Implementation and results of bedside hearing screening with automated auditory brainstem response in the neonatal intensive care unit.
Acta Paediatr
; 101(9): e392-8, 2012 Sep.
Article
em En
| MEDLINE
| ID: mdl-22591124
ABSTRACT
AIM:
To evaluate implementation and results of neonatal hearing screening with automated auditory brainstem response (AABR) by bedside nurses in a single-centre neonatal intensive care unit (NICU).METHODS:
Retrospective review of charts of 2074 newborns admitted over a 4-year period.RESULTS:
One thousand eight hundred and 24 newborns (88%) were screened. A 'pass' result was obtained in 1761 patients (96.5%). From 63 infants with 'refer', 40 were tested with auditory brainstem response in 28 hearing loss was confirmed. Three hundred and nine neonates were screened before postmenstrual age (PMA) of 34 weeks 78% successfully passed the first test. Sixty-seven infants with 'refer' at the first test before PMA of 34 weeks were re-evaluated 48 had normal hearing tests, 24 of whom still younger than 34 weeks. For 12 of 19 infants with 'refer' before 34 weeks, follow-up was available in 7 hearing loss was confirmed.CONCLUSION:
Neonatal hearing screening with AABR can be easily performed by the bedside nurse in the NICU even in premature babies before 34 weeks PMA. A 'pass' result can be obtained in almost 80% of them; a 'refer' result at that age, however, must be interpreted cautiously, as false 'refer' occurred in 5/12 of these infants.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Unidades de Terapia Intensiva Neonatal
/
Potenciais Evocados Auditivos do Tronco Encefálico
/
Perda Auditiva
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Screening_studies
Limite:
Female
/
Humans
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Male
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Newborn
Idioma:
En
Revista:
Acta Paediatr
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Bélgica