| Title: |
'Identification of Risk Factors for Late-Onset Hearing Loss in Very Preterm NICU Infants' |
| Track: |
1 - EHDI Program Enhancement
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| Keyword(s): |
late onset hearing loss, NICU, preterm infant |
| Learning Objectives: |
- identify risk factors for late onset hearing loss in NICU infants
- discuss follow up for late onset hearing loss
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Abstract: |
Background
The Joint Committee on Infant Hearing (JCIH) currently considers a ?5 day stay in the Neonatal Intensive Care Unit (NICU) to be a risk factor for late-onset hearing loss. However, more specific risk factors are needed to efficiently allocate pediatric audiology resources and reduce unnecessary stress for families. In 2010, Kapi`olani Medical Center for Women and Children (KMCWC) implemented a program adapted from JCIH recommendations to monitor at-risk NICU infants for late-onset hearing loss. This study evaluated the rate of detection and associated risk factors for late-onset hearing loss specific to very preterm NICU infants at KMCWC.
Methods
Using a retrospective, case-control design, very preterm NICU graduates with late-onset hearing loss (all types identified after hospital discharge and before 15 mo corrected age) were compared to normal hearing controls matched for birth year, gestational age, and birth weight. Risk factors were compared using univariate and multivariate analyses.
Results
Detection of late-onset hearing loss increased after initiation of the monitoring program, from an average of 3.57 cases per year between 2003-2009 vs 7.0 per year between 2010-2012. Univariate analysis revealed the presence of patent ductus arteriosus, treatment by ligation and chronic lung disease as significant (p<0.05) risk factors, although dependently associated.
Conclusion
This monitoring program enabled more cases of late-onset hearing loss to be identified. The factors significantly associated with late-onset hearing loss were related to severity of illness, This information could be used to create a risk factor based score to better identify NICU infants at high risk for late-onset hearing loss.
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| Presentation: |
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| Handouts: |
Handout is not Available
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