Hearing screening of high risk newborns

Nancy Swigonski, Jon Shallop, Marilyn J. Bull, James A. Lemons

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Prospective screening of an extremely high risk group of 137 infants cared for in the Newborn Intensive Care Unit of the James Whitcomb Riley Hospital for Children was undertaken during 1983. Auditory brain stem responses (ABR) were obtained utilizing a clinical evoked potential system (Madsen 2250). Patients were selected for screening prior to discharge or transfer to the referring hospital on the basis of one or more of the following criteria: birth weight 4250 grams; birth weight 4 5 0 0 grams and ventilatory support; significant depression at birth (Apgars <3 and 6 at 1 and 5 minutes, respectively); seizures, meningitis, and/or sepsis. Of the original 137 infants tested, 82 passed the initial ABR, 22 conditionally passed, and 34 failed. Eighty-two infants had follow-up behavioral and audiometric testing while 20 infants died and 35 were lost to follow-up. Four infants had severe sensorineural hearing loss, each of whom had failed the initial ABR. None of the infants who initially passed or conditionally passed the ABR had sensorineural hearing loss on follow up testing. High risk factors for sensorineural hearing loss in the neonatal period included: intraventricular/periventricular hemorrhage, apnea, family history, major malformations of the head and neck, and possibly hyperbilirubinemia and congenital infection. No relationship of sensorineural hearing loss with very low birth weight, hyponatremia, infection, seizures, or medications was found. On the basis of these data, it is suggested that electrophysiologic hearing screening of a high risk population may be delayed until 3 to 6 months of age to improve specificity of testing.

Original languageEnglish
Pages (from-to)26-30
Number of pages5
JournalEar and Hearing
Volume8
Issue number1
DOIs
StatePublished - 1987

Fingerprint

Hearing
Brain Stem Auditory Evoked Potentials
Sensorineural Hearing Loss
Newborn Infant
Birth Weight
Seizures
Very Low Birth Weight Infant
Hyperbilirubinemia
Hyponatremia
Neonatal Intensive Care Units
Lost to Follow-Up
Apnea
Infection
Meningitis
Evoked Potentials
Sepsis
Neck
Head
Parturition
Depression

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Speech and Hearing

Cite this

Hearing screening of high risk newborns. / Swigonski, Nancy; Shallop, Jon; Bull, Marilyn J.; Lemons, James A.

In: Ear and Hearing, Vol. 8, No. 1, 1987, p. 26-30.

Research output: Contribution to journalArticle

Swigonski, Nancy ; Shallop, Jon ; Bull, Marilyn J. ; Lemons, James A. / Hearing screening of high risk newborns. In: Ear and Hearing. 1987 ; Vol. 8, No. 1. pp. 26-30.
@article{a04df95353764dca8bd834ae771b0ff3,
title = "Hearing screening of high risk newborns",
abstract = "Prospective screening of an extremely high risk group of 137 infants cared for in the Newborn Intensive Care Unit of the James Whitcomb Riley Hospital for Children was undertaken during 1983. Auditory brain stem responses (ABR) were obtained utilizing a clinical evoked potential system (Madsen 2250). Patients were selected for screening prior to discharge or transfer to the referring hospital on the basis of one or more of the following criteria: birth weight 4250 grams; birth weight 4 5 0 0 grams and ventilatory support; significant depression at birth (Apgars <3 and 6 at 1 and 5 minutes, respectively); seizures, meningitis, and/or sepsis. Of the original 137 infants tested, 82 passed the initial ABR, 22 conditionally passed, and 34 failed. Eighty-two infants had follow-up behavioral and audiometric testing while 20 infants died and 35 were lost to follow-up. Four infants had severe sensorineural hearing loss, each of whom had failed the initial ABR. None of the infants who initially passed or conditionally passed the ABR had sensorineural hearing loss on follow up testing. High risk factors for sensorineural hearing loss in the neonatal period included: intraventricular/periventricular hemorrhage, apnea, family history, major malformations of the head and neck, and possibly hyperbilirubinemia and congenital infection. No relationship of sensorineural hearing loss with very low birth weight, hyponatremia, infection, seizures, or medications was found. On the basis of these data, it is suggested that electrophysiologic hearing screening of a high risk population may be delayed until 3 to 6 months of age to improve specificity of testing.",
author = "Nancy Swigonski and Jon Shallop and Bull, {Marilyn J.} and Lemons, {James A.}",
year = "1987",
doi = "0196/0202/87/0801-0026$02.00/0",
language = "English",
volume = "8",
pages = "26--30",
journal = "Ear and Hearing",
issn = "0196-0202",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Hearing screening of high risk newborns

