ASSESSMENT OF HEARING LOSS PREVALENCE IN INFANTS THROUGH A TWO-STAGE SCREENING PROGRAM AT THE UNIVERSITY MEDICAL CENTER HO CHI MINH CITY

Xuân Quang Lý, Thảo Định Phan

Main Article Content

Abstract

Background: Congenital hearing loss is a significant public health issue. Early screening plays a crucial role in timely intervention to optimize children's language development. Objective: To investigate the prevalence of hearing loss in infants through a two-stage hearing screening program using transient evoked otoacoustic emissions (TEOAE) and automated auditory brainstem response (AABR) at the University Medical Center Ho Chi Minh City. Materials and Methods: A cross-sectional, retrospective descriptive study was conducted on 919 infants born and screened for hearing loss at the University Medical Center HCMC from September 2024 to May 2025. Infants underwent stage 1 screening with TEOAE. Cases with a "Refer" result were scheduled for stage 2 screening with AABR. The prevalence of hearing loss and the screening completion rate were analyzed using descriptive statistics. Results: The referral rate after the first stage of TEOAE screening was 5.2% (48/919). Among these 48 infants, only 18 returned for the second-stage AABR screening, resulting in a completion rate of 37.5%. After AABR measurement, 7 infants had a "Refer" result. The final prevalence of suspected hearing loss after the two-stage screening protocol was 0.8% (7/919). Conclusion: The prevalence of suspected hearing loss in this study was 0.8%, which is consistent with data from the Asian region. However, the high loss-to-follow-up rate after the first screening stage (62.5%) presents a major challenge that needs to be addressed to improve the effectiveness of the screening program.

Article Details

References

1. World Health Organization. Newborn and infant hearing screening: current issues and guiding principles for action. WHO, editor. Geneva: World Health Organization; 2010.
2. Emma Butcher CD, Mario Cortina-Borja, Rachel L Knowles. Prevalence of permanent childhood hearing loss detected at the universal newborn hearing screen: Systematic review and meta-analysis. PLoS One. 2019;14(7):e0219600.
3. Lê Diễm Hương, Phạm Quang Ánh. Tầm soát khiếm thính trẻ sơ sinh tại bệnh viện phụ sản quốc tế sài gòn 2007. Available from: https://www.tudu.com.vn/cache/0759579_Khiemthinhotresosinh.pdf
4. World Health Organization. World report on hearing. Geneva2021. p. 252.
5. American Academy of Pediatrics JCoIH. Principles and guidelines for early hearing detection and intervention programs. Pediatrics. 2019;144(2):e2019–1357.
6. Lin HC, Shu, M. T. reducing false positives in newborn hearing screening program: how and why. Otol Neurotol. 2007;28(6):788–92.
7. Pitathawatchai P, Khaimook W, Kirtsreesakul V. Pilot implementation of newborn hearing screening programme at four hospitals in southern Thailand. Bull World Health Organ. 2019;97(10):663–671.
8. Mazlan RR, Kausallya Abdullah. A 10-year retrospective analysis of newborn hearing screening in a tertiary hospital in Malaysia. The Egyptian Journal of Otolaryngology. 2022;38:135.