Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Newborn Hearing Screening Outcomes and Management in Our Hospital: A Cross-Sectional Study
Hastanemizde Yenidoğan İşitme Tarama Sonuçları ve Yönetimi: Kesitsel Bir Araştırma
Meriç YILDIZa , Elif KAYA ÇELİKb
aTokat Gaziosmanpaşa University Faculty of Medicine, Department of Audiology, Tokat, Türkiye
bTokat Gaziosmanpaşa University Faculty of Medicine, Department of Otolaryngology, Head and Neck Surgery, Tokat, Türkiye
Turkiye Klinikleri J Health Sci. 2024;9(4):803-11
doi: 10.5336/healthsci.2024-101635
Article Language: EN
Full Text
ABSTRACT
Objective: It is aimed to present our newborn hearing screening algorithm and results in our region. Material and Methods: Hearing test results of infants who were screened and followed up at the University Hospital Newborn Hearing Screening and Reference Center between January 2021 and January 2023 were obtained by retrospective file review. The available data were analyzed and follow-up and treatment results were presented. Results: Automatic Auditory Brainstem Response test was performed in 4,061 babies born in our university hospital. Among the screened babies, 152 (3.7%) babies were referred to our reference center because they were unilateral or bilateral. Among these 152 (3.7%) babies, the number of babies with hearing loss confirmed by the Auditory Brainstem Response test result was 17 (0.41%). Examination of screening data for the 19 infants referred from different centers revealed hearing loss in 17 of them. Of a total of 34 infants with hearing loss, 10 were unilateral and 24 were bilateral. Of the 10 infants with unilateral hearing loss, 6 were sensorineural and 4 were conductive hearing loss and all of these infants were followed up. Of the 24 babies with bilateral hearing loss, 15 were fitted with hearing aids following confirmation of hearing loss, and 9 were followed up. Conclusion: This study is the first newborn hearing screening in our region and presents the rates of hearing loss in our region.

Keywords: Newborn hearing screening; automatic auditory brainstem response; hearing loss
ÖZET
Amaç: Bölgemizdeki yenidoğan işitme tarama algoritmamız ve sonuçlarımızın sunulması amaçlanmaktadır. Gereç ve Yöntemler: Üniversite hastanesi yenidoğan işitme tarama ve referans merkezinde Ocak 2021-Ocak 2023 tarihleri arasında tarama ve takipleri yapılan bebeklerin, işitme testi sonuçları retrospektif dosya taraması ile elde edildi. Mevcut veriler incelenerek takip ve tedavi sonuçları sunulmuştur. Bulgular: Üniversite hastanemizde doğan 4.061 bebeğe, Tarama İşitsel Beyinsapı Cevabı testi yapıldı. Tarama yapılan bebeklerden 152 (%3,7) bebek tek veya çift taraflı kalarak referans merkezimize yönlendirildi. Bu 152 (%3,7) bebekten, İşitsel Beyinsapı Cevapları test sonucuna göre doğrulanmış işitme kayıplı bebek sayısı 17 (%0,41) idi. Ayrıca taramada sorun tespit edilerek farklı merkezlerden kliniğimize sevk edilen 19 bebeğin tarama verileri incelendiğinde, 17'sinde işitme kaybı tespit edildi. İşitme kaybı tespit edilen toplam 34 bebeğin, 10'u unilateral, 24'ü bilateraldi. Unilateral işitme kaybı olan 10 bebeğin 6'sı sensörinöral, 4'ü iletim tipi işitme kaybıydı ve bu bebeklerin hepsi takibe alındı. Bilateral işitme kaybı olan 24 bebeğin, 15'i sensörinöral işitme kaybının doğrulanmasını takiben işitme cihazı ile cihazlandırıldı, 9'u iletim tipi işitme kaybından dolayı takibe alındı. Sonuç: Bu çalışma, bölgemizde yapılan işitme tarama sonuçlarının değerlendirildiği ilk yenidoğan işitme taraması olup, bölgemizde işitme kaybı oranlarını sunmaktadır.

