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Screening of Newborn Hearing at a Tertiary Care Hospital in South India

  • Hosaagrahara Subbegowda Satish
  • Ramabhadraiah Anil KumarEmail author
  • Borlingegowda Viswanatha
Original Article
  • 15 Downloads

Abstract

Hearing loss can have a devastating impact on the cognitive development and psychological well-being of children and their families. Newborn hearing screening should be given special attention especially in a country like ours where the burden of this disability is heavy. Screening all newborns irrespective of risk factors helps in better detection, and hence further management can be initiated at appropriate time. To implement newborn hearing screening at Vanivilas hospital and to estimate the incidence of hearing loss among the high risk groups. To create awareness about the need for detecting childhood deafness among parents and general population. To develop a centre of excellence for evaluation, intervention and rehabilitation for hearing impaired in a tertiary care hospital. Prospective study. All neonates born in Vanivilas Hospital attached to Bangalore Medical College and Research Institute underwent hearing screening using four stage protocols with otoacoustic emission (OAE) tests and final confirmation with Brainstem evoked response audiometry (BERA) tests. May 2015–May 2017. Number of newborns screened were 26,487, and 19 (0.717/1000) newborns were detected to have hearing impairment. The incidence of hearing loss among high risk group was 0.188/1000, and among the non risk group was 0.528/1000. Newborn hearing screening must be made mandatory and multi-staged protocol based screening for hearing loss should be implemented. This will make newborn screening programme more efficient and also will help in initiating treatment at an early stage so that further damage can be prevented.

Keywords

Newborn hearing screening Early intervention Neonates 

Notes

Acknowledgments

This work was supported by Rajiv Gandhi University of Health Sciences, Bangalore. We thank Rajiv Gandhi University of Health Sciences, Bangalore, Dean & Director of Bangalore Medical College & Research Institute, staff members of ENT Department BMC&RI, patients and their families for actively participating in the study.

Funding

There search grant for this study was funded by Rajiv Gandhi University of Health Sciences, Bangalore, Karnataka. (RGU:R&D:Res.Wing:2014-15 dated:13-03-2015).

