Bibliographic Details
| Title: |
Newborn Hearing Screening Results for Infants With Prenatal Opioid Exposure in Southern Appalachia. |
| Authors: |
Hite, Marcy K.1 hitemk@etsu.edu, Chroust, Alyson J.2, Proctor-Williams, Kerry1, Lowe, Jennifer L.1 |
| Source: |
Journal of Speech, Language & Hearing Research. Apr2024, Vol. 67 Issue 4, p1268-1280. 13p. |
| Subject Terms: |
*Statistical correlation, *Audiometry, *Retrospective studies, *Longitudinal method, *Research, *Hearing, *Children, Newborn screening, Prenatal exposure delayed effects, Neonatal abstinence syndrome, Research funding, Opioid analgesics, Electronic health records, Brain stem, Auditory evoked response, Sensitivity & specificity (Statistics) |
| Geographic Terms: |
Appalachian Region |
| Abstract: |
Purpose: Infants prenatally exposed to opioids exhibit withdrawal symptomology that introduce physiological noise and can impact newborn hearing screening results. This study compared the referral rate and physiological noise interpreted by number of trials rejected due to artifact on initial newborn hearing screenings of infants with prenatal opioid exposure (POE) and infants with no opioid exposure (NOE). Furthermore, within the POE group, it examined the relationship of referral rates with severity of withdrawal symptomology, and with maternal and infant risk factors. Method: This study used a retrospective cohort design of electronic medical records from six delivery hospitals in South-Central Appalachia. Newborn hearing screenings were conducted using automated auditory brainstem response (ABR) for 334 infants with POE and 226 infants with NOE. Severity of withdrawal symptomology was measured using the Modified Finnegan Neonatal Abstinence Scoring Tool, which includes observation of behaviors that introduce physiological noise. Results: There was no significant difference in newborn hearing screening referral rate between infants with POE and infants with NOE. Referral rate was not affected by maternal or infant risk factors. Infants with POE had statistically significant higher artifact (defined as rejected ABR sweeps) than infants with NOE. There was a strong positive correlation between Finnegan scores and artifact but not referral rates. Sensitivity and specificity analysis indicated artifact decreased substantially after Day 4 of life. Conclusions: Referral rates of infants with POE were similar to those of infants with NOE. Nevertheless, the withdrawal symptomology of infants with POE introduces physiological noise reflected as artifact on ABR, which can affect efficiency of newborn hearing screenings. [ABSTRACT FROM AUTHOR] |
|
Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| Database: |
Education Research Complete |
