Incidence of hearing loss in high risk and intensive care nursery infants.

R Sanders, A Durieux-Smith, M Hyde, J Jacobson, P Kileny, O Murnane
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Abstract

The incidence of hearing impairment in high risk infants is summarized for five programs which use brainstem electric response audiometry (BERA) to detect hearing loss in this population. Programs are compared with respect to the following variables which may affect reported incidence figures: population characteristics, stimulus and recording parameters, criteria for failure on the initial BERA test, and follow-up protocols. Between 10-30% of these infants fail an initial BERA test, with initial failure rate largely dependent on the failure criteria used. Approximately 10% will continue to show some degree of hearing impairment on follow-up tests at 2-5 months of age. Between 2-4% will have a moderate to profound bilateral sensorineural hearing loss requiring amplification and habilitation.

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高危和重症婴幼儿听力损失发生率分析。
本文总结了使用脑干电反应听力学(BERA)检测高危婴儿听力损失的五个项目。根据以下可能影响报告发病率的变量对方案进行比较:人群特征、刺激和记录参数、初始BERA测试失败的标准和随访方案。这些婴儿中有10-30%未能通过最初的BERA测试,初始失败率很大程度上取决于所使用的失败标准。在2-5个月大的随访测试中,大约10%的婴儿会继续表现出一定程度的听力障碍。2-4%的人会有中度到重度双侧感音神经性听力损失,需要放大和康复。
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