Published March 30, 2024 | Version v1
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Assessment of the Prevalence and Risk Factors of Hearing Loss using Measurements of Otoacoustic Emission (OAE) in Newborns Admitted to NICU at Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar.

  • 1. Senior Resident, Department of Pediatrics, Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar, India
  • 2. Associate professor and HOD, Department of Pediatrics, Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar, India

Description

Aim: The aim of the present study was to assess the prevalence of hearing loss using measurements of otoacoustic
emission (OAE) in newborns admitted to NICU in department of pediatrics, Anugrah Narayan Magadh Medical
College and hospital, Gaya Bihar (ANMMCH, Gaya,Bihar) and to determine the risk factors predictive of hearing
impairment in these newborns.
Methods: This was a hospital-based prospective observational study carried out among the neonates admitted to
NICU at ANMMCH, Gaya Bihar. Parents or guardians were counselled regarding the OAE screening test. A total
of 200 neonates were included.
Results: Out of a total of 200 study participants, there were 34 (17%) patients who were referred after the initial
screening. Out of which there were 24 (12%) patients who had hearing loss at 4 weeks after rescreening. In the
present study among the total participants (200), the majority were males. A majority of the participants had a
weight range between 1.5 to 2.0 kg, followed by 1.0 to 1.5 kg. Out of all the participants, 110 (55%) had a normal
vaginal delivery, and 90 (45%) had LSCS. Among the newborns, 50 (25%) had a history of assisted ventilation,
and 10 (5%) of them had hearing loss. Additionally, 50 newborns (25%) had a history of ototoxic medications,
and 10 (5%) of them had hearing loss. Out of 14 (7%) patients who had a history of neonatal jaundice requiring
exchange transfusion, 4 (2%) had hearing loss.
Conclusion: According to our study, the rate of hearing problems among high-risk newborns admitted to the
neonatal intensive care unit (NICU) was 12%. We found preterm and low birth weight babies, perinatal asphyxia,
culture-positive sepsis, and male gender as risk factors for hearing loss in the newborn period. It’s the need of the
hour to address these risk factors in preventing hearing impairment among neonates admitted to NICU and
Successful implementation of universal newborn hearing screening should be the goal of every nation. It is
important to establish good practices and promote teamwork among healthcare professionals in order to prevent
risk factors that may cause hearing loss. 

Abstract (English)

Aim: The aim of the present study was to assess the prevalence of hearing loss using measurements of otoacoustic
emission (OAE) in newborns admitted to NICU in department of pediatrics, Anugrah Narayan Magadh Medical
College and hospital, Gaya Bihar (ANMMCH, Gaya,Bihar) and to determine the risk factors predictive of hearing
impairment in these newborns.
Methods: This was a hospital-based prospective observational study carried out among the neonates admitted to
NICU at ANMMCH, Gaya Bihar. Parents or guardians were counselled regarding the OAE screening test. A total
of 200 neonates were included.
Results: Out of a total of 200 study participants, there were 34 (17%) patients who were referred after the initial
screening. Out of which there were 24 (12%) patients who had hearing loss at 4 weeks after rescreening. In the
present study among the total participants (200), the majority were males. A majority of the participants had a
weight range between 1.5 to 2.0 kg, followed by 1.0 to 1.5 kg. Out of all the participants, 110 (55%) had a normal
vaginal delivery, and 90 (45%) had LSCS. Among the newborns, 50 (25%) had a history of assisted ventilation,
and 10 (5%) of them had hearing loss. Additionally, 50 newborns (25%) had a history of ototoxic medications,
and 10 (5%) of them had hearing loss. Out of 14 (7%) patients who had a history of neonatal jaundice requiring
exchange transfusion, 4 (2%) had hearing loss.
Conclusion: According to our study, the rate of hearing problems among high-risk newborns admitted to the
neonatal intensive care unit (NICU) was 12%. We found preterm and low birth weight babies, perinatal asphyxia,
culture-positive sepsis, and male gender as risk factors for hearing loss in the newborn period. It’s the need of the
hour to address these risk factors in preventing hearing impairment among neonates admitted to NICU and
Successful implementation of universal newborn hearing screening should be the goal of every nation. It is
important to establish good practices and promote teamwork among healthcare professionals in order to prevent
risk factors that may cause hearing loss. 

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Dates

Accepted
2024-03-20