Incidence of hearing loss in neonates at a secondary care hospital in North India—a pilot UNHS study

Background To evaluate the incidence of hearing loss in neonates in our secondary care hospital under pilot UNHS programme. To assess association between various risk factors and neonatal hearing loss. Methods Prospective, observational cohort study was done in a secondary level hospital in North In...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Rawat, Vijay [verfasserIn] Arora, Rubeena Singh, Jitendra Gupta, Aradhana

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	Universal hearing screening Neonatal hearing screening Otoacoustic emissions

Anmerkung:	© The Author(s) 2023

Übergeordnetes Werk:	Enthalten in: The Egyptian journal of otolaryngology - Mumbai, India : Wolters Kluwer - Medknow Publications, 2012, 39(2023), 1 vom: 04. Aug.
Übergeordnetes Werk:	volume:39 ; year:2023 ; number:1 ; day:04 ; month:08

Links:	Volltext

DOI / URN:	10.1186/s43163-023-00482-4

Katalog-ID:	SPR052646572

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520			\|a Background To evaluate the incidence of hearing loss in neonates in our secondary care hospital under pilot UNHS programme. To assess association between various risk factors and neonatal hearing loss. Methods Prospective, observational cohort study was done in a secondary level hospital in North India after ethical approval, for 1 year. Inclusion criteria are as follows: neonates born in hospital during study period, consenting to testing. Exclusion criteria are as follows: sick neonates, non-consenting parents. Neonates underwent TEOAE at 48 h of birth; those failing retested at 1 month. Neonates failing 2nd stage are tested after 3 months using BERA. Neonates were evaluated for the presence of maternal/neonatal high-risk factors. Results Out of 506 neonates, 143 passed 1st OAE screening, 363 were refer, and referral rate is 71.7%. A total of 341/345 neonates passed 2nd stage; 4 were diagnosed with hearing loss on BERA at 3 months. (18 neonates lost to follow-up, excluded from final cohort.) Overall incidence of hearing loss was 0.82%, 1.08% for males and 0.44% for females (p = 0.87, NS). One-hundred nine neonates were high risk (prematurity, 36; consanguinity, 4; caesarean section for relevant indications, 68; craniofacial abnormalities, 1). Incidence of hearing loss for high-risk group was 1.83% and 0.53% for well-born neonates (p = 0.19, NS). Conclusion Incidence of hearing loss in our district in North India is as follows: 8.2 per 1000 live births for well neonates, 18.3 per 1000 live births for high-risk neonates, and respective overall national incidence rates were 1.59 to 8.8 per 1000 and 7 to 49 per 1000. UNHS programmes must be implemented in all hospitals; protocol may be varied according to local population profile and resources available.
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allfields	10.1186/s43163-023-00482-4 doi (DE-627)SPR052646572 (SPR)s43163-023-00482-4-e DE-627 ger DE-627 rakwb eng Rawat, Vijay verfasserin aut Incidence of hearing loss in neonates at a secondary care hospital in North India—a pilot UNHS study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background To evaluate the incidence of hearing loss in neonates in our secondary care hospital under pilot UNHS programme. To assess association between various risk factors and neonatal hearing loss. Methods Prospective, observational cohort study was done in a secondary level hospital in North India after ethical approval, for 1 year. Inclusion criteria are as follows: neonates born in hospital during study period, consenting to testing. Exclusion criteria are as follows: sick neonates, non-consenting parents. Neonates underwent TEOAE at 48 h of birth; those failing retested at 1 month. Neonates failing 2nd stage are tested after 3 months using BERA. Neonates were evaluated for the presence of maternal/neonatal high-risk factors. Results Out of 506 neonates, 143 passed 1st OAE screening, 363 were refer, and referral rate is 71.7%. A total of 341/345 neonates passed 2nd stage; 4 were diagnosed with hearing loss on BERA at 3 months. (18 neonates lost to follow-up, excluded