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Updated: Jun 10, 2026

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
[Hiperbilirubinemia- one of the high risk factor influence on hearing level in infants]
Małgorzata Smiechura1, Agata Makowska Piontek, Andrzej Makowski
1Klinika Otolaryngologii Instytutu, Centrum Zdrowia Matki Polki w Łodzi.
Insights
Hiperbilirubinemia, a condition of high bilirubin levels in infants, is a significant risk factor for hearing loss. However, this study found that elevated bilirubin alone does not impact hearing loss in children.
Area of Science:
- Neonatal care
- Pediatric audiology
- Clinical diagnostics
Context:
- Infant hearing loss is a major concern, with hiperbilirubinemia identified as a potential risk factor.
- Previous research suggests a link between high serum bilirubin levels and auditory impairment in newborns.
- This study investigates the specific relationship between bilirubin levels and hearing outcomes in infants.
Purpose:
- To determine the influence of serum bilirubin levels on the incidence of hearing loss in infants.
- To analyze audiological and otolaryngological findings in relation to hiperbilirubinemia.
- To assess whether isolated high bilirubin levels are a direct cause of hearing impairment.
Summary:
- Audiologic and otolaryngological examinations were conducted on 53 infants.
- Hiperbilirubinemia was identified as the sole high-risk factor for hearing loss in the studied group.
- The analysis concluded that elevated serum bilirubin levels, in isolation, do not independently cause hearing loss.
Impact:
- Findings challenge the direct causal link between hiperbilirubinemia and infant hearing loss when considered alone.
- Highlights the need for comprehensive risk assessment beyond just bilirubin levels for infant hearing.
- Informs clinical practice regarding the evaluation and management of hearing risk in newborns with jaundice.
Abstract:
Hiperbilirubinemia is one of the high risk factor of hearing loss of infants. Hearing loss is present in 60 per cent children with high level of bilirubina in blood serum. The aim of the article is to see how the level of bilirubina, influence on hearing loss. The level of bilirubina in blood serum was marked in children after born and while next hospitalisation. Audiologic diagnosis and otolaryngological examination were done as well. Hiperbilirubinemia was the only one factor of high risk of hearing loss in this group. The analysis of 53 patients showed that separate high level of bilirubina does not influence on hearing loss in children.
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