ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

Prediction Model for Newborn HL

by Amy Eckner • November 1, 2013

  • Tweet
  • Email
Print-Friendly Version

Can risk factors for bilateral hearing loss (HL) be used to predict HL among infants who do not pass the initial newborn hearing screening?

Background: Children with HL often have delayed academic achievement, lower average reading ability and lower-than-average cognitive test performance. Risk factors are used to help identify infants who pass the initial newborn hearing screening (NHS) in the United States but are at risk for developing delayed-onset HL, or those who may have milder forms of permanent HL.

You Might Also Like

  • Global Rates of Pediatric Hearing Loss Higher Than Thought
  • Hearing Screening in Newborns and Young Children-Is Enough Being Done?
  • Retropharyngeal Abscess Prediction Remains Limited
  • Newborn Hearing Screening Affects Age Children Receive Cochlear Implantation
Explore This Issue
November 2013

Study design: Individual retrospective case-control study using medical records of 687 infants (229 HL, 458 control) aged zero to six months of age referred for natural sleep or sedated auditory brainstem response (ABR) in 2005 through 2009.

Setting: Audiology department, St. Louis Children’s Hospital, BJC HealthCare system.

Synopsis: Two children with normal hearing were identified as controls for each one child diagnosed with HL. The most common reason for diagnostic ABR testing was not passing NHS. Mean birth weight and estimated gestational age (EGA) were lower in infants with HL, and more infants with HL had been admitted to a NICU. The ear examination suggested middle ear effusion in 76 HL cases, and nine HL cases had atresia in at least one ear; 65 HL cases had prolonged latencies on ABR. Fifteen HL cases were diagnosed with conductive HL. Congenital cytomegalovirus infection, hyperbilirubinemia, eye problems and Down syndrome were not associated with HL. Among infants who received diagnostic ABR for other reasons, there was an increased rate of several risk factors compared with infants who had not passed NHS. Having none of the risk factors was associated with a low HL risk; having three or more was associated with an extremely high HL risk. Having even one factor raised the HL probability to 50 percent. Limitations included a lack of differentiation in hearing loss between temporary conductive HL, permanent HL and auditory neuropathy spectrum disorder.

Bottom line: The presence of any one of four independently predictive risk factors was associated with a 50 percent hearing loss rate; having three or more was associated with a 90 percent rate of hearing loss.

Citation: Lieu JE, Ratnaraj F, Ead B. Evaluating a prediction model for infant hearing loss. Laryngoscope. 2013;123:2873-2879.

—Reviewed by Amy Eckner

Filed Under: Literature Reviews, Otology/Neurotology, Otology/Neurotology, Pediatric, Pediatric Tagged With: bilateral hearing loss, newbornIssue: November 2013

You Might Also Like:

  • Global Rates of Pediatric Hearing Loss Higher Than Thought
  • Hearing Screening in Newborns and Young Children-Is Enough Being Done?
  • Retropharyngeal Abscess Prediction Remains Limited
  • Newborn Hearing Screening Affects Age Children Receive Cochlear Implantation

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Vertigo in the Elderly: What Does It Mean?
    • Experts Delve into Treatment Options for Laryngopharyngeal Reflux
    • Otolaryngologists Have a Major Role to Play in Treating COVID-19 Long-Haulers
    • Weaning Patients Off of PPIs
    • Vertigo in the Elderly: What Does It Mean?
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Podcasts Becoming More Popular Method of Education for Otolaryngologists
    • How to Embrace Optimism in the Midst of the COVID-19 Pandemic
    • Tips on How to Approach Conversations with Patients about the COVID-19 Vaccine
    • Steps You Should Take to Protect Your Voice and Hearing During Telemedicine Sessions
    • Routine Postoperative Adjunct Treatments Unnecessary for Idiopathic Cerebrospinal Fluid Leaks

Polls

Have you spoken with your patients about receiving the COVID-19 vaccine?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2021 The Triological Society. All Rights Reserved.
ISSN 1559-4939

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.