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Sensorineural hearing loss in congenital diaphragmatic hernia survivors is associated with postnatal management and not defect size

Published:February 07, 2014DOI:https://doi.org/10.1016/j.jpedsurg.2014.01.049

      Abstract

      Background/Purpose

      We determined the incidence of sensorineural hearing loss (SNHL; >20 dB at any frequency) in a contemporary cohort of congenital diaphragmatic hernia (CDH) survivors at a single tertiary care center and identified potential risk factors for SNHL.

      Methods

      From 2000 through 2011, clinical and audiologic data were collected on 122 surgically-repaired Bochdalek CDH patients. CDH defect size, duration of ventilation, and cumulative aminoglycoside treatment were used for multivariate logistic regression.

      Results

      Incidence of SNHL was 7.4% (9/122). We identified one significant independent predictor of SNHL: cumulative length of aminoglycoside treatment (P < .001; OR 1.44, 95% CI: 1.13–1.83).

      Conclusions

      Over the last decade, the incidence of SNHL in our CDH patients is low compared to previous reports in the literature (7.4%) and is not associated with CDH defect size or the need for extracorporeal membrane oxygenation. Prolonged duration of aminoglycoside treatment increases the risk of SNHL independent of defect size and duration of ventilation.

      Abbreviations:

      AAP (American Academy of Pediatrics), ABR (auditory brainstem response), AUC (area under the curve), BCH (Boston Children’s Hospital), CDH (congenital diaphragmatic hernia), dB HL (decibels hearing level), ECMO (extracorporeal membrane oxygenation), GI (gastrointestinal), ICU (intensive care unit), JCIH (Joint Committee on Infant Hearing), LOS (length of stay), ROC (receiver operating characteristic), SNHL (sensorineural hearing loss)

      Key words

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