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Screening of Hearing in Newborn Infants: Follow-Up and Outcome After 40930 Births in Babol, Northern Iran
Yadollah Zahed Pasha1, Mohammad Zamani2,3, Ali Hashemi Fard4
1Non-Communicable Pediatric Diseases Research Center, Amirkola Children's Hospital, Babol University of Medical Sciences, Babol, Iran.
Insights
Newborn hearing screening identified 1.5 per 1000 infants with hearing impairment. Early intervention with hearing aids or cochlear implants is crucial for affected infants.
Area of Science:
- Audiology
- Neonatal Care
- Public Health
Background:
- Hearing impairment affects newborns, necessitating early detection.
- A study was conducted in Babol, Iran, to assess newborn hearing screening outcomes.
Purpose of the Study:
- To investigate the results of hearing screening in newborn infants.
- To evaluate the follow-up process for infants diagnosed with hearing impairment.
Main Methods:
- A cross-sectional study included 40,930 healthy neonates from 2006-2014.
- Transient evoked otoacoustic emissions (TEOAE) screening was performed before discharge.
- Follow-up involved auditory brainstem response (ABR), auditory steady state response, and impedance audiometry.
Main Results:
- 62 infants (1.5 per 1000 live births) were diagnosed with hearing impairment.
- 15 infants received hearing aids and 18 underwent cochlear implantation.
- 2.4% of infants were lost to follow-up; 0.03% died within 3 months.
Conclusions:
- Universal newborn hearing screening before discharge is recommended.
- Supportive measures for hearing impairment should commence at 3 months.
- Re-examination at 12 months of age is advised for infants with hearing impairment.
Background:
The purpose of this study was to investigate the results of hearing screening in all newborn infants, and their follow-up in Babol, northern Iran.
Methods:
Between 2006 and 2014, all healthy neonates delivered in 3 hospitals were included in this cross-sectional study. Newborns were screened using the transient evoked otoacoustic emissions test before discharge. Those who failed to pass the examination were tested for auditory brainstem response (ABR) by the age of one month. The infants referred from the previous level underwent tests of auditory steady state response, ABR and impedance audiometry before the age of 3 months. For infants with the diagnosis of bilateral hearing impairment, it was recommended to use a hearing aid in 3 months. Then, their parents were recommended to take infants again to the hearing testing centers within next 6 months. If the infant's hearing was not improved, he/she was advised to undergo cochlear implantation.
Results:
In total, 40930 newborns were screened. Out of them, 62 (1.5 per 1000 live births) were finally diagnosed to have hearing impairment, of whom 14 had unilateral and 48 had bilateral disorders (candidate for supportive measures). Overall, 986 (2.4%) were lost to follow-up and 11 (0.03%) died over the first 3 months of age. At the end of the 6-month follow-up for supportive stage, 15 out of 48 infants received a hearing aid and 18 (0.4 per 1000 children) underwent cochlear implant surgery. Fourteen out of 48 cases were lost to follow-up over supportive stage.
Conclusion:
It is recommended that all newborns undergo hearing screening test before hospital discharge, and those with impairment receive supportive measures from 3 months of age, and be re-examined at 12 months of age.
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