TY - JOUR
T1 - Prevalence and independent risk factors for hearing loss in NICU infants
AU - Hille, Elysée T.M.
AU - Van Straaten, H. L.M.
AU - Verkerk, Paul
AU - Van Straaten, Irma
AU - Verkerk, Paul
AU - Hille, Elysee
AU - Baerts, W.
AU - Bunkers, Carin
AU - Smink, Enna
AU - Van Elburg, Ruurd
AU - De Kleine, Martin
AU - Kok, Joke H.
AU - Ilsen, Adri
AU - Visser, Dianne
AU - Steiner, Katerina
AU - De Vries, Linda S.
AU - Weisglas-Kuperus, Nynke
AU - Sprij, Arwen
AU - Lopriori, Enrico
AU - Brokx, Jan
AU - Gavilanes, Danilo
AU - Geven, Wil
AU - Bos, Arie
PY - 2007/8/1
Y1 - 2007/8/1
N2 - Aim: To determine the prevalence and independent relationship between hearing loss and risk factors in a representative neonatal intensive care unit (NICU) population. Methods: Automated auditory brainstem response (AABR) hearing screening has been introduced since 1998 in the Dutch NICUs. After a second AABR failure, diagnostic ABR was used to establish diagnosis of hearing loss. Newborns who died before the age of 3 months were excluded. In the present study only the NICU infants who were born with a gestational age <30 weeks and/or a birth weight <1000 g between October 1, 1998 and January 1, 2002 were included. Risk factors included in the study were familial hearing loss, in utero infections, craniofacial anomalies, birth weight <1500g, hyperbilirubinemia, ototoxic medications, cerebral complications, severe birth asphyxia, assisted ventilation ≥5 days and syndromes. Results: A nationwide cohort of 2186 newborns were included. Mean gestational age was 28.5 weeks (SD 1.6) and mean birth weight was 1039 g (SD 256). Prevalence of uni- or bilateral hearing loss was 3.2% (71/2186; 95% CI 2.6-4.1). Multivariate analysis revealed that the only independent risk factors for hearing loss were severe birth asphyxia (OR 1.7; 95% CI 1.0-2.7) and assisted ventilation ≥5 days (OR 3.6; 95% CI 2.1-6.0). Conclusion: The prevalence of hearing loss in a representative NICU population was 3.2%. Independent risk factors for hearing loss were severe birth asphyxia and assisted ventilation ≥5 days.
AB - Aim: To determine the prevalence and independent relationship between hearing loss and risk factors in a representative neonatal intensive care unit (NICU) population. Methods: Automated auditory brainstem response (AABR) hearing screening has been introduced since 1998 in the Dutch NICUs. After a second AABR failure, diagnostic ABR was used to establish diagnosis of hearing loss. Newborns who died before the age of 3 months were excluded. In the present study only the NICU infants who were born with a gestational age <30 weeks and/or a birth weight <1000 g between October 1, 1998 and January 1, 2002 were included. Risk factors included in the study were familial hearing loss, in utero infections, craniofacial anomalies, birth weight <1500g, hyperbilirubinemia, ototoxic medications, cerebral complications, severe birth asphyxia, assisted ventilation ≥5 days and syndromes. Results: A nationwide cohort of 2186 newborns were included. Mean gestational age was 28.5 weeks (SD 1.6) and mean birth weight was 1039 g (SD 256). Prevalence of uni- or bilateral hearing loss was 3.2% (71/2186; 95% CI 2.6-4.1). Multivariate analysis revealed that the only independent risk factors for hearing loss were severe birth asphyxia (OR 1.7; 95% CI 1.0-2.7) and assisted ventilation ≥5 days (OR 3.6; 95% CI 2.1-6.0). Conclusion: The prevalence of hearing loss in a representative NICU population was 3.2%. Independent risk factors for hearing loss were severe birth asphyxia and assisted ventilation ≥5 days.
KW - Hearing loss
KW - Hearing screening
KW - NICU population
KW - Risk factors
UR - http://www.scopus.com/inward/record.url?scp=34547136677&partnerID=8YFLogxK
U2 - 10.1111/j.1651-2227.2007.00398.x
DO - 10.1111/j.1651-2227.2007.00398.x
M3 - Article
C2 - 17655618
AN - SCOPUS:34547136677
SN - 0803-5253
VL - 96
SP - 1155
EP - 1158
JO - Acta Paediatrica, International Journal of Paediatrics
JF - Acta Paediatrica, International Journal of Paediatrics
IS - 8
ER -