Prevalence of Hearing Loss Among High-Risk Neonates in a Tertiary Care Center in Northeastern India: A Hospital-Based Observational Study
摘要
Hearing impairment in neonates can severely affect speech, language, and cognitive development. high-risk neonates are particularly vulnerable, and early detection is critical for timely intervention.To assess the prevalence and severity of hearing loss among high-risk neonates admitted to the nicu at a tertiary care hospital of northeastern india using brainstem evoked response audiometry (bera).A hospital-based observational study was conducted over one year (june 2021 to may 2022) involving 104 high-risk neonates. risk factors were classified based on joint committee on infant hearing (jcih) guidelines. bera testing was performed at nicu discharge or within six months of life. statistical analysis was done using spss v26.Of the 104 neonates tested, 13 (12.5%) showed hearing impairment. The most common risk factors included birth asphyxia, preterm birth, low birth weight, sepsis, and ototoxic drug use. A significant association was found between neonatal meningitis and hearing loss (p < 0.05).The study highlights a substantial prevalence of hearing impairment among high-risk neonates, underscoring the need for early screening. BERA is a reliable method for early detection, enabling timely interventions like hearing aids or cochlear implants to improve developmental outcomes.