Characterization of patients with abnormal neonatal hearing screening at the San Rafael Clinical University Hospital during the years 2018-2020
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Abstract
IIntroduction: Neonatal hearing loss (NHL) is a relevant health problem due to its high incidence and the effects it may have both on the mental and psychological development of the patient. Neonatal hearing screening (NHS) is essential for the identification of patients at risk of NHL. Objective: To identify the characteristics of patients with abnormal NHS test results at the Hospital Universitario Clínica San Rafael. Design: Cross-sectional descriptive observational study. Materials and methods: Biological and clinical characteristics were identified in patients with abnormal otoacoustic emissions and/or auditory evoked potentials (AEP) performed between 2018 and 2020. Patients involved were divided into 2 groups according to the presence of risk factors for NHL. Results: 9027 patients were screened, 223 (24.7%) had abnormal results, but 19 patients were excluded. 204 patients were included in total, 46 (22.5%) of which were high risk (HR) and 158 (77.5%) were low risk (LR). NHS in LR patients was performed before the first month of life on 78.5% of cases and 21.4% of HR patients. The most frequent characteristics were mechanical ventilation (45.6%), intensive care unit admission (43.5%), craniofacial abnormality (15.2%) and hyperbilirubinemia greater than 20 mg/dL (10.8%).
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ISSN: 0120-8411
References
Cianfrone F, Mammarella F, Ralli M, Evetovic V, Pianura CM, Bellocchi G. Universal newborn hearing screening using A-TEOAE and A-ABR: The experience of a large public
hospital. J Neonatal Perinatal Med. 2018;11(1):87-92. doi:10.3233/NPM-181744.
Saki N, Bayat A, Hoseinabadi R, Nikakhlagh S, Karimi M, Dashti R. Universal newborn hearing screening in southwestern Iran. Int J Pediatr Otorhinolaryngol. 2017;97:89-92. doi:
1016/j.ijporl.2017.03.038.
Ngui LX, Tang IP, Prepageran N, Lai ZW. Comparison of distortion product otoacoustic emission (DPOAE) and automated auditory brainstem response (AABR) for neonatal
hearing screening in a hospital with high delivery rate. Int J Pediatr Otorhinolaryngol. 2019;120:184-8. doi: 10.1016/j.ijporl.2019.02.045.
Dedhia K, Graham E, Park A. Hearing loss and failed newborn hearing screen. Clin Perinatol. 2018;45(4):629-43. doi:10.1016/j.clp.2018.07.004.
Departamento Administrativo Nacional de Estadística. Censo General 2005: nivel nacional. [en línea]. Disponible en: http://www.dane.gov.co (nota del revisor: el link debe ser directo al
documento)
INSOR. Estudio de percepción de la población sorda frente al acceso a servicios. Bogotá: Observatorio Social Población Sorda Colombiana. 2009.
Rojas-Godoy A, Gomez-Gomez O, Rivas-Muñoz F. Cumplimiento de la normatividad vigente para la detección temprana de la hipoacusia neonatal. Rev Salud Púb. 2014;16(3):462-9. doi: 10.15446/rsap.v16n3.29149.
Wenjin W, Xiangrong T, Yun L, Jingrong L, Jianyong C, Xueling W, et al. Neonatal hearing screening in remote areas of China: a comparison between rural and urban populations. J Int Med Res. 2018;46(2):637-51. doi: 10.1177/0300060517706643.
American Academy of Pediatrics, Joint Committee on Infant Hearing. Year 2007 position statement: Principles and guidelines for early hearing detection and intervention
programs. Pediatrics. 2007;120(4):898-921. doi: 10.1542/peds.2007-2333.
Ministerio de Salud y Protección Social. Ley No. 1980 del 26 de julio de 2019. Disponible en: https://www.minsalud.gov.co/Normatividad_Nuevo/Ley%201980%20de%202019.pdf
Kanji A, Khoza-Shangase K. Objective Hearing Screening Measures: An Exploration of a Suitable Combination for Risk-Based Newborn Hearing Screening. J Am Acad Audiol.