from final cohort.) Overall incidence of hearing loss was 0.82%, 1.08% for males and 0.44% for females (p = 0.87, NS). One-hundred nine neonates were high risk (prematurity, 36; consanguinity, 4; caesarean section for relevant indications, 68; craniofacial abnormalities, 1). Incidence of hearing loss for high-risk group was 1.83% and 0.53% for well-born neonates (p = 0.19, NS). Conclusion Incidence of hearing loss in our district in North India is as follows: 8.2 per 1000 live births for well neonates, 18.3 per 1000 live births for high-risk neonates, and respective overall national incidence rates were 1.59 to 8.8 per 1000 and 7 to 49 per 1000. UNHS programmes must be implemented in all hospitals; protocol may be varied according to local population profile and resources available. Universal hearing screening (dpeaa)DE-He213 Neonatal hearing screening (dpeaa)DE-He213 Otoacoustic emissions (dpeaa)DE-He213 Arora, Rubeena (orcid)0000-0002-3254-856X aut Singh, Jitendra aut Gupta, Aradhana aut Enthalten in The Egyptian journal of otolaryngology Mumbai, India : Wolters Kluwer - Medknow Publications, 2012 39(2023), 1 vom: 04. Aug. (DE-627)872928373 (DE-600)2875428-1 2090-8539 nnns volume:39 year:2023 number:1 day:04 month:08 https://dx.doi.org/10.1186/s43163-023-00482-4 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 39 2023 1 04 08
spelling	10.1186/s43163-023-00482-4 doi (DE-627)SPR052646572 (SPR)s43163-023-00482-4-e DE-627 ger DE-627 rakwb eng Rawat, Vijay verfasserin aut Incidence of hearing loss in neonates at a secondary care hospital in North India—a pilot UNHS study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background To evaluate the incidence of hearing loss in neonates in our secondary care hospital under pilot UNHS programme. To assess association between various risk factors and neonatal hearing loss. Methods Prospective, observational cohort study was done in a secondary level hospital in North India after ethical approval, for 1 year. Inclusion criteria are as follows: neonates born in hospital during study period, consenting to testing. Exclusion criteria are as follows: sick neonates, non-consenting parents. Neonates underwent TEOAE at 48 h of birth; those failing retested at 1 month. Neonates failing 2nd stage are tested after 3 months using BERA. Neonates were evaluated for the presence of maternal/neonatal high-risk factors. Results Out of 506 neonates, 143 passed 1st OAE screening, 363 were refer, and referral rate is 71.7%. A total of 341/345 neonates passed 2nd stage; 4 were diagnosed with hearing loss on BERA at 3 months. (18 neonates lost to follow-up, excluded from final cohort.) Overall incidence of hearing loss was 0.82%, 1.08% for males and 0.44% for females (p = 0.87, NS). One-hundred nine neonates were high risk (prematurity, 36; consanguinity, 4; caesarean section for relevant indications, 68; craniofacial abnormalities, 1). Incidence of hearing loss for high-risk group was 1.83% and 0.53% for well-born neonates (p = 0.19, NS). Conclusion Incidence of hearing loss in our district in North India is as follows: 8.2 per 1000 live births for well neonates, 18.3 per 1000 live births for high-risk neonates, and respective overall national incidence rates were 1.59 to 8.8 per 1000 and 7 to 49 per 1000. UNHS programmes must be implemented in all hospitals; protocol may be varied according to local population profile and resources available. Universal hearing screening (dpeaa)DE-He213 Neonatal hearing screening (dpeaa)DE-He213 Otoacoustic emissions (dpeaa)DE-He213 Arora, Rubeena (orcid)0000-0002-3254-856X aut Singh, Jitendra aut Gupta, Aradhana aut Enthalten in The Egyptian journal of otolaryngology Mumbai, India : Wolters Kluwer - Medknow Publications, 2012 39(2023), 1 vom: 04. Aug. (DE-627)872928373 (DE-600)2875428-1 2090-8539 nnns volume:39 year:2023 number:1 day:04 month:08 https://dx.doi.org/10.1186/s43163-023-00482-4 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 39 2023 1 04 08
