Hearing, speech, and language outcome in infants with extreme immaturity

O T Kenworthy1, F H Bess, M T Stahlman

  • 1Division of Hearing and Speech Sciences, Vanderbilt University School of Medicine, Nashville, Tennessee.

Insights

The number of surviving premature infants is increasing, leading to more developmental delays. Approximately one-third of high-risk infants in neonatal intensive care units (NICUs) show hearing or speech/language issues, necessitating early assessment.

Area of Science:

  • Neonatal care
  • Developmental pediatrics
  • Audiology and speech-language pathology

Background:

  • Increasing survival rates of premature infants in neonatal intensive care units (NICUs).
  • Anticipated rise in developmental delays among these high-risk children.
  • Auditory and psycholinguistic abilities are key developmental dimensions affected.

Purpose of the Study:

  • To present hearing and speech/language data for a cohort of high-risk infants.
  • To identify the prevalence of auditory and/or speech/language problems in this population.

Main Methods:

  • Assessment of hearing and speech/language abilities.
  • Data collection from a sample of 266 high-risk infants.
  • Analysis of developmental outcomes in NICU survivors.

Main Results:

  • Approximately one-third of the studied high-risk infants exhibited hearing impairment.
  • A similar proportion of infants presented with speech/language problems.
  • Combined hearing and speech/language issues were noted in a significant subset.

Conclusions:

  • Early identification of hearing and speech/language deficits is crucial for high-risk infants.
  • Periodic developmental assessments are essential for monitoring progress.
  • Intervention strategies should be considered for affected infants to mitigate long-term impacts.

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