje (screening) selectivo como parte del tratamiento de la sordera infantil (Revisión Cochrane traducida). In: La Biblioteca Cochrane Plus, 2008 Número 2. Oxford: Update Software Ltd. Available at: dhttp: //updatesoftware.com. (Translated from The Cochrane Library, 2008 Issue 2. Chichester UK, John Wiley & Sons, Ltd.).
2.
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): 898–21.
3.
Trinidad-Ramos G1, de Aguilar VA, Jaudenes-Casaubón C, Núñez-Batalla F, Sequí-Canet JM; Comisión para la Detección Precoz de la Hipoacusia (CODEPEH). Early hearing detection and intervention: 2010 CODEPEH recommendation. Acta Otorrinolaringol Esp. 2010; 61: 69–77 [in Spanish].
4.
Torres Valdivieso MJ, Rodríguez López J, Gómez Castillo E, Bustos Lozao G, Bergas Sendin E, Pallás Alonso CR. Outcome of newborn with birth weight less than or equal to 1500 g and gestational age less than or equal to 32 weeks, during the 2 first years of age corrected: comparison of two time periods. An Pediatr (Barc), 2010; 72(6): 377–84.
5.
Yang E, Stuart E, Mencher G, Mencher L, Vincer M. Auditory brain stem responses to air and bone conducted clicks in the audiological assessment of at risk infants. Ear Hear, 1991; 3: 175–82.
6.
Borkoski Barreiro SA, Falcón González JC, Bueno Yanes J et al. Results of an early hearing detection program. Acta Otorrinolaringol Esp, 2013; 64: 92–6.
7.
Willems P. Genetic causes of hearing loss. N Engl J Med, 2000; 342: 1101–9.
8.
Marco J, Almenar A, Alzina V, Bixquert V, Jaudenes MC, Ramos A et al. Quality control of an early detection, diagnosis and early intervention program for deafness in newborn. Official document of the Early Detection Commission of Deafness in Newborn (CODEPEH). Acta Otorrinolaringol Esp, 2004; 55(3): 103–6.
9.
Yoshinaga-Itano A, Sedey AL, Coulter DK, Mehl AL. Language of early and later identified children with hearing loss. Pediatrics, 1998; 1161–71.
10.
Bailey H, Bower C, Krishnawamy J, Coates H. Newborn hearing screening in Western Australia. Med J, 2002, 177: 180–5.
11.
Kraft CT, Malhotra S, Boerst A, Thorne MC. Risk indicators for congenital and delayed-onset hearing loss. Otol Neurotol, 2014; 35(10): 1839–43.
12.
Driscoll C, Beswick R, Doherty E, D’Silva R, Cross A. The validity of family history as a risk factor in pediatric hearing loss. Int J Pediatr Otorhinolaryngol, 2015; 79(5): 654–9.
13.
Ohl Ch, Dornier L, Czajka C, Chobat J-C, Tavernier L. Newborn hearing screening on infants at risk. Int J Pediatr Otorhinolaryngol, 2009; 73: 1691–5.
14.
Maqbool M, Najar BA, Gattoo I, Chowdhary J. Screening for hearing impairment in high risk neonates: a hospital based study. J Clin Diagn Res, 2015; 9(6): SC18–21.
15.
Bielecki I, Horbulewics A, Wolan T. Risk factors associated with hearing loss in infants: an analysis of 5282 referred neonates. Int J Pediatr Otorhinolaryngol, 2011; 75: 925–30.
16.
Nuñez Batalla F, Trinidad Ramos G, Sequí Canet JM, Alzina De Aguilar V, Jaúdenes Casaubón C. Risk factors for sensorineural hearing loss in children. Acta Otorrinolaringol Esp, 2012; 63(5): 382–90.
17.
Kumar A, Shah N, Patel KB, Vishwakarma R. Hearing screening in a tertiary care hospital in India. J Clin Diagn Res, 2015; 9(3): MC01–4.
18.
Cañete SO, Torrente AM. Hearing screening in infants with very low birth weight (VLBW), Padre Hurtado experience. Rev Otorrinolaringol Cir Cabeza Cuello, 2011; 71: 117–22.
19.
Martines F, Salvago P, Bentivegna D, Bartolone A, Dispenza F, Martinez E. Audiologic profile of infants at risk: experience of a Western Sicily tertiary care centre. Int J Pediatr Otorhinolaryngol, 2012; 76: 1285–91.
20.
van Dommelen P, Verkerk PH, van Straaten HL. Hearing loss by week of gestation and birth weight in very preterm neonates. J Pediatr, 2015; 166(4): 840–3.
21.
Erenberg A, Lemons J, Sia C, TrunkelD, Ziring P. Newborn and infant hearing loss: detection and intervention. Pediatrics, 1999; 103(2): 527–30.
22.
Ptok M. Early detection of hearing impairment in newborns and infants. Dtsch Arztebl Int, 2011; 108: 426–31.
23.
Kanji A, Khoza-Shangase K. The occurrence of high-risk factors for hearing loss in very-low-birth-weight neonates: a retrospective exploratory study of targeted hearing screening. S Afr J Commun Disord, 2012; 59: 3–7.
24.
Abu-Shaheen A, Al-Masri M, El-Bakri N, Batieha A, Nofal A, Abdelmoety D. Prevalence and risk factors of hearing loss among infants in Jordan: initial results from universal neonatal screening. Int J Audiol, 2014; 53(12): 915.
25.
Beswick R, Driscoll C, Kei J, Glennon S. Targeted surveillance for postnatal hearing loss: a program evaluation. Int J Pediatr Otorhinolaryngol, 2012; 76: 1046–56.
26.
Vázquez M, Iriondo M, Agut T. Poó MP, Ibañez M, Krauel X. Follow-up programme dropouts in very low weight newborns before two years of age. An Pediatr (Barc), 2011; 74(5): 309–16.