allfields_unstemmed	10.1186/s43163-023-00482-4 doi (DE-627)SPR052646572 (SPR)s43163-023-00482-4-e DE-627 ger DE-627 rakwb eng Rawat, Vijay verfasserin aut Incidence of hearing loss in neonates at a secondary care hospital in North India—a pilot UNHS study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background To evaluate the incidence of hearing loss in neonates in our secondary care hospital under pilot UNHS programme. To assess association between various risk factors and neonatal hearing loss. Methods Prospective, observational cohort study was done in a secondary level hospital in North India after ethical approval, for 1 year. Inclusion criteria are as follows: neonates born in hospital during study period, consenting to testing. Exclusion criteria are as follows: sick neonates, non-consenting parents. Neonates underwent TEOAE at 48 h of birth; those failing retested at 1 month. Neonates failing 2nd stage are tested after 3 months using BERA. Neonates were evaluated for the presence of maternal/neonatal high-risk factors. Results Out of 506 neonates, 143 passed 1st OAE screening, 363 were refer, and referral rate is 71.7%. A total of 341/345 neonates passed 2nd stage; 4 were diagnosed with hearing loss on BERA at 3 months. (18 neonates lost to follow-up, excluded from final cohort.) Overall incidence of hearing loss was 0.82%, 1.08% for males and 0.44% for females (p = 0.87, NS). One-hundred nine neonates were high risk (prematurity, 36; consanguinity, 4; caesarean section for relevant indications, 68; craniofacial abnormalities, 1). Incidence of hearing loss for high-risk group was 1.83% and 0.53% for well-born neonates (p = 0.19, NS). Conclusion Incidence of hearing loss in our district in North India is as follows: 8.2 per 1000 live births for well neonates, 18.3 per 1000 live births for high-risk neonates, and respective overall national incidence rates were 1.59 to 8.8 per 1000 and 7 to 49 per 1000. UNHS programmes must be implemented in all hospitals; protocol may be varied according to local population profile and resources available. Universal hearing screening (dpeaa)DE-He213 Neonatal hearing screening (dpeaa)DE-He213 Otoacoustic emissions (dpeaa)DE-He213 Arora, Rubeena (orcid)0000-0002-3254-856X aut Singh, Jitendra aut Gupta, Aradhana aut Enthalten in The Egyptian journal of otolaryngology Mumbai, India : Wolters Kluwer - Medknow Publications, 2012 39(2023), 1 vom: 04. Aug. (DE-627)872928373 (DE-600)2875428-1 2090-8539 nnns volume:39 year:2023 number:1 day:04 month:08 https://dx.doi.org/10.1186/s43163-023-00482-4 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 39 2023 1 04 08
allfieldsGer	10.1186/s43163-023-00482-4 doi (DE-627)SPR052646572 (SPR)s43163-023-00482-4-e DE-627 ger DE-627 rakwb eng Rawat, Vijay verfasserin aut Incidence of hearing loss in neonates at a secondary care hospital in North India—a pilot UNHS study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background To evaluate the incidence of hearing loss in neonates in our secondary care hospital under pilot UNHS programme. To assess association between various risk factors and neonatal hearing loss. Methods Prospective, observational cohort study was done in a secondary level hospital in North India after ethical approval, for 1 year. Inclusion criteria are as follows: neonates born in hospital during study period, consenting to testing. Exclusion criteria are as follows: sick neonates, non-consenting parents. Neonates underwent TEOAE at 48 h of birth; those failing retested at 1 month. Neonates failing 2nd stage are tested after 3 months using BERA. Neonates were evaluated for the presence of maternal/neonatal high-risk factors. Results Out of 506 neonates, 143 passed 1st OAE screening, 363 were refer, and referral rate is 71.7%. A total of 341/345 neonates passed 2nd stage; 4 were diagnosed with hearing loss on BERA at 3 months. (18 neonates lost to follow-up, excluded from final cohort.) Overall incidence of hearing loss was 0.82%, 1.08% for males and 0.44% for females (p = 0.87, NS). One-hundred nine neonates were high risk (prematurity, 36; consanguinity, 4; caesarean section for relevant indications, 68; craniofacial abnormalities, 1). Incidence of hearing loss for high-risk group was 1.83% and 0.53% for well-born neonates (p = 0.19, NS). Conclusion Incidence of hearing loss in our district in North India is as