Screening of delayed-onset hearing loss in preschool children in the mid-south of China

Int J Audiol. 2013 Aug;52(8):568-71. doi: 10.3109/14992027.2013.796408. Epub 2013 May 28.

Abstract

Objective: Newborn hearing screening has been successfully implemented worldwide to improve the detection of hearing loss. However, delayed-onset hearing loss subsequent to newborn hearing screening remains a concern. This study aimed to investigate the prevalence of delayed-onset hearing loss in preschool children who previously passed newborn hearing screening in Hubei Province in mid-south China.

Design: Preschool children were screened by transient evoked otoacoustic emission (TEOAE) for delayed-onset hearing loss. Children referred after the TEOAE screening were assessed audiologically.

Study sample: Between March 2010 and September 2011, 28 546 preschool children (4.86 ± 1.67 years old), who had passed newborn hearing screening were targeted for screening from four cities in Hubei Province, China.

Results: During the study period, 540 children (1.89%) were referred for audiologic assessment and 22 (0.77/1000) of them had permanent delayed-onset hearing loss, including 8 (0.28/1000) with bilateral moderate hearing loss, 10 (0.35/1000) with mild bilateral hearing loss, 2 (0.07/1000) with unilateral moderate hearing loss, and 2 (0.07/1000) with unilateral mild hearing loss.

Conclusions: Despite the success of newborn hearing screening, the provision of hearing screening in preschool remains essential for identifying delayed-onset hearing loss.

MeSH terms

  • Age of Onset
  • Audiometry, Pure-Tone
  • Child
  • Child Health Services*
  • Child, Preschool
  • China / epidemiology
  • Cross-Sectional Studies
  • Female
  • Hearing Loss / diagnosis*
  • Hearing Loss / epidemiology
  • Hearing Loss / physiopathology
  • Hearing Loss, Bilateral / diagnosis
  • Hearing Loss, Bilateral / epidemiology
  • Hearing Loss, Bilateral / physiopathology
  • Hearing Loss, Unilateral / diagnosis
  • Hearing Loss, Unilateral / epidemiology
  • Hearing Loss, Unilateral / physiopathology
  • Hearing Tests*
  • Hearing*
  • Humans
  • Male
  • Mass Screening / methods*
  • Otoacoustic Emissions, Spontaneous
  • Otoscopy
  • Predictive Value of Tests
  • Prevalence
  • Severity of Illness Index