Hearing screening outcomes in pediatric critical care survivors: a 1-year report
Background Hearing loss is a potentially serious complication that can occur after surviving a critical illness. Study on screening for hearing problems in pediatric critical care survivors beyond the neonatal period is lacking. This study aimed to identify the prevalence of abnormal hearing screeni...
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| Format: | Article |
| Language: | English |
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Korean Society of Critical Care Medicine
2022-05-01
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| Series: | Acute and Critical Care |
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| Online Access: | http://www.accjournal.org/upload/pdf/acc-2021-00899.pdf |
| _version_ | 1811312329258696704 |
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| author | Pattita Suwannatrai Chanapai Chaiyakulsil |
| author_facet | Pattita Suwannatrai Chanapai Chaiyakulsil |
| author_sort | Pattita Suwannatrai |
| collection | DOAJ |
| description | Background Hearing loss is a potentially serious complication that can occur after surviving a critical illness. Study on screening for hearing problems in pediatric critical care survivors beyond the neonatal period is lacking. This study aimed to identify the prevalence of abnormal hearing screening outcomes using transitory evoked otoacoustic emission (TEOAE) screening in children who survived critical illness and to find possible associating factors for abnormal hearing screening results. Methods This study was a single-center, prospective, observational study. All children underwent otoscopy to exclude external and middle ear abnormalities before undergoing TEOAE screening. The screening was conducted before hospital discharge. Descriptive statistics, chi-square, and logistic regression tests were used for data analysis. Results A total of 92 children were enrolled. Abnormal TEOAE responses were identified in 26 participants (28.3%). Children with abnormal responses were significantly younger than those with normal responses with a median age of 10.0 months and 43.5 months, respectively (P<0.001). Positive association with abnormal responses was found in children younger than 12 months of age (adjusted odds ratio [OR], 3.07; 95% confidence interval [CI], 1.06–8.90) and children with underlying genetic conditions (adjusted OR, 6.95; 95% CI, 1.49–32.54). Conclusions Our study demonstrates a high prevalence of abnormal TEOAE screening responses in children surviving critical illness, especially in patients younger than 12 months of age. More extensive studies should be performed to identify the prevalence and associated risk factors of hearing problems in critically ill children. |
| first_indexed | 2024-04-13T10:35:23Z |
| format | Article |
| id | doaj.art-e17ac638f44c42828037413f306dc751 |
| institution | Directory Open Access Journal |
| issn | 2586-6052 2586-6060 |
| language | English |
| last_indexed | 2024-04-13T10:35:23Z |
| publishDate | 2022-05-01 |
| publisher | Korean Society of Critical Care Medicine |
| record_format | Article |
| series | Acute and Critical Care |
| spelling | doaj.art-e17ac638f44c42828037413f306dc7512022-12-22T02:50:05ZengKorean Society of Critical Care MedicineAcute and Critical Care2586-60522586-60602022-05-0137220921610.4266/acc.2021.008991355Hearing screening outcomes in pediatric critical care survivors: a 1-year reportPattita Suwannatrai0Chanapai Chaiyakulsil1 Department of Pediatrics, Faculty of Medicine, Thammasat University, Pathumthani, Thailand Division of Pediatric Critical Care, Department of Pediatrics, Thammasat University Hospital, Faculty of Medicine, Thammasat University, Pathumthani, ThailandBackground Hearing loss is a potentially serious complication that can occur after surviving a critical illness. Study on screening for hearing problems in pediatric critical care survivors beyond the neonatal period is lacking. This study aimed to identify the prevalence of abnormal hearing screening outcomes using transitory evoked otoacoustic emission (TEOAE) screening in children who survived critical illness and to find possible associating factors for abnormal hearing screening results. Methods This study was a single-center, prospective, observational study. All children underwent otoscopy to exclude external and middle ear abnormalities before undergoing TEOAE screening. The screening was conducted before hospital discharge. Descriptive statistics, chi-square, and logistic regression tests were used for data analysis. Results A total of 92 children were enrolled. Abnormal TEOAE responses were identified in 26 participants (28.3%). Children with abnormal responses were significantly younger than those with normal responses with a median age of 10.0 months and 43.5 months, respectively (P<0.001). Positive association with abnormal responses was found in children younger than 12 months of age (adjusted odds ratio [OR], 3.07; 95% confidence interval [CI], 1.06–8.90) and children with underlying genetic conditions (adjusted OR, 6.95; 95% CI, 1.49–32.54). Conclusions Our study demonstrates a high prevalence of abnormal TEOAE screening responses in children surviving critical illness, especially in patients younger than 12 months of age. More extensive studies should be performed to identify the prevalence and associated risk factors of hearing problems in critically ill children.http://www.accjournal.org/upload/pdf/acc-2021-00899.pdfcritical care outcomesdiagnostic screening programotoacoustic emissionpediatricssurvivors |
| spellingShingle | Pattita Suwannatrai Chanapai Chaiyakulsil Hearing screening outcomes in pediatric critical care survivors: a 1-year report Acute and Critical Care critical care outcomes diagnostic screening program otoacoustic emission pediatrics survivors |
| title | Hearing screening outcomes in pediatric critical care survivors: a 1-year report |
| title_full | Hearing screening outcomes in pediatric critical care survivors: a 1-year report |
| title_fullStr | Hearing screening outcomes in pediatric critical care survivors: a 1-year report |
| title_full_unstemmed | Hearing screening outcomes in pediatric critical care survivors: a 1-year report |
| title_short | Hearing screening outcomes in pediatric critical care survivors: a 1-year report |
| title_sort | hearing screening outcomes in pediatric critical care survivors a 1 year report |
| topic | critical care outcomes diagnostic screening program otoacoustic emission pediatrics survivors |
| url | http://www.accjournal.org/upload/pdf/acc-2021-00899.pdf |
| work_keys_str_mv | AT pattitasuwannatrai hearingscreeningoutcomesinpediatriccriticalcaresurvivorsa1yearreport AT chanapaichaiyakulsil hearingscreeningoutcomesinpediatriccriticalcaresurvivorsa1yearreport |