follows: 8.2 per 1000 live births for well neonates, 18.3 per 1000 live births for high-risk neonates, and respective overall national incidence rates were 1.59 to 8.8 per 1000 and 7 to 49 per 1000. UNHS programmes must be implemented in all hospitals; protocol may be varied according to local population profile and resources available. Universal hearing screening (dpeaa)DE-He213 Neonatal hearing screening (dpeaa)DE-He213 Otoacoustic emissions (dpeaa)DE-He213 Arora, Rubeena (orcid)0000-0002-3254-856X aut Singh, Jitendra aut Gupta, Aradhana aut Enthalten in The Egyptian journal of otolaryngology Mumbai, India : Wolters Kluwer - Medknow Publications, 2012 39(2023), 1 vom: 04. Aug. (DE-627)872928373 (DE-600)2875428-1 2090-8539 nnns volume:39 year:2023 number:1 day:04 month:08 https://dx.doi.org/10.1186/s43163-023-00482-4 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 39 2023 1 04 08
allfieldsSound	10.1186/s43163-023-00482-4 doi (DE-627)SPR052646572 (SPR)s43163-023-00482-4-e DE-627 ger DE-627 rakwb eng Rawat, Vijay verfasserin aut Incidence of hearing loss in neonates at a secondary care hospital in North India—a pilot UNHS study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background To evaluate the incidence of hearing loss in neonates in our secondary care hospital under pilot UNHS programme. To assess association between various risk factors and neonatal hearing loss. Methods Prospective, observational cohort study was done in a secondary level hospital in North India after ethical approval, for 1 year. Inclusion criteria are as follows: neonates born in hospital during study period, consenting to testing. Exclusion criteria are as follows: sick neonates, non-consenting parents. Neonates underwent TEOAE at 48 h of birth; those failing retested at 1 month. Neonates failing 2nd stage are tested after 3 months using BERA. Neonates were evaluated for the presence of maternal/neonatal high-risk factors. Results Out of 506 neonates, 143 passed 1st OAE screening, 363 were refer, and referral rate is 71.7%. A total of 341/345 neonates passed 2nd stage; 4 were diagnosed with hearing loss on BERA at 3 months. (18 neonates lost to follow-up, excluded from final cohort.) Overall incidence of hearing loss was 0.82%, 1.08% for males and 0.44% for females (p = 0.87, NS). One-hundred nine neonates were high risk (prematurity, 36; consanguinity, 4; caesarean section for relevant indications, 68; craniofacial abnormalities, 1). Incidence of hearing loss for high-risk group was 1.83% and 0.53% for well-born neonates (p = 0.19, NS). Conclusion Incidence of hearing loss in our district in North India is as follows: 8.2 per 1000 live births for well neonates, 18.3 per 1000 live births for high-risk neonates, and respective overall national incidence rates were 1.59 to 8.8 per 1000 and 7 to 49 per 1000. UNHS programmes must be implemented in all hospitals; protocol may be varied according to local population profile and resources available. Universal hearing screening (dpeaa)DE-He213 Neonatal hearing screening (dpeaa)DE-He213 Otoacoustic emissions (dpeaa)DE-He213 Arora, Rubeena (orcid)0000-0002-3254-856X aut Singh, Jitendra aut Gupta, Aradhana aut Enthalten in The Egyptian journal of otolaryngology Mumbai, India : Wolters Kluwer - Medknow Publications, 2012 39(2023), 1 vom: 04. Aug. (DE-627)872928373 (DE-600)2875428-1 2090-8539 nnns volume:39 year:2023 number:1 day:04 month:08 https://dx.doi.org/10.1186/s43163-023-00482-4 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 39 2023 1 04 08
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One-hundred nine neonates were high risk (prematurity, 36; consanguinity, 4; caesarean section for relevant indications, 68; craniofacial abnormalities, 1). Incidence of hearing loss for high-risk group was 1.83% and 0.53% for well-born neonates (p = 0.19, NS). Conclusion Incidence of hearing loss in our district in North India is as follows: 8.2 per 1000 live births for well neonates, 18.3 per 1000 live births for high-risk neonates, and respective overall national incidence rates were 1.59 to 8.8 per 1000 and 7 to 49 per 1000. UNHS programmes must be implemented in all hospitals; protocol may be varied according to local population profile and resources available.