Print Email Facebook Twitter Hearing loss by week of gestation and birth weight in very preterm neonates Title Hearing loss by week of gestation and birth weight in very preterm neonates Author van Dommelen, P. Verkerk, P.H. van Straaten, H.L. Publication year 2015 Abstract Objective To gain insight into health and related costs associated with very preterm births, one needs accurate information about the prevalence of the disabling conditions, including neonatal hearing loss (NHL). Study design We assessed the prevalence of NHL by week of gestation and categories of birth weight in very preterm neonates. Results of the 2-stage Automated Auditory Brainstem Response nationwide Newborn Hearing Screening Program in Dutch Neonatal Intensive Care Units and diagnostic examinations were centrally registered between October 1998 and December 2012 and included in this study. NHL was defined as impaired when the neonate conventional Auditory Brainstem Response level exceeded 35 dB near Hearing Level at diagnostic examination. Birth weight was stratified into <750 g, 750-999 g, 1000-1249 g, 1250-1499 g, and ≥1500 g, and by small for gestational age (SGA; <10th percentile) vs appropriate for gestational age. Logistic regression analyses and recursive partitioning were performed. Results In total, 18 564 very preterm neonates were eligible. The prevalence of NHL consistently increased with decreasing week of gestation (1.2%-7.5% from 31 to 24 weeks) and decreasing birth weight (1.4%-4.8% from ≥1500 g to <750 g, all P < .002). Most vulnerable to NHL were girls <28 weeks, boys <30 weeks, and SGA neonates. The SGA effect started at 27 weeks. Conclusions Gestational age and birth weight quantify the risk of NHL. This information can be used at the individual level for parent counseling and at the population level for medical decision making. Subject LifeLS - Life Style CH - Child HealthELSS - Earth, Life and Social SciencesHealthy for LifeHealthHealthy LivingAutomated auditory brainstem responseAppropriate for gestational ageGestational ageHearing lossNeurodevelopmental impairmentNeonatal hearing lossNewborn Hearing Screening ProgramNeonatal intensive care unitSmall for gestational ageAuditory screeningBirth weightDiagnostic test accuracy studyDisabled personEvoked brain stem auditory responseFemaleGestation periodHealth care costHearing impairmentHigh risk populationHumanMajor clinical studyMaleNewbornNewborn diseaseNewborn intensive careNewborn screeningPremature laborPrematurityPrevalenceSmall for date infantVery low birth weightVulnerable population To reference this document use: http://resolver.tudelft.nl/uuid:aa76e448-f8a1-4c0a-873b-ad45a61efee7 DOI https://doi.org/10.1016/j.jpeds.2014.12.041 TNO identifier 525728 Source Journal of Pediatrics, 166 (4), 840-843 Document type article Files To receive the publication files, please send an e-mail request to TNO Library.