;29(6):495-502. doi: 10.3766/jaaa.16155.
Yee-Arellano HM, Leal-Garza F, Pauli-Müller K. Universal newborn hearing screening in Mexico: results of the first 2 years. Int J Pediatr Otorhinolaryngol. 2006;70(11):1863-70.
doi: 10.1016/j.ijporl.2006.06.008.
Kanji A, Khoza-Shangase K, Moroe N. Newborn hearing screening protocols and their outcomes: A systematic review. Int J Pediatr Otorhinolaryngol. 2018;115:104-109. doi: 10.1016/j.ijporl.2018.09.026.
Thomas MSC, Johnson MH. New advances in understanding sensitive periods in brain development. Curr Dir Psychol Sci. 2008;17(1):1-5. doi: 10.1111/j.1467-8721.2008.00537.x.
Pimperton H, Blythe H, Kreppner J, Mahon M, Peacock JL, Stevenson J, et al. The impact of universal newborn hearing screening on long-term literacy outcomes: a prospective
cohort study. Arch Dis Child. 2016;101(1):9-15. doi: 10.1136/archdischild-2014-307516.
Joint Committee on Infant Hearing. Year 2019 position statement: principles and guidelines for early hearing detection and intervention programs. J Early Hear Detect Interv. 2019;4(2):1-44. doi: 10.15142/fptk-b748.
Wroblewska-Seniuk K, Dabrowski P, Greczka G, Szabatowska K, Glowacka A, Szyfter W, et al. Sensorineural and conductive hearing loss in infants diagnosed in the program of universal
newborn hearing screening. Int J Pediatr Otorhinolaryngol. 2018;105:181 6.doi:10.1016/j.ijporl.2017.12.007.
Izquierdo JC, Muñetones N, Jiménez AP, Zea M, Muñoz Z, León DA, et al. Prevalencia de alteraciones auditivas detectadas mediante tamizaje en recién nacidos con factores de
riesgo en la Unidad Neonatal del Hospital de San José. Acta Otorrinolaringol Cir Cabeza Cuello. 2013;41(2):111-6. doi:10.37076/acorl.v41i2.178.
Vohr BR, Widen JE, Cone-Wesson B, Sininger YS, Gorga MP, Folsom RC, et al. Identification of neonatal hearing impairment: Characteristics of infants in the neonatal intensive
care unit and well-baby nursery. Ear Hear. 2000;21(5):373-82.doi: 10.1097/00003446-200010000-00005.
Chang J, Oh SH, Park SK. Comparison of newborn hearing screening results between well babies and neonates admitted to the neonatal intensive care unit for more than 5 days: Analysis based on the national database in Korea for 9 years. PLoS One.
;15(6):e0235019. doi: 10.1371/journal.pone.0235019.
Lima GM, Marba ST, Santos MF. Hearing screening in a neonatal intensive care unit. J Pediatr (Rio J). 2006;82(2):110-4. doi: 10.2223/JPED.1457.
De Leenheer EM, Janssens S, Padalko E, Loose D, Leroy BP, Dhooge IJ. Etiological diagnosis in the hearing impaired newborn: proposal of a flow chart. Int J Pediatr Otorhinolaryngol.
;75(1):27-32. doi: 10.1016/j.ijporl.2010.05.040.
Martínez-Cruz CF, García Alonso-Themann P, Poblano A, Cedillo-Rodríguez IA. Hearing and neurological impairment in children with history of exchange transfusion for neonatal
hyperbilirubinemia. Int J Pediatr. 2014;2014:605828. doi:10.1155/2014/605828.
Olds C, Oghalai JS. Audiologic impairment associated with bilirubin-induced neurologic damage. Semin Fetal Neonatal Med. 2015;20(1):42-6. doi: 10.1016/j.siny.2014.12.006.
Barreiro SB, Gonzalez JCF, Acosta AO, Macias AR. Hearing loss and very low birthweight. J Hear Sci. 2015;5(3):19-24.doi:10.17430/895172.