Department of ENT and Headand Neck Surgery,Liaquat National Hospital and Medical College, Karachi,Pakistan.
Department of Peadiatrics, Neonatology and Metabolic disorders,Liaquat National Hospital and Medical College, Karachi,Pakistan.
J Pak Med Assoc. 2023 Sep;73(9):1788-1793. doi: 10.47391/JPMA.6264.
To screen new-borns to diagnose any hearing impairment early.
The prospective, cross-sectionalstudy was conducted at the Department of Otorhinolaryngology, Head and Neck Surgery Liaquat National Hospital, Karachi, from November 1, 2020, to April 30, 2021, and new- borns of either gender aged >12h born via spontaneous vaginal delivery, induced labour, and Caesarean section. A predesigned questionnaire was used to collect detailed case history, including gestational age, duration of labour, and other prenatal, natal, and postnatal risk factors. Otoacoustic emission test was performed, and infants referred twice were scheduled for complete diagnostic evaluation and brainstem evoked response audiometry. Data was analysed using SPSS 23.
Of the 267 neonates, 249(93.3%) passed the first screening. Of the remaining 18(6.7%) neonates, 8(44.4%) passed the second screening, while 10(55.5%) were asked to come for a follow-up after three weeks. Of them, 3(30%) returned for check-up, while 7(70%) did not show up.
Neonatal risk factors associated with hearing loss need to be identified, and a comprehensive hearing screening programme is required for neonates.
对新生儿进行筛查，以尽早诊断任何听力障碍。
本前瞻性、横断面研究于 2020 年 11 月 1 日至 2021 年 4 月 30 日在卡拉奇利亚夸特国家医院耳鼻喉头颈外科进行，纳入经阴道自然分娩、引产和剖宫产分娩的任意性别、>12 小时龄的新生儿。使用预先设计的问卷收集详细的病史，包括胎龄、产程和其他产前、分娩期和产后的危险因素。进行耳声发射测试，对两次转诊的婴儿进行全面诊断评估和脑干诱发电位测听。使用 SPSS 23 进行数据分析。
在 267 名新生儿中，249 名（93.3%）通过了第一次筛查。在其余的 18 名（6.7%）新生儿中，8 名（44.4%）通过了第二次筛查，而另外 10 名（55.5%）被要求在三周后进行随访。其中，3 名（30%）回来进行检查，而 7 名（70%）未出现。
需要确定与听力损失相关的新生儿危险因素，并为新生儿制定全面的听力筛查计划。