Anahtar Kelimeler: Yenidoğan işitme taraması; tarama işitsel beyinsapı cevabı; işitme kaybı
REFERENCES:
  1. Özbek E, Atlıhan F, Genel F, Çalkavur İ, Bayar B, Özcan M. Gelişimsel açıdan yüksek riskli bebeklerde işitme tarama sonuçları [Hearing screening test results of newborns at high risk for developmental delay]. Izmir Dr. Behçet Uz Children's Hospital. Journal. 2011;1(1):1-6. [Crossref] 
  2. Joint Committee on Infant H. Year 2007 position statement: Principles and Guidelines for early detection and intervention programs. Pediatrics. 2007;120(4):898-921. [Crossref] 
  3. Türkiye Cumhuriyeti Sosyal Hizmetler Bakanlığı. Engelli ve Yaşlı İstatistik Bülteni. 2023. p.17. [Link] 
  4. Atagül Bektaş N. Ailede işitme kaybı öyküsü bulanan bebeklerin işitme tarama test sonuçları (geçti-takip-sevk) ve testlerin erken dönemde tamamlanmasının önem [Hearing screening test results (pass-follow-up-referral) of babies with a family history of hearing loss and the importance of using the tests in the early period]. Turkish Journal of Audiology and Hearing Research. 2022;5(3):65-9. [Crossref] 
  5. Beken S, Esra Ö, Kemaloğlu Y. Yenidoğanda işitmenin gelişimi ve işitme tarama testleri [Development of hearing in newborns and hearing screening tests]. Bozok Medical Journal. 2014;4(3):57-62. [Link] 
  6. Reid A, Firns S, Tao K, Maywood E, Herbert H, Mulders WAM, et al. Early detection of hearing loss for infants in Western Australia: Comparison to international benchmarks. J Paediatr Child Health. 2022;58(3):422-6. [Crossref]  [PubMed] 
  7. Sarı K. Yenidoğan işitme tarama testi sonuçlarımız [The results of hearing screening in newborns summary]. 2021;20(2):115-21. [Link] 
  8. Çelik İH, Canpolat FE, Demirel G, Eras Z, Sungur VG, Sarıer B, et al. Zekai Tahir Burak Women's Health Education and Research Hospital newborn hearing screening results and assessment of the patients. Turk Pediatri Ars. 2014;49(2):138-41. [Crossref]  [PubMed]  [PMC] 
  9. Yılmazer R, Yazıcı MZ, Erdim İ, Kaya HK, Özcan Dalbudak Ş, Kayhan TF. Follow-up results of newborns after Hearing Screening at a Training and Research Hospital in Turkey. J Int Adv Otol. 2016;12(1):55-60. [Crossref]  [PubMed] 
  10. Kılıçaslan S, Kılıçaslan R, Uluyol S, Gür MH. Van region newborn hearing screening results and literature review. ENT and BBC Journal. 2017;25(3):25-30. [Crossref] 
  11. Dijital Akademi [İnternet]. Halk Sağlığı Genel Müdürlüğü. [Erişim tarihi: 13 Ekim 2024]. Erişim linki: [Link] 
  12. Başar F, Aygün C, Güven AG. Ondokuz Mayıs Üniversitesi Yenidoğan İşitme Taraması (YEDİT) ilk yıl sonuçları [The first year results of Ondokuz Mayıs University Newborn Hearing Screening Program]. O.M.Ü. Tıp Dergisi. 2007;24(2):43-51. [Link] 
  13. Demir S, Sizer B. Yenidoğan işitme tarama programi verilerimizin değerlendirilmesi [Evaluation of our newborn hearing screening program data]. 2021;20(4):210-5. [Link] 
  14. Turkmen A, Yiğit Ö, Akkaya E, Uğur E, Kefeciler Z, Gozutok S. Newborn hearing screening outcomes at İstanbul Education and Research Hospital. İstanbul Med J. 2013;14(3):175-80. [Crossref] 
  15. Ant A, Karamert R, Bayazıt YA. İşitme kayıplarının genetik yönü ve Türkiye'deki görünümü [Genetic aspects of hearing loss and its appearance in Turkey]. Türkiye Clinics J.N.T. Special Issues. 2012;5(2):15-20. [Link] 
  16. Bolat H, Bebitoglu FG, Ozbas S, Altunsu AT, Kose MR. National newborn hearing screening program in Turkey: struggles and implementations between 2004 and 2008. Int J Pediatr Otorhinolaryngol. 2009;73(12):1621-3. [Crossref]  [PubMed] 
  17. Lin CY, Huang CY, Lin CY, Lin YH, Wu JL. Community-based newborn hearing screening program in Taiwan. Int J Pediatr Otorhinolaryngol. 2004;68(2):185-9. [Crossref]  [PubMed] 