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Universal hearing screening</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Neonatal hearing screening</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Otoacoustic emissions</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Arora, Rubeena</subfield><subfield code="0">(orcid)0000-0002-3254-856X</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Singh, Jitendra</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Gupta, Aradhana</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">The Egyptian journal of otolaryngology</subfield><subfield code="d">Mumbai, India : Wolters Kluwer - Medknow Publications, 2012</subfield><subfield code="g">39(2023), 1 vom: 04. 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author	Rawat, Vijay
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topic_title	Incidence of hearing loss in neonates at a secondary care hospital in North India—a pilot UNHS study Universal hearing screening (dpeaa)DE-He213 Neonatal hearing screening (dpeaa)DE-He213 Otoacoustic emissions (dpeaa)DE-He213
topic	misc Universal hearing screening misc Neonatal hearing screening misc Otoacoustic emissions
topic_unstemmed	misc Universal hearing screening misc Neonatal hearing screening misc Otoacoustic emissions
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title	Incidence of hearing loss in neonates at a secondary care hospital in North India—a pilot UNHS study
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title_full	Incidence of hearing loss in neonates at a secondary care hospital in North India—a pilot UNHS study
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title_sort	incidence of hearing loss in neonates at a secondary care hospital in north india—a pilot unhs study
title_auth	Incidence of hearing loss in neonates at a secondary care hospital in North India—a pilot UNHS study
abstract	Background To evaluate the incidence of hearing loss in neonates in our secondary care hospital under pilot UNHS programme. To assess association between various risk factors and neonatal hearing loss. Methods Prospective, observational cohort study was done in a secondary level hospital in North India after ethical approval, for 1 year. Inclusion criteria are as follows: neonates born in hospital during study period, consenting to testing. Exclusion criteria are as follows: sick neonates, non-consenting parents. Neonates underwent TEOAE at 48 h of birth; those failing retested at 1 month. Neonates failing 2nd stage are tested after 3 months using BERA. Neonates were evaluated for the presence of maternal/neonatal high-risk factors. Results Out of 506 neonates, 143 passed 1st OAE screening, 363 were refer, and referral rate is 71.7%. A total of 341/345 neonates passed 2nd stage; 4 were diagnosed with hearing loss on BERA at 3 months. (18 neonates lost to follow-up, excluded from final cohort.) Overall incidence of hearing loss was 0.82%, 1.08% for males and 0.44% for females (p = 0.87, NS). One-hundred nine neonates were high risk (prematurity, 36; consanguinity, 4; caesarean section for relevant indications, 68; craniofacial abnormalities, 1). Incidence of hearing loss for high-risk group was 1.83% and 0.53% for well-born neonates (p = 0.19, NS). Conclusion Incidence of hearing loss in our district in North India is as follows: 8.2 per 1000 live births for well neonates, 18.3 per 1000 live births for high-risk neonates, and respective overall national incidence rates were 1.59 to 8.8 per 1000 and 7 to 49 per 1000. UNHS programmes must be implemented in all hospitals; protocol may be varied according to local population profile and resources available. © The Author(s) 2023
