Neonatal Hearing Screening: failures, hearing loss and risk indicators

Braz J Otorhinolaryngol. 2011 Nov-Dec;77(6):775-83. doi: 10.1590/S1808-86942011000600015.
[Article in English, Portuguese]

Abstract

To check the rate of failure, hearing loss and its association with demographic variables and risk indicators for hearing loss in newborns submitted to the Newborn Hearing Screening in a secondary hospital.

Materials and methods: Cross-sectional and retrospective study, involving 1,570 newborns submitted to the different stages of the Newborn Hearing Screening Program. Initially, we carried out otoacoustic emission tests (ILO Echocheck) and the cochlear-eyelid reflex. Afterwards, we analyzed the demographic and clinical characteristics of the newborns, screening rate of failure, hearing loss and its association with demographic variables and risk indicators.

Results: Twenty-six newborns had failures in the first stages of the Program (1.7%), who were then referred to diagnostic evaluation. Of these, 16 (61.5%) did not come, two (7.7%) had normal results and eight (30.8%) were diagnosed with hearing disorders. The screening failure rate was 1.7% and the frequency of hearing disorders was 0.5%.

Conclusions: Pre-term newborns of very low birth weights had higher rates of screening failures and a greater occurrence of hearing changes. The factors associated with screening failure and hearing changes were similar to the ones described in the literature.

MeSH terms

  • Brazil / epidemiology
  • Cross-Sectional Studies
  • Female
  • Gestational Age
  • Hearing Loss / diagnosis*
  • Hearing Loss / epidemiology
  • Hearing Tests / methods
  • Humans
  • Infant, Low Birth Weight
  • Infant, Newborn
  • Male
  • Neonatal Screening / methods*
  • Otoacoustic Emissions, Spontaneous / physiology*
  • Prevalence
  • Retrospective Studies
  • Risk Factors