  18. Genç GA, Ertürk BB, Belgin E. Yenidoğan işitme taraması: başlangıçtan günümüze [Newborn hearing screening: rotten from the start]. Journal of Child Health and Diseases. 2005;48(2):109-18. [Link] 
  19. Özkurt FE, Özdoğan F. Yenidoğanlarda otoakustik emisyon işitme taraması sonuçlarımız [Our otoacoustic emission hearing screening results in newborns]. ENT-Forum 2012;11(2):23-5. [Link] 
  20. Oğuzhan O, Özbey AO, Yıldırım Y, Altınışık M. Yenidoğan işitme taraması sonuçlarımız [Our newborn hearing screening results]. Caucasian Journal of Medical Sciences. 2016;6(3):181-3. [Crossref] 
  21. Susaman N, Sakallıoğlu Ö, Yıldırım YSS, Düzer S, Akyiğit A, Polat C. Elazığ Eğitim Araştırma Hastanesi yenidoğan işitme taramasI sonuçları [The results of newborn hearing screening of Elazığ Training and Research Hospital]. Kahramanmaraş Sütçü İmam University Faculty of Medicine Journal. 2017;(12)1:17-9. [Crossref] 
  22. Karaca ÇT, Toros SZ, Naiboğlu B, Verim A, Çelebi Ş. Yenidoğan işitme taraması sonuçlarımız [Our newborn hearing screening results]. Van Medical Journal. 2014;21(2):67-71. [Link] 
  23. Aricigil M, Ulutaş AR, Yücel A, Arbağ H. Yenidoğan işitme tarama sonuçlarımız [Our newborn hearing screening outcomes]. Selçuk Medical Journal. 2015;31(3):121-3. [Link] 
  24. Rechia IC, Liberalesso KP, Angst OV, Mahl FD, Garcia MV, Biaggio EP. Intensive care unit: results of the Newborn Hearing Screening. Braz J Otorhinolaryngol. 2016;82(1):76-81. [Crossref]  [PubMed]  [PMC] 
  25. Ulusoy S, Ugras H, Cingi C, Yilmaz HB, Muluk NB. The results of national newborn hearing screening (NNHS) data of 11,575 newborns from west part of Turkey. Eur Rev Med Pharmacol Sci. 2014;18(20):2995-3003. [PubMed] 
  26. Aliosmanoğlu Ç, ŞengüL E, Aylin G. Diyarbakır Çocuk Hastanesi yenidoğan işitme taraması sonuçları [The results of newborn hearing screening in Diyarbakır Children's Hospital]. Düzce Medical Journal. 2013;15(1):4-6. [Link] 
  27. Kucur C, Kınış V, Ozdem S, Kucur SK. Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi yenidoğan işitme tarama bulguları [Newborn hearing screening results at Zeynep Kamil Women and Children Diseases Education and Research Hospital]. Kulak Burun Bogaz Ihtis Derg. 2012;22(1):38-42. The Turkish Journal of Ear Nose and Throat. [Crossref]  [PubMed] 
  28. Tatli MM, Bulent Serbetcioglu M, Duman N, Kumral A, Kirkim G, Ogun B, et al. Feasibility of neonatal hearing screening program with two-stage transient otoacoustic emissions in Turkey. Pediatr Int. 2007;49(2):161-6. [Crossref]  [PubMed] 
  29. Belgin E, Şahlı AS. Yenidoğan işitme taramaları. Kemaloğlu YK, editör. Temel Odyoloji. 1. Baskı. Ankara: Güneş Tıp Kitapevleri; 2015. p.202-4.
  30. Güvey A, Sönmez HK, Güven EA. Sakarya ili yenidoğan işitme taraması sonuçları [Results of newborn hearing screening in Sakarya]. Acıbadem University Journal of Health Sciences. 2021;12(2):217-9. [Crossref] 
  31. Hızlı Ö, Sivrikaya C. Tarama ABR sonuçlarını etkileyen risk faktörleri [Risk factors affecting screening ABR results]. KBB-Forum. 2018;17(1):11-4. [Link] 
  32. Lovcevic I, Burnham D, Kalashnikova M. Language development in infants with hearing loss: Benefits of infant-directed speech. Infant Behav Dev. 2022;67:101699. [Crossref]  [PubMed] 
  33. Brodie KD, David AP, Kriss H, Chan DK. Outcomes of an early childhood hearing screening program in a low-ıncome setting. JAMA Otolaryngol Head Neck Surg. 2022;148(4):326-32. Erratum in: JAMA Otolaryngol Head Neck Surg. 2022;148(11):1081-2. [Crossref]  [PubMed]  [PMC] 

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