abstractGer	Background To evaluate the incidence of hearing loss in neonates in our secondary care hospital under pilot UNHS programme. To assess association between various risk factors and neonatal hearing loss. Methods Prospective, observational cohort study was done in a secondary level hospital in North India after ethical approval, for 1 year. Inclusion criteria are as follows: neonates born in hospital during study period, consenting to testing. Exclusion criteria are as follows: sick neonates, non-consenting parents. Neonates underwent TEOAE at 48 h of birth; those failing retested at 1 month. Neonates failing 2nd stage are tested after 3 months using BERA. Neonates were evaluated for the presence of maternal/neonatal high-risk factors. Results Out of 506 neonates, 143 passed 1st OAE screening, 363 were refer, and referral rate is 71.7%. A total of 341/345 neonates passed 2nd stage; 4 were diagnosed with hearing loss on BERA at 3 months. (18 neonates lost to follow-up, excluded from final cohort.) Overall incidence of hearing loss was 0.82%, 1.08% for males and 0.44% for females (p = 0.87, NS). One-hundred nine neonates were high risk (prematurity, 36; consanguinity, 4; caesarean section for relevant indications, 68; craniofacial abnormalities, 1). Incidence of hearing loss for high-risk group was 1.83% and 0.53% for well-born neonates (p = 0.19, NS). Conclusion Incidence of hearing loss in our district in North India is as follows: 8.2 per 1000 live births for well neonates, 18.3 per 1000 live births for high-risk neonates, and respective overall national incidence rates were 1.59 to 8.8 per 1000 and 7 to 49 per 1000. UNHS programmes must be implemented in all hospitals; protocol may be varied according to local population profile and resources available. © The Author(s) 2023
abstract_unstemmed	Background To evaluate the incidence of hearing loss in neonates in our secondary care hospital under pilot UNHS programme. To assess association between various risk factors and neonatal hearing loss. Methods Prospective, observational cohort study was done in a secondary level hospital in North India after ethical approval, for 1 year. Inclusion criteria are as follows: neonates born in hospital during study period, consenting to testing. Exclusion criteria are as follows: sick neonates, non-consenting parents. Neonates underwent TEOAE at 48 h of birth; those failing retested at 1 month. Neonates failing 2nd stage are tested after 3 months using BERA. Neonates were evaluated for the presence of maternal/neonatal high-risk factors. Results Out of 506 neonates, 143 passed 1st OAE screening, 363 were refer, and referral rate is 71.7%. A total of 341/345 neonates passed 2nd stage; 4 were diagnosed with hearing loss on BERA at 3 months. (18 neonates lost to follow-up, excluded from final cohort.) Overall incidence of hearing loss was 0.82%, 1.08% for males and 0.44% for females (p = 0.87, NS). One-hundred nine neonates were high risk (prematurity, 36; consanguinity, 4; caesarean section for relevant indications, 68; craniofacial abnormalities, 1). Incidence of hearing loss for high-risk group was 1.83% and 0.53% for well-born neonates (p = 0.19, NS). Conclusion Incidence of hearing loss in our district in North India is as follows: 8.2 per 1000 live births for well neonates, 18.3 per 1000 live births for high-risk neonates, and respective overall national incidence rates were 1.59 to 8.8 per 1000 and 7 to 49 per 1000. UNHS programmes must be implemented in all hospitals; protocol may be varied according to local population profile and resources available. © The Author(s) 2023
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title_short	Incidence of hearing loss in neonates at a secondary care hospital in North India—a pilot UNHS study
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One-hundred nine neonates were high risk (prematurity, 36; consanguinity, 4; caesarean section for relevant indications, 68; craniofacial abnormalities, 1). Incidence of hearing loss for high-risk group was 1.83% and 0.53% for well-born neonates (p = 0.19, NS). Conclusion Incidence of hearing loss in our district in North India is as follows: 8.2 per 1000 live births for well neonates, 18.3 per 1000 live births for high-risk neonates, and respective overall national incidence rates were 1.59 to 8.8 per 1000 and 7 to 49 per 1000. 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Incidence of hearing loss in neonates at a secondary care hospital in North India—a pilot UNHS study

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