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Three years of vestibular infant screening in infants with sensorineural hearing loss

(2022) PEDIATRICS. 150(1).
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Abstract
OBJECTIVES: Although vestibular deficits are more prevalent in hearing-impaired children and can affect their development on many levels, a pediatric vestibular assessment is still uncommon in clinical practice. Since early detection may allow for timely intervention, this pioneer project has implemented a basic vestibular screening test for each six-month-old hearing-impaired infant in Flanders, Belgium. This study aims to report the vestibular screening results over a period of three years and to define the most important risk factors for abnormal vestibular screening results. METHODS: Cervical Vestibular Evoked Myogenic Potentials with bone-conduction were used as a vestibular screening tool in all reference centers affiliated to the Universal Newborn Hearing Screening Program in Flanders. From June 2018 until June 2021, 254 infants (mean age: 7.4 months, standard deviation: 2.4 months) with sensorineural hearing loss were included. RESULTS: Overall, abnormal vestibular screening results were found in 13.8% (35 of 254) of the infants. The most important group at risk for abnormal vestibular screening results were infants with unilateral or bilateral severe to profound sensorineural hearing loss (20.8%, 32 of 154) (P <.001, odds ratio = 9.16). Moreover, abnormal vestibular screening results were more prevalent in infants with hearing loss caused by meningitis (66.7%, 2 of 3), syndromes (28.6%, 8 of 28), congenital cytomegalovirus infection (20.0%, 8 of 40), and cochleovestibular anomalies (19.2%, 5 of 26). CONCLUSIONS: The vestibular screening results in infants with sensorineural hearing loss indicate the highest risk for vestibular deficits in severe to profound hearing loss, and certain underlying etiologies of hearing loss, such as meningitis, syndromes, congenital cytomegalovirus, and cochleovestibular anomalies.

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Citation

Please use this url to cite or link to this publication:

MLA
Martens, Sarie, et al. “Three Years of Vestibular Infant Screening in Infants with Sensorineural Hearing Loss.” PEDIATRICS, vol. 150, no. 1, 2022, doi:10.1542/peds.2021-055340.
APA
Martens, S., Dhooge, I., Dhondt, C., Vanaudenaerde, S., Sucaet, M., Van Hoecke, H., … Maes, L. (2022). Three years of vestibular infant screening in infants with sensorineural hearing loss. PEDIATRICS, 150(1). https://doi.org/10.1542/peds.2021-055340
Chicago author-date
Martens, Sarie, Ingeborg Dhooge, Cleo Dhondt, Saartje Vanaudenaerde, Marieke Sucaet, Helen Van Hoecke, Els De Leenheer, et al. 2022. “Three Years of Vestibular Infant Screening in Infants with Sensorineural Hearing Loss.” PEDIATRICS 150 (1). https://doi.org/10.1542/peds.2021-055340.
Chicago author-date (all authors)
Martens, Sarie, Ingeborg Dhooge, Cleo Dhondt, Saartje Vanaudenaerde, Marieke Sucaet, Helen Van Hoecke, Els De Leenheer, Lotte Rombaut, An Boudewyns, Christian Desloovere, Anne-Sophie Vinck, Sebastien Janssens de Varebeke, Dominique Verschueren, Margriet Verstreken, Ina Foulon, Charlotte Staelens, Claudia De Valck, Robbe Calcoen, Nele Lemkens, Okan Öz, Mieke De Bock, Lisa Haverbeke, Christoph Verhoye, Frank Declau, Benoit Devroede, Glen Forton, Naima Deggouj, and Leen Maes. 2022. “Three Years of Vestibular Infant Screening in Infants with Sensorineural Hearing Loss.” PEDIATRICS 150 (1). doi:10.1542/peds.2021-055340.
Vancouver
1.
Martens S, Dhooge I, Dhondt C, Vanaudenaerde S, Sucaet M, Van Hoecke H, et al. Three years of vestibular infant screening in infants with sensorineural hearing loss. PEDIATRICS. 2022;150(1).
IEEE
[1]
S. Martens et al., “Three years of vestibular infant screening in infants with sensorineural hearing loss,” PEDIATRICS, vol. 150, no. 1, 2022.
@article{8742410,
  abstract     = {{OBJECTIVES: Although vestibular deficits are more prevalent in hearing-impaired children and can affect their development on many levels, a pediatric vestibular assessment is still uncommon in clinical practice. Since early detection may allow for timely intervention, this pioneer project has implemented a basic vestibular screening test for each six-month-old hearing-impaired infant in Flanders, Belgium. This study aims to report the vestibular screening results over a period of three years and to define the most important risk factors for abnormal vestibular screening results.

METHODS: Cervical Vestibular Evoked Myogenic Potentials with bone-conduction were used as a vestibular screening tool in all reference centers affiliated to the Universal Newborn Hearing Screening Program in Flanders. From June 2018 until June 2021, 254 infants (mean age: 7.4 months, standard deviation: 2.4 months) with sensorineural hearing loss were included.

RESULTS: Overall, abnormal vestibular screening results were found in 13.8% (35 of 254) of the infants. The most important group at risk for abnormal vestibular screening results were infants with unilateral or bilateral severe to profound sensorineural hearing loss (20.8%, 32 of 154) (P <.001, odds ratio = 9.16). Moreover, abnormal vestibular screening results were more prevalent in infants with hearing loss caused by meningitis (66.7%, 2 of 3), syndromes (28.6%, 8 of 28), congenital cytomegalovirus infection (20.0%, 8 of 40), and cochleovestibular anomalies (19.2%, 5 of 26).

CONCLUSIONS: The vestibular screening results in infants with sensorineural hearing loss indicate the highest risk for vestibular deficits in severe to profound hearing loss, and certain underlying etiologies of hearing loss, such as meningitis, syndromes, congenital cytomegalovirus, and cochleovestibular anomalies.}},
  articleno    = {{e2021055340}},
  author       = {{Martens, Sarie and Dhooge, Ingeborg and Dhondt, Cleo and Vanaudenaerde, Saartje and Sucaet, Marieke and Van Hoecke, Helen and De Leenheer, Els and Rombaut, Lotte and Boudewyns, An and Desloovere, Christian and Vinck, Anne-Sophie and Janssens de Varebeke, Sebastien and Verschueren, Dominique and Verstreken, Margriet and Foulon, Ina and Staelens, Charlotte and De Valck, Claudia and Calcoen, Robbe and Lemkens, Nele and Öz, Okan and De Bock, Mieke and Haverbeke, Lisa and Verhoye, Christoph and Declau, Frank and Devroede, Benoit and Forton, Glen and Deggouj, Naima and Maes, Leen}},
  issn         = {{0031-4005}},
  journal      = {{PEDIATRICS}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{11}},
  title        = {{Three years of vestibular infant screening in infants with sensorineural hearing loss}},
  url          = {{http://doi.org/10.1542/peds.2021-055340}},
  volume       = {{150}},
  year         = {{2022}},
}

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