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Central auditory processing disorder profile in premature and term infants
Sanjiv B Amin1, Mark Orlando2, Christy Monczynski2
1Division of Neonatology, Department of Pediatrics, Golisano Children's Hospital at Strong, The University of Rochester, New York.
American Journal of Perinatology
|September 28, 2014
Summary
Children born prematurely show distinct central auditory processing disorder (CAPD) profiles compared to term-born children. Premature birth is linked to differences in specific CAPD tests, suggesting varied causes.
Area of Science:
- Pediatric audiology
- Neurodevelopmental disorders
- Neonatal outcomes
Background:
- Central Auditory Processing Disorder (CAPD) affects auditory information processing.
- Premature birth is a known risk factor for various developmental challenges.
Purpose of the Study:
- To compare the CAPD profiles of children born prematurely versus those born at term.
- To identify potential differences in auditory processing abilities based on birth status.
Main Methods:
- Retrospective analysis of 60 children (7-13 years) diagnosed with CAPD.
- Data collected from parental reports and medical records over 3 years.
- CAPD diagnosis based on scores ≥ two standard deviations below the mean on at least two tests.
Main Results:
- Premature children exhibited a higher number of failed CAPD tests.
- Increased incidence of abnormal Phonemic Synthesis test (PST) in premature group.
- Decreased incidence of abnormal Staggered Spondaic Word test (SSW) in premature group.
- Higher prevalence of cesarean section and neonatal jaundice in premature children.
Conclusions:
- Premature children present a different CAPD profile compared to term-born children.
- Neonatal jaundice and differential susceptibility may contribute to altered PST and SSW performance in premature children.
- Findings suggest distinct etiological pathways for CAPD in premature populations.

