Neonatal hearing screening among highrisk newborns in Northwestern Nigeria
Yikawe, Semen Stephen, Aliyu, Nasir, Solomon, Joseph Hassan, Lawal, Shuaibu, Adeyemi, Musbau, Wapmuk, Agatha Eileen, Adamu, Andrew Musa, Anyasodor, Anayochukwu Edward, and Adegboye, Oyelola A. (2025) Neonatal hearing screening among highrisk newborns in Northwestern Nigeria. PeerJ, 13. e20002.
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Abstract
Background. Neonatal Intensive Care Unit (NICU) patients are at an increased risk of developing hearing loss. Given the critical role of normal hearing in speech and language development, early detection and treatment of this condition in children are paramount. Methods. Hearing assessments were performed using transient evoked otoacoustic emission (TEOAE) and automated auditory brain stem response (AABR) tests on 60 neonates. The resulting data were analysed using R version 4.3.3. Results. Out of the 60 neonates enrolled in the study, 57% were males and 43% were females, and their ages ranged from 1 to 30 days. A total of 43 (71.7%) neonates passed both hearing tests, while 17 (28.3%) failed. In the unadjusted analysis, low birth weight, prematurity, birth asphyxia, and gestational age were significantly associated with neonatal hearing screening failure. Premature neonates and those with low birth weight had markedly higher odds of failing the screening (Odds Ratio (OR)=24.4; 95% confidence interval (CI) [5.85-135.0] and OR = 12.3; 95% CI [3.5-50.6], respectively), while gestational age was associated with lower odds of failure (OR = 0.59; 95% CI [0.43-0.76]). In the multivariable model, after accounting for multicollinearity, only gestational age remained a statistically significant predictor, with each additional week associated with reduced odds of screening failure (adjusted OR = 0.60; 95% CI [0.43-0.80]). Conclusion. Our findings underscore the importance of early screening for hearing loss in high-risk neonates in the NICU to facilitate timely interventions.
| Item ID: | 90612 |
|---|---|
| Item Type: | Article (Research - C1) |
| ISSN: | 2167-8359 |
| Keywords: | Auditory brainstem response, Hearing loss, Neonatal intensive care unit, Neonates, Nigeria, Otoacoustic emission |
| Copyright Information: | © Copyright 2025 Yikawe et al. Distributed under Creative Commons CC-BY 4.0 |
| Date Deposited: | 29 Oct 2026 06:06 |
| FoR Codes: | 32 BIOMEDICAL AND CLINICAL SCIENCES > 3213 Paediatrics > 321303 Neonatology @ 50% 42 HEALTH SCIENCES > 4201 Allied health and rehabilitation science > 420102 Audiology @ 50% |
| SEO Codes: | 20 HEALTH > 2005 Specific population health (excl. Indigenous health) > 200506 Neonatal and child health @ 100% |
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