Turkiye Klinikleri Journal of Pediatrics

.: ORIGINAL RESEARCH
Evaluation of Newborn Hearing Screening Results of Aksaray Region
Aksaray Yöresinin Yenidoğan İşitme Taraması Sonuçlarının Değerlendirilmesi
Serkan KAYABAŞIa, Fatih GÜLb
aDepartment of Otolaryngology, Aksaray University Faculty of Medicine, Aksaray, TURKEY
bDepartment of Otolaryngology, Yıldırım Beyazıt University Faculty of Medicine, Ankara, TURKEY
Turkiye Klinikleri J Pediatr. 2019;28(3):97-102
doi: 10.5336/pediatr.2019-66613
Article Language: EN
Full Text
ABSTRACT
 Objective: To investigate the possible risk factors that may lead to hearing loss in newborns who failed the hearing screening tests. Material and Methods: In this retrospective study, 546 newborns who failed the evoked otoacoustic emission (TEOAE) test or who underwent screening auditory evoked brainstem response (ABR) due to detected risk factors were included between 2010 and 2018. The risk factors of 78 patients who failed the screening ABR test were documented. A total of 468 newborns who passed ABR screening test were evaluated as control group. The data were compared statistically. Results: In the comparison of groups who failed and passed the ABR screening test, the mean birth time was found to be significantly earlier (38.1±2.6 and 39.25±1.4 weeks, respectively) (p=0.049), and the mean birth weight was found to be significantly lower (3001 ±628.2 and 3334.82 ±418 g, respectively) (p=0.032) in the failed group. The incidence of neonatal jaundice and jaundice requiring phototherapy was higher in patients who failed the screening ABR test, and this difference was statistically significant (p=0.043 and p=0.028, respectively). The newborns receiving intensive care treatment were also found to be statistically higher (p=0.028). Conclusion: The highest risk group for sensorineural hearing loss in newborns may be considered as the ones with low birth weight, early birth time and receiving intensive care treatment.

Keywords: Newborn; hearing loss; hearing tests
ÖZET
 Amaç: Çalışmamızın amacı uyarılmış oto-kaustik emisyon (TEOAE) testi ve sonrasında işitsel uyarılmış beyin sapı yanıtı (ABR) testinden geçemeyen hastalarda yenidoğanda işitme kaybına yol açabilecek olası risk faktörlerini araştırarak tarama ABR sonuçlarıyla ilişkisini ortaya koymaktır. Gereç ve Yöntemler: Çalışmamıza odyoloji birimimizde TEOAE testinden geçemeyen veya risk faktörü bulunduğu için tarama ABR yapılan 546 hasta dâhil edildi. Tarama ABR testinden geçemeyen 78 hastanın risk faktörleri araştırıldı. Elde edilen veriler tarama ABR testinden geçen 468 hastanın verileri ile karşılaştırıldı. Bulgular: Gruplar karşılaştırıldığında, tarama ABR testini geçemeyen grubun ortalama doğum zamanı kontrol grubuna göre anlamlı derecede erken (sırasıyla, 38,1±2,6 ve 39,25±1,4 hafta) (p=0,049), ortalama doğum kiloları ise anlamlı derecede düşük bulundu (sırasıyla 3001 ±628.2 ve 3334,82±418 gr.) (p=0,032). Tarama ABR testinden geçemeyen hastalarda neonatal sarılık ve fototerapi gerektiren sarılık görülme oranı yüksek saptandı ve bu fark istatistiksel olarak anlamlıydı (sırasıyla p=0,043 ve p=0,028). Yoğun bakım tedavisi alma oranları da istatistiksel olarak anlamlı derecede yüksek bulundu (p=0,028). Sonuç: Yenidoğanlarda sensörinöral işitme kaybı için en riskli grup düşük doğum ağırlığına sahip olanlar, doğum zamanı erken olanlar, yoğun bakım tedavisi alanlar olarak düşünülebilir.

Anahtar Kelimeler: Yenidoğan; işitme kaybı; işitme testleri
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