Comparison of risk factors in newborn hearing screening in a developing country

Baran Acar1, Emre Ocak1, Mehtap Acar2

  • 1Department of Otorhinolaryngology, Kecioren Training and Research Hospital, Ankara, Turkey.

Insights

Newborn hearing screening (NHS) is vital. Key risk factors for congenital hearing loss (CHL) include mechanical ventilation, family history of CHL, and consanguinity, highlighting the need for targeted screening.

Area of Science:

  • Pediatrics
  • Audiology
  • Genetics

Background:

  • Congenital hearing loss (CHL) is a common birth defect.
  • Early detection of CHL is crucial for timely intervention and improved outcomes.
  • Newborn Hearing Screening Programs (NHSP) aim to identify infants with hearing loss shortly after birth.

Purpose of the Study:

  • To evaluate the effectiveness of the newborn hearing screening program (NHSP) at a specific institute.
  • To identify and analyze risk factors associated with congenital hearing loss (CHL).
  • To determine the correlation between identified risk factors and CHL in newborns.

Main Methods:

  • A prospective study involving 1000 consecutive newborns undergoing NHSP from June 2014 to December 2014.
  • Parents completed questionnaires detailing potential risk factors for CHL.
  • NHSP results and referral rates were analyzed and compared against reported risk factors.

Main Results:

  • The overall referral rate for the NHSP was 3.5%.
  • Significant correlations were found between CHL and mechanical ventilation, a history of familial CHL, and familial consanguinity.
  • These risk factors are critical indicators for potential congenital hearing loss.

Conclusions:

  • Universal newborn hearing screening is mandatory for early detection of hearing impairment.
  • Targeting identified risk factors and educating families on follow-up is essential for diagnosing delayed-onset hearing loss.
  • Effective NHSP implementation aids in managing congenital hearing loss and its long-term effects.

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