ASSESSMENT OF HEARING LOSS PREVALENCE IN INFANTS THROUGH A TWO-STAGE SCREENING PROGRAM AT THE UNIVERSITY MEDICAL CENTER HO CHI MINH CITY
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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
Keywords
newborn hearing loss, hearing screening, transient evoked otoacoustic emissions, automated auditory brainstem response.
References
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