Department of Paediatrics, Tawam Hospital in Association with Johns Hopkins Medicine, Al Ain, United Arab Emirates.
East Mediterr Health J. 2012 Dec;18(12):1254-6. doi: 10.26719/2012.18.12.1254.
The incidence of sensorineural hearing loss among infants in the neonatal intensive unit (NICU) is higher than in normal infants. This study determined the rate of hearing loss in healthy newborns and in NICU patients before hospital discharge at a single institution in the Eastern region of the United Arab Emirates; 96.5% of all eligible infants were screened. Hearing deficit was diagnosed in 25/13 854 healthy newborns (0.18%; 95% CI: 0.12%-0.27%) and 14/826 infants in the NICU (1.7%; 95% CI: 0.9%-2.8%). Although hearing impairment was significantly more common in those admitted to the NICU (RR = 9.4; 95% CI: 4.9-17.9), healthy newborns accounted for 25 of the 39 cases with hearing loss. The rate of congenital hearing deficit was comparable to international data. Universal screening is recommended since selective screening of high-risk infants missed two-thirds of newborns with hearing loss.
新生儿重症监护病房(NICU)中婴儿的感觉神经性听力损失发生率高于正常婴儿。本研究在阿拉伯联合酋长国东部的一家机构确定了健康新生儿和 NICU 患者在出院前的听力损失发生率;对所有符合条件的婴儿进行了 96.5%的筛查。在 13854 名健康新生儿中诊断出听力缺陷 25 例(0.18%;95%CI:0.12%-0.27%),在 826 名 NICU 婴儿中诊断出 14 例(1.7%;95%CI:0.9%-2.8%)。尽管在 NICU 住院的婴儿听力障碍明显更为常见(RR=9.4;95%CI:4.9-17.9),但健康新生儿占听力损失 39 例中的 25 例。先天性听力缺陷的发生率与国际数据相当。由于选择性筛查高危婴儿漏诊了三分之二的听力损失新生儿,因此建议进行普遍筛查。