Four Factors that Accurately Predict Hearing Loss in “High Risk” Neonates
Four Factors that Accurately Predict Hearing Loss in “High Risk” Neonates
复制标题
准确预测“高危”新生儿听力损失的四个因素
作者：
J. Halpern;H. Hosford;N. Malachowski
两项简单的总体健康指标——在重症监护托儿所 (ICN) 的停留时间和孕龄可预测 ICN 毕业生的听力损失。颅面异常、先天性围产期感染和胎便吸入是听力损失的强烈预测因素，尤其是足月婴儿。研究结果基于对可能与永久性听力损失相关的许多变量的单变量和多变量分析。研究变量包括所有七个高风险登记项目以及 ICN 历史的许多其他特征。他们对 799 名 ICN 毕业生进行了检查，这些毕业生在生命的最初几年就接受了听力监测。这些婴儿占 ICN 人群的 40%，之所以被选中是因为他们的新生儿史中有一个或多个“高风险”因素。该高风险样本中的听力损失患病率与其他 ICN 样本中发现的相似。与个别风险登记项目相关的听力损失患病率与其他已发表的某些项目的调查结果相似，而其他项目则不然。
Two simple overall measures of health—length of stay in the Intensive Care Nursery (ICN) and gestational age-predict hearing loss in ICN graduates. Craniofacial anomalies, congenital perinatal infections, and meconium aspiration are strong predictors of hearing loss, especially in term infants. Findings are based on univariate and multivariate analyses of a number of variables that might be associated with permanent hearing loss. Study variables included all seven High Risk Register items and a number of other features of the ICN history. They were examined in 799 ICN graduates whose hearing had been monitored in their first few years of life. These babies composed 40% of the ICN population and were selected because they had one or more “high risk” factors in their neonatal history. Prevalence of hearing loss in this high risk sample was similar to that found in other ICN samples. Prevalence of hearing loss associated with individual Risk Register items was similar to other published findings for some items and not for others.