Abstract Abstract 128
Objective: To determine the incidence and risk factors for hearing disorders in high risk neonates. Setting: Multicenter prospective trial at 5 centers in Germany from June 95 to September 97. Methods: Inclusion criteria according to the American Academy of Pediatrics(1). Screening procedure by an automated auditory brainstem response (AABR; ALGO 1-plus; Natus Med. Inc. USA). Evaluated risk factors: Very low birth weight, intrauterine growth retardation, perinatal asphyxia, use of antibiotics and loop diuretics, critical hyperbilirubinemia, intra-periventricular hemorrhage, mech. ventilation > 10 days, severe RDS.
Results: 777 infants were enrolled during the neonatal period, in 770 recordings were available. 41 (5.3%) infants exhibited with pathologic results (16 bilateral and 25 unilateral). Significant association with pathologic AABR results were: congenital or nosocomial sepsis (p = 0.026), cranio-facial malformations (p < 0.001) and chromosomal aberrations (P < 0.001) using a multivariate logistic regression analysis. Median time for the investigation procedure was 15 minutes.
Conclusion: Hearing screening in high-risk neonates is easily feasible, reveals a 5% prevalence of pathologic AABR with main risk factors being bacterial
References
Guidelines AAP Pediatrics 1995 95: 152–156.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Gortner, L., Meyer, C., Witte, J. et al. NEONATAL HEARING SCREENING IN HIGH RISK INFANTS. Pediatr Res 44, 440 (1998). https://doi.org/10.1203/00006450-199809000-00161
Issue Date:
DOI: https://doi.org/10.1203/00006450-199809000-00161