Erdogdu Suleyman
Department of Otorhinolaryngology, University of Health Sciences, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
North Clin Istanb. 2021 Mar 12;8(2):167-171. doi: 10.14744/nci.2021.30806. eCollection 2021.
The aim of the study was to evaluate the results of neonatal hearing screening in our hospital with the help of literature and to question and reveal the risk factors to gain healthy individuals and to raise awareness for all health workers and the public who are interested in this subject.
A total of 16,388 newborn infants were evaluated between October 2009 and January 2018. All newborns were screened with transient evoked otoacoustic emissions (TEOAEs) test. Risk factors were investigated. The test repetition and auditory brainstem response (ABR) measurements were performed on newborns who could not pass the TEOAE test and the newborns in the risky group after 15 days.
A total of 116 newborns (0.7%) were suspected to have hearing loss. Twenty-seven newborns (0.16%) were found to be in intensive care unit. Twelve newborns (0.07%) had permanent hearing loss. Then, in order: 9 newborns (0.05%) had received phototherapy and 7 newborns (0.04%) were born to consanguineous marriages. In addition, 3 newborns (0.02%) had a low birth weight and 1 newborn (0.006%) had a history of fever.
Screening tests should be performed in all newborns for early detection of hearing loss. Even though frequency of hearing loss is higher in newborns with risk factors, the treatment should be started within 6 months, the latest, and newborns should be referred for rehabilitation and training.
本研究旨在借助文献评估我院新生儿听力筛查的结果,质疑并揭示风险因素,以获取健康个体,并提高所有关注该主题的医护人员和公众的意识。
2009年10月至2018年1月期间,共对16388名新生儿进行了评估。所有新生儿均采用瞬态诱发耳声发射(TEOAE)测试进行筛查。对风险因素进行了调查。对未通过TEOAE测试的新生儿以及风险组中的新生儿在15天后进行了测试重复和听性脑干反应(ABR)测量。
共有116名新生儿(0.7%)疑似有听力损失。27名新生儿(0.16%)在重症监护病房。12名新生儿(0.07%)有永久性听力损失。其次依次为:9名新生儿(0.05%)接受过光疗,7名新生儿(0.04%)为近亲结婚所生。此外,3名新生儿(0.02%)出生体重低,1名新生儿(0.006%)有发热史。
应在所有新生儿中进行筛查测试,以便早期发现听力损失。尽管有风险因素的新生儿听力损失发生率较高,但治疗应最迟在6个月内开始,并且应将新生儿转诊进行康复和训练。