Prevalence and Factors Associated with Abnormal Neonatal Hearing Screening Test at Kranuan Crown Prince Hospital
Keywords:
Hearing impairment, Newborn screening, Otoacoustic emission (OAE)Abstract
Hearing impairment is common in newborns. This is a major cause of developmental disabilities in speech, language, and learning. A general physical examination cannot detect this condition. Therefore, Otoacoustic emission (OAE) testing is needed to diagnose. This retrospective research aimed to study the prevalence and factors associated with the abnormal hearing screening test and determine risk factors associated with hearing loss in all newborns born at Kranuan Crown Prince Hospital. Two hundred and eighty-one infants born between February 1st, 2021-January 31st, 2022, from Kranuan Crown Prince Hospital, Khon Kaen province, were enrolled in this study. Data were collected from the medical records of newborn patients. All newborns are screened before being discharged with OAE between 48 to 72 hours of life. The results showed that a total of 281 newborns who received OAE test before leaving the hospital, 94.3% of the newborns had “passed” OAE test results, and 5.6% of “refer” was found. Sepsis (18.8% vs. 1.5%) and polycythemia (12.5% vs. 1.5%) were the factors associated with abnormal neonatal hearing screening with statistical significance (p-value <0.01 and 0.04, respectively). Early detection of hearing impairment in newborns by OAE screening tests can provide proper management and other care.
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