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interests.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    White KR, Forsman I, Eichwald J, Munoz K (2010) The evolution of early hearing detection and intervention programs in the United States. Semin Perinatol 4(2):170–179CrossRefGoogle Scholar
  2. 2.
    Chaturvedi VN (1999) Hearing impairment and deafness-magnitude of problem and strategy for prevention. Indian J Otolaryngol Head Neck Surg 51(2):3–6CrossRefGoogle Scholar
  3. 3.
    Sanders R, Durieux-Smith A, Hyde M, Jacobson J, Kileny P et al (1985) Incidence of hearing loss in high risk and intensive care nursery infants. J Otolaryngol Suppl 14:28–33PubMedGoogle Scholar
  4. 4.
    Joint Committee on Infant Hearing (JICH) (1994) Position statement. Pediatrics 1994(95):152–156Google Scholar
  5. 5.
    Maxon AB, White KR, Behrens TR, Vohr BR (1995) Referral rates and cost efficiency in a universal newborn hearing screening program using transient evoked otoacoustic emissions. J Am Acad Audiol 6:271–277PubMedGoogle Scholar
  6. 6.
    Iwasaki S, Hayashi Y, Seki A, Nagura M, Hashimoto Y et al (2003) A model of two-stage newborn hearing screening with automated auditory brainstem response. Int J Pediatr Otorhinolaryngol 67(10):1099–1104CrossRefGoogle Scholar
  7. 7.
    Biswas A (2007) Clinical audio-vestibulometry for otologists and neurologists, assessing the deaf child, 3rd edn. Bhalani Publishing House, Mumbai, pp 97–99Google Scholar
  8. 8.
    Tucci DL, Merson MH, Wilson BS (2010) A summary of the literature on global hearing impairment: current status and priorities for action. Otol Neurotol 31(1):31–41CrossRefGoogle Scholar
  9. 9.
    Harvey C (2003) Newborn hearing screening. Aust Prescr 26:82–87CrossRefGoogle Scholar
  10. 10.
    Mangla S, Kaushal R (2009) Importance of newborn hearing screening. Indian J Otolaryngol Head Neck Surg 61:157–159CrossRefGoogle Scholar
  11. 11.
    Mauk GW, Behrens TR (1993) Historical, political, and technological context associated with early identification of hearing loss. Semin Hear 14:1–17CrossRefGoogle Scholar
  12. 12.
    Parving A (1993) Congenital hearing disability: epidemiology and identification: a comparison between two health authority districts. Int J Pediatr Otolaryngol 27:29–46CrossRefGoogle Scholar
  13. 13.
    Watkins P, Baldwin M, McEnery G (1991) Neonatal at risk screening and the identification of deafness. Arch Dis Child 66:1130–1135CrossRefGoogle Scholar
  14. 14.
    Elssmann S, Matkin N, Sabo M (1987) Early identification of congenital sensorineural hearing impairment. Hear J 40:13–17Google Scholar
  15. 15.
    Pappas DG (1983) A study of the high-risk registry for sensorineural hearing loss. Arch Otolaryngol Head Neck Surg 91:41–44CrossRefGoogle Scholar
  16. 16.
    Stein L (1995) On the real age of identification of congenital hearing loss. Audiol Today 7:10–11Google Scholar
  17. 17.
    Harrison M, Roush J (1996) Age of suspicion, identification, and intervention for infants and young children with hearing loss: a national study. Ear Hear 17:55–62CrossRefGoogle Scholar
  18. 18.
    Olusanya BO, Somefun AO, Swanepoel DW (2008) The need for standardization of methods for worldwide infant hearing screening: a systematic review. Laryngoscope 118(10):1830–1836CrossRefGoogle Scholar
  19. 19.
    Hall JW III, Smith SD, Popelka GR (2004) Newborn hearing screening with combined otoacoustic emissions and auditory brainstem response. J Am Acad Audiol 15(6):414–425CrossRefGoogle Scholar
  20. 20.
    Kumar A, Shah N, Patel KB, Vishwakarma R (2015) Hearing screening in a tertiary care hospital in India. J Clin Diagn Res 9(3):MC01-4.  https://doi.org/10.7860/JCDR/2015/11640.5698 CrossRefPubMedGoogle Scholar
  21. 21.
    Tobe RG, Mori R, Xu L, Han D, Shibuya K (2013) Cost-effectiveness analysis of a national neonatal hearing screening program in China: conditions for the scale-up. PLoS ONE 8(1):e51990.  https://doi.org/10.1371/journal.pone.0051990 CrossRefPubMedPubMedCentralGoogle Scholar
  22. 22.
    Low WK, Pang KY (2005) Universal newborn hearing screening. Ann Acad Med Singap 34(4):301–306PubMedGoogle Scholar
  23. 23.
    Downs SM, Kemper A (2000) A cost-effectiveness analysis of newborn hearing screening strategies. Arch Pediatr Adolesc Med 154:484–488CrossRefGoogle Scholar
  24. 24.
    Mehl AL, Thomson V (1998) Newborn hearing screening: the great omission. Pediatrics 101:1–6CrossRefGoogle Scholar
  25. 25.
    Mishra G, Sharma Y, Mehta K, Patel G (2013) Efficacy of distortion product oto-acoustic emission (OAE)/auditory brainstem evoked response (ABR) protocols in universal neonatal hearing screening and detecting hearing loss in children > 2 years of age. Indian J Otolaryngol Head Neck Surg 65(2):105–110CrossRefGoogle Scholar
  26. 26.
    Gouri ZUH, Sharma D et al (2015) Hearing impairment and its risk factors by newborn screening in north-western India. Matern Health Neonatol Perinatol 1:17CrossRefGoogle Scholar
  27. 27.
    Karaca ÇT, Oysu Ç et al (2014) Is hearing loss in infants associated with risk factors? Evaluation of the frequency of risk factors. Clin Exp Otorhinolaryngol 7(4):260–263CrossRefGoogle Scholar
  28. 28.
    Nagapoornima P, Ramesh A, Srilakshmi S, Rao PL, Patricia M, Gore M (2007) Dominic and Swarnarekha, “Universal Hearing Screening”. Indian J Pediatric 74(6):545–549CrossRefGoogle Scholar
  29. 29.
    Mauk GW, White KR, Mortensen LB, Beherens TR (1991) The effectiveness of hearing programs based on high risk characteristic in early intervention of hearing impairment. Ear Hear 12:312–319CrossRefGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  • Hosaagrahara Subbegowda Satish
    • 1
  • Ramabhadraiah Anil Kumar
    • 1
    Email author
  • Borlingegowda Viswanatha
    • 1
  1. 1.Department of ENTBangalore Medical College and Research InstituteBengaluruIndia

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