Sachdeva Kavita, Sao Tulsi
Department of ENT, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madya Pradesh India.
Indian J Otolaryngol Head Neck Surg. 2017 Jun;69(2):194-198. doi: 10.1007/s12070-017-1062-0. Epub 2017 Jan 17.
Hearing loss is hidden disability and second most common congenital pathology. Prevention, early identification and early intervention of hearing loss can prevent further disability in development of speech, language, cognition and other developmental domains. The prevalence of congenital hearing loss has been estimated to be 1.2-5.7 per thousand in neonates. In these contexts, the aim of study was to determine outcomes of neonates hearing screening program in Hospital. It is a clinical cross-sectional study which was conducted in tertiary care centre from 8th July, 2015 to 31th May, 2016. Total no of 2254 cases were screened. Details case history including high risk register, Pediatric Audiometry, Otoacoustic Emission tests were performed followed brainstem evoked response audiometry. The Prevalence of hearing loss among high risk babies confirmation by BERA was 8.8% per 1000 babies and 16 cases were recommended for Cochlear Implant. The screening protocol with objective test i.e. Distortion Product Otoacoustic Emission and confirmation by Brainstem Evoked Response Audiometry is very useful tool in early identification of congenital hearing loss in neonates. Hence, the results of this study will be used to initiate universal newborn hearing screening in other hospitals. Moreover, this study highlights the relevance of neonatal hearing screening in other states of India and country where this screening is not performed routinely in all hospitals and creating awareness to identify neonatal risk factors associated with hearing loss and understand the importance of early identification and early intervention and among health care professionals.
听力损失是一种隐性残疾,是第二常见的先天性疾病。听力损失的预防、早期识别和早期干预可以防止言语、语言、认知和其他发育领域进一步出现残疾。据估计,新生儿先天性听力损失的患病率为千分之1.2至5.7。在这种背景下,本研究的目的是确定医院新生儿听力筛查项目的结果。这是一项临床横断面研究,于2015年7月8日至2016年5月31日在三级医疗中心进行。共筛查了2254例病例。进行了详细的病史记录,包括高危登记、小儿听力测定、耳声发射测试,随后进行脑干听觉诱发电位测试。经脑干听觉诱发电位确诊的高危婴儿中听力损失的患病率为每1000名婴儿中有8.8%,16例被建议进行人工耳蜗植入。采用客观测试即畸变产物耳声发射以及通过脑干听觉诱发电位进行确诊的筛查方案是早期识别新生儿先天性听力损失的非常有用的工具。因此,本研究结果将用于在其他医院启动新生儿听力普遍筛查。此外,本研究强调了在印度其他邦以及该国所有医院未常规开展此项筛查的地区进行新生儿听力筛查的相关性,并提高医护人员对识别与听力损失相关的新生儿危险因素以及了解早期识别和早期干预重要性的认识。