Risk factors for hearing loss in neonates: A prospective study

Stilianos E Kountakis, Ioannis Skoulas, Diane Phillips, C. Y.Joseph Chang

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Objectives: To identify potential risk factors for neonatal hearing loss that are not included in the current variables recognized by the Joint Committee on Infant Hearing (JCIH). Methods: A series of consecutively born neonates with risk factors for hearing loss based on the 1994 JCIH registry were screened prospectively. There were 110 subjects with hearing loss and 636 subjects without hearing loss. Data collected as potential risk factors for infant hearing loss included not only those on the JCIH list but also others that we believed to be possibly significant. The infant hearing screening was performed on each subject using auditory brain stem testing. Statistical analysis of data was performed using the chi-square test. Results: In addition to the variables listed by the JCIH, we identified 11 additional risk factors that were associated with hearing loss in our neonatal population. These are: length of stay in the intensive care unit, respiratory distress syndrome, retrolental fibroplasia, asphyxia, meconium aspiration, neurodegenerative disorders, chromosomal abnormalities, drug and alcohol abuse by the mother, maternal diabetes, multiple births, and lack of prenatal care. Conclusion: This study identifies 11 risk factors in addition to those currently on the high-risk registry published by the JCIH for neonatal hearing loss. The inclusion of these additional risk factors in neonatal screening programs may improve the detection rate of neonates with hearing loss. Further study will be needed to determine whether inclusion of these additional risk factors in a hearing screening program can provide an efficacious alternative to the use of universal infant screening.

Original languageEnglish (US)
Pages (from-to)133-137
Number of pages5
JournalAmerican Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume23
Issue number3
DOIs
StatePublished - Jan 1 2002
Externally publishedYes

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Hearing Loss
Hearing
Newborn Infant
Prospective Studies
Registries
Mothers
Meconium Aspiration Syndrome
Multiple Birth Offspring
Neonatal Screening
Retinopathy of Prematurity
Statistical Data Interpretation
Prenatal Care
Asphyxia
Chi-Square Distribution
Chromosome Aberrations
Neurodegenerative Diseases
Alcoholism
Brain Stem
Substance-Related Disorders
Intensive Care Units

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Risk factors for hearing loss in neonates : A prospective study. / Kountakis, Stilianos E; Skoulas, Ioannis; Phillips, Diane; Chang, C. Y.Joseph.

In: American Journal of Otolaryngology - Head and Neck Medicine and Surgery, Vol. 23, No. 3, 01.01.2002, p. 133-137.

Research output: Contribution to journalArticle

Kountakis, Stilianos E ; Skoulas, Ioannis ; Phillips, Diane ; Chang, C. Y.Joseph. / Risk factors for hearing loss in neonates : A prospective study. In: American Journal of Otolaryngology - Head and Neck Medicine and Surgery. 2002 ; Vol. 23, No. 3. pp. 133-137.
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