AU - Swigonski, Nancy

AU - Shallop, Jon

AU - Bull, Marilyn J.

AU - Lemons, James A.

PY - 1987

Y1 - 1987

N2 - Prospective screening of an extremely high risk group of 137 infants cared for in the Newborn Intensive Care Unit of the James Whitcomb Riley Hospital for Children was undertaken during 1983. Auditory brain stem responses (ABR) were obtained utilizing a clinical evoked potential system (Madsen 2250). Patients were selected for screening prior to discharge or transfer to the referring hospital on the basis of one or more of the following criteria: birth weight 4250 grams; birth weight 4 5 0 0 grams and ventilatory support; significant depression at birth (Apgars <3 and 6 at 1 and 5 minutes, respectively); seizures, meningitis, and/or sepsis. Of the original 137 infants tested, 82 passed the initial ABR, 22 conditionally passed, and 34 failed. Eighty-two infants had follow-up behavioral and audiometric testing while 20 infants died and 35 were lost to follow-up. Four infants had severe sensorineural hearing loss, each of whom had failed the initial ABR. None of the infants who initially passed or conditionally passed the ABR had sensorineural hearing loss on follow up testing. High risk factors for sensorineural hearing loss in the neonatal period included: intraventricular/periventricular hemorrhage, apnea, family history, major malformations of the head and neck, and possibly hyperbilirubinemia and congenital infection. No relationship of sensorineural hearing loss with very low birth weight, hyponatremia, infection, seizures, or medications was found. On the basis of these data, it is suggested that electrophysiologic hearing screening of a high risk population may be delayed until 3 to 6 months of age to improve specificity of testing.

AB - Prospective screening of an extremely high risk group of 137 infants cared for in the Newborn Intensive Care Unit of the James Whitcomb Riley Hospital for Children was undertaken during 1983. Auditory brain stem responses (ABR) were obtained utilizing a clinical evoked potential system (Madsen 2250). Patients were selected for screening prior to discharge or transfer to the referring hospital on the basis of one or more of the following criteria: birth weight 4250 grams; birth weight 4 5 0 0 grams and ventilatory support; significant depression at birth (Apgars <3 and 6 at 1 and 5 minutes, respectively); seizures, meningitis, and/or sepsis. Of the original 137 infants tested, 82 passed the initial ABR, 22 conditionally passed, and 34 failed. Eighty-two infants had follow-up behavioral and audiometric testing while 20 infants died and 35 were lost to follow-up. Four infants had severe sensorineural hearing loss, each of whom had failed the initial ABR. None of the infants who initially passed or conditionally passed the ABR had sensorineural hearing loss on follow up testing. High risk factors for sensorineural hearing loss in the neonatal period included: intraventricular/periventricular hemorrhage, apnea, family history, major malformations of the head and neck, and possibly hyperbilirubinemia and congenital infection. No relationship of sensorineural hearing loss with very low birth weight, hyponatremia, infection, seizures, or medications was found. On the basis of these data, it is suggested that electrophysiologic hearing screening of a high risk population may be delayed until 3 to 6 months of age to improve specificity of testing.

UR - http://www.scopus.com/inward/record.url?scp=0023144807&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023144807&partnerID=8YFLogxK

U2 - 0196/0202/87/0801-0026$02.00/0

DO - 0196/0202/87/0801-0026$02.00/0

M3 - Article

C2 - 3556807

AN - SCOPUS:0023144807

VL - 8

SP - 26

EP - 30

JO - Ear and Hearing

JF - Ear and Hearing

SN - 0196-0202

IS - 1

ER -