JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (4): 7-10.doi: 10.6040/j.issn.1673-3770.0.2014.386

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Hearing screening and risk factors of hearing impairment in premature infants.

WANG Guoqiang1, ZHAO Chunhong1, HUO Hong1, GONG Zhiyun1, SONG Weiwei1, YAN Lixia2, LI Xuehua2, WANG Weili2   

  1. 1. Department of Otolaryngology, The Second People's Hospital of Luohe City in Henan Province, Luohe 462000, Henan, China;
    2. Hearing Center of Children's Hospital in Luohe City, Luohe 462000, Henan, China
  • Received:2014-12-02 Revised:2015-04-07 Online:2015-08-16 Published:2015-08-16

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Abstract: Objective To investigate the risk factors of hearing impairment by analyzing the results of hearing screening in the premature infants in the neonatal intensive care unit. Methods A total of 821 premature infants, admitted to the neonatal intensive care unit form January 2010 to December 2013, were screened for hearing functions. The risk factors for no passing in the screenings were analyzed. Results The failure rates in initial and secondary screening were 61.0% and 16.0%, respectively. The failure rate was 9.4% in the automatic auditory brainstem response (AABR) test conducted at three months after birth. With the growth of gestational age, pass rate increased and degree of hearing disorders decreased in the mean time. Logistic regression analysis showed that very low birth weight, hyperbilirubinemia, infection and suffocation were risk factors for hearing, while, gestational age > 32 weeks was protective factor (OR=0.499, P=0.022). Low birth weight was independent risk factor for hearing screening and hearing impairment (OR=2.385, P=0.038). Conclusion Due to immature development, premature babies suffer from high incidence of hearing loss. The smaller the gestational age is, more commonly hearing damages occur. Low birth weight, hyperbilirubinemia, infections are risk factors for hearing impairment. Early detection and timely follow-up are neccessary.

Key words: Neonatal intensive care center, Premature infant, Risk factor, Hearing screening, Hearing impairment

CLC Number: 

  • R764.4
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