Skip to main content

Advertisement

Log in

Assessment of Hearing in High Risk Infants, Using Brainstem Evoked Response Audiometry

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Hearing plays a basic and important role in language, speech and intellectual development. A hearing impaired child develops psychological, social, educational and cognitive problems. The aim is to evaluate the hearing in high-risk neonates using BERA. 50 High risk admissions in the NICU and high- risk infants presenting to the OPD of our hospital for a period of 2 years were included in the study. Of the 50 high-risk infants, 44 (88%) cases had impaired BERA, remaining 6 (12%) had normal hearing threshold. LBW and hyperbilirubinemia were found to have strong relationship with hearing impairment (p value 0.04 and 0.03 respectively) and OR of 1.98 and 1.75 respectively. Elevated auditory threshold was found more frequently in infants with multiple clinical adverse factors than in those having single risk factor (36/50 vs. 8/50, p < 0.009). Proportion of infants with impaired BERA was high in infants with low birth weight and hyperbilirubinemia in exchange range. Screening by BERA at an early age is beneficial for early diagnosis of hearing impairment, so that possible interventions can be used as early as possible and prevent developmental delays in newborns.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Behrman RE, Kliegman R, Jenson HB (2007) Nelson textbook of pediatrics, 18th edn. WB Saunders, Philadelphia, pp 2620–2628

    Google Scholar 

  2. Rahul KS, Michael CL, Glenn CI (2011) Hearing impairment clinical presentation. Medscape Reference

  3. Mitchell RB, Pereira KD (eds.) (2009) Pediatric otolaryngology for the clinician. Springer, Berlin. https://doi.org/10.1007/978-1-60327-127-1_2

  4. Fakhraee SH, Kazemian M, Amidieh AA (2004) Hearing assessment of the high risk neonates admitted to Mofid hospital for children during 2001–2002, using auditory brainstem response (ABR). Arch Iran Med 7(1):44–46

    Google Scholar 

  5. Centers for Disease Control and Prevention National Center on Birth Defects and Developmental Disabilities. Hearing loss. Accessed at https://www.cdc.gov/nebddd/dd/ddhi.htm

  6. Yoshinaga- IC (2003) Early Intervention after universal neonatal hearing screening impact on outcomes. Ment Retard Dev Disabil Res Rev 9(4):252–266

    Article  Google Scholar 

  7. Bess FH, Paradise JL (1994) Universal Screening for infant hearing impairment; not simple, not risk-free, not necessarily beneficial, and not presently justified. Pediatrics 93(2):330

    CAS  PubMed  Google Scholar 

  8. Sharma P, Chhangani NP, Meena KR, Jora R, Sharma N, Gupta BD (2006) Brainstem evoked response audiometry (BAER) in neonates with hyperbilirubinemia. Indian J Pediatr 73:413–416

    Article  Google Scholar 

  9. Zamani A, Daneshjou K, Ameni A, Takand J (2004) Estimating the incidence of neonatal hearing loss in high risk neonates. Acta MedicaIranica 42(3):176–180

    Google Scholar 

  10. Chadha S, Bais AS (1997) Auditory brainstem responses in high risk and normal newborns. Indian J Pediatr 64:777–784

    Article  CAS  Google Scholar 

  11. Aiyer RG, Parikh B (2009) Evaluation of auditory brainstem responses for hearing screening of high-risk infants. Indian J Otolaryngol Head Neck Surg 61:47–53

    Article  CAS  Google Scholar 

  12. vanStraaten HL (1999) Automated auditory brainstem response in neonatal hearing screening. Acta Paediatr Suppl 88(432):76–79. https://doi.org/10.1111/j.1651-2227.1999.tb01165.x

    Article  CAS  Google Scholar 

  13. Shannon DA, Felix JK, Krumholz A, Goldstein PJ, Harris KC (1984) Hearing screening of high-risk newborns with brainstem auditory evoked potentials: a follow-up study. Pediatrics 73(1):22–26

    CAS  PubMed  Google Scholar 

  14. CIH (2007) Position statement significant changes. Available from http://www.jcih.org/posstatemts.htm

  15. Duara S, Suter CM, Bessard KK, Gutberlet RL (1986) Neonatal screening with auditory brainstem responses: results of follow-up audiometry and risk factor evaluation. J Pediatr 108(2):276–281. https://doi.org/10.1016/s0022-3476(86)81004-6

    Article  CAS  PubMed  Google Scholar 

  16. Leech RW, Alvird EC (1997) Anoxic-ischemic encephalopathy in the human neonatal period. The significance of brainstem involvement. Arch Neurol 34(2):109–113

    Article  Google Scholar 

  17. Lakshmi T, Zaheera Sultana S, Brid SV (2014) Evoked response audiometry in high risk infants. Int J Recent Trends Sci Technol 12(1):08–12

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Srinivas Champion.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

Obtained from the ethical committee of our institution.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Champion, S. Assessment of Hearing in High Risk Infants, Using Brainstem Evoked Response Audiometry. Indian J Otolaryngol Head Neck Surg 73, 383–388 (2021). https://doi.org/10.1007/s12070-020-02363-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-020-02363-1

Keywords

Navigation