{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T14:47:13Z","timestamp":1792594033147,"version":"4.5.0"},"reference-count":64,"publisher":"Georg Thieme Verlag KG","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This study aimed to determine hearing screen outcomes and identify clinical and environmental risk factors for hearing screen failure in very preterm infants at a level IV single-family room (SFR) neonatal intensive care unit (NICU).<\/jats:p>\n                  <jats:p>We conducted a retrospective study of infants &lt;33 weeks gestational age admitted to a level IV SFR NICU who survived to discharge and had automated auditory brainstem response results available. Demographics, antenatal and postnatal factors, and respiratory support modes and their duration were collected from the electronic medical record.<\/jats:p>\n                  <jats:p>Of 425 eligible infants with documented hearing screen results, 353 (83%) passed and 72 (17%) failed the hearing screen (unilateral, N\u2009=\u200944 [61%]; bilateral, N\u2009=\u200928 [39%]). Compared to infants who passed the hearing screen, infants with hearing screen failure were lower gestational age and birth weight, male sex, were screened at later postnatal and postmenstrual ages (PMAs), had lower 1- and 5-minute Apgar scores, longer duration of furosemide therapy, early hypotension, intraventricular hemorrhage (IVH) \u2265Grade 3, and bronchopulmonary dysplasia (BPD) at 36 weeks PMA. Infants with hearing screen failure experienced longer exposures to invasive and noninvasive respiratory support. Heated, humidified, high flow nasal cannula &gt;2 liters per minute exposure was significantly longer in infants with bilateral hearing screen failure (18.4\u2009\u00b1\u200918.4 d) compared to duration in infants who passed (7.4\u2009\u00b1\u200912.8 d) and those with unilateral failure (9\u2009\u00b1\u200913 d), (mean\u2009\u00b1\u2009standard deviation [SD], p\u2009&lt;\u20090.001). In the final logistic model, IVH \u2265Grade 3 (odds ratio [OR]\u2009=\u20093.22, 95% confidence interval [CI]: 1.15\u20138.98, p\u2009=\u20090.026) and BPD (OR\u2009=\u20092.27, 95% CI: 1.25\u20134.11, p\u2009=\u20090.007) were the factors with the greatest risk for hearing screen failure.<\/jats:p>\n                  <jats:p>We speculate that the association of BPD with hearing screen failure may be mediated, in part, by chronic noise exposure, including from respiratory support devices. Attention to hearing protection in at-risk infants during respiratory support may mitigate the risk of hearing loss.<\/jats:p>","DOI":"10.1055\/a-2483-5788","type":"journal-article","created":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T23:03:31Z","timestamp":1732575811000},"page":"1272-1280","source":"Crossref","is-referenced-by-count":2,"title":["Risk Factors for Hearing Screen Failure in a Single-Family Room Neonatal Intensive Care Unit"],"prefix":"10.1055","volume":"42","author":[{"given":"Rebecca","family":"Suflas","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Pediatrix Medical Group, Sinai Hospital of Baltimore, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Cox","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rose M.","family":"Viscardi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1822-0066","authenticated-orcid":false,"given":"Jocelyn C.","family":"Leung","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,12,21]]},"reference":[{"issue":"07","key":"ref1","doi-asserted-by":"crossref","first-page":"e0219600","DOI":"10.1371\/journal.pone.0219600","article-title":"Prevalence of permanent childhood hearing loss detected at the universal newborn hearing screen: Systematic review and meta-analysis","volume":"14","author":"E Butcher","year":"2019","journal-title":"PLoS 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Jensen","year":"2019","journal-title":"Am J Respir Crit Care Med"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/s40748-019-0101-0","article-title":"Evidence-based design for neonatal units: a systematic review","volume":"5","author":"N O'Callaghan","year":"2019","journal-title":"Matern Health Neonatol Perinatol"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"101951","DOI":"10.1016\/j.infbeh.2024.101951","article-title":"Stress and self-regulation behaviors in preterm neonates hospitalized at open-bay and single-family room neonatal intensive care unit","volume":"76","author":"N F Silva","year":"2024","journal-title":"Infant Behav Dev"},{"issue":"04","key":"ref34","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1542\/peds.2013-4252","article-title":"Single-family room care and neurobehavioral and medical outcomes in preterm infants","volume":"134","author":"B M 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Lact"},{"issue":"02","key":"ref38","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1097\/ANC.0000000000001023","article-title":"Unintended consequences of the neonatal intensive care unit environment: integrative review of single-family room unit design","volume":"23","author":"C W Jones","year":"2023","journal-title":"Adv Neonatal Care"},{"issue":"01","key":"ref39","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.jpeds.2013.08.047","article-title":"Alterations in brain structure and neurodevelopmental outcome in preterm infants hospitalized in different neonatal intensive care unit environments","volume":"164","author":"R G Pineda","year":"2014","journal-title":"J Pediatr"},{"key":"ref40","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.jpeds.2016.12.072","article-title":"Auditory exposure in the neonatal intensive care unit: room type and other predictors","volume":"183","author":"R Pineda","year":"2017","journal-title":"J Pediatr"},{"issue":"02","key":"ref41","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.jnn.2013.07.003","article-title":"Impact of NICU design on environmental noise","volume":"20","author":"S E Szymczak","year":"2014","journal-title":"J Neonatal Nurs"},{"issue":"06","key":"ref42","doi-asserted-by":"crossref","first-page":"e2022057442","DOI":"10.1542\/peds.2022-057442","article-title":"Preterm brain injury and neurodevelopmental outcomes: a meta-analysis","volume":"150","author":"P Rees","year":"2022","journal-title":"Pediatrics"},{"issue":"02","key":"ref43","doi-asserted-by":"crossref","first-page":"e20173888","DOI":"10.1542\/peds.2017-3888","article-title":"Visual and hearing impairments after preterm birth","volume":"142","author":"M Hirvonen","year":"2018","journal-title":"Pediatrics"},{"issue":"03","key":"ref44","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1038\/s41390-023-02877-8","article-title":"Neurodevelopmental outcomes in preterm or low birth weight infants with germinal matrix-intraventricular hemorrhage: a meta-analysis","volume":"95","author":"M Zhou","year":"2024","journal-title":"Pediatr Res"},{"key":"ref45","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1016\/j.jpeds.2018.01.043","article-title":"Bronchopulmonary dysplasia: executive summary of a workshop","volume":"197","author":"R D Higgins","year":"2018","journal-title":"J Pediatr"},{"issue":"01","key":"ref46","doi-asserted-by":"crossref","first-page":"18095","DOI":"10.1038\/s41598-022-22920-8","article-title":"Comparison of definitions of bronchopulmonary dysplasia to reflect the long-term outcomes of extremely preterm infants","volume":"12","author":"G W Jeon","year":"2022","journal-title":"Sci Rep"},{"key":"ref47","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.jpeds.2022.09.022","article-title":"Comparison of new bronchopulmonary dysplasia definitions on long-term outcomes in preterm infants","volume":"253","author":"T A Katz","year":"2023","journal-title":"J Pediatr"},{"issue":"08","key":"ref48","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.1111\/jpc.15599","article-title":"Neonatal sound exposure during respiratory support","volume":"57","author":"S Farquharson","year":"2021","journal-title":"J Paediatr Child Health"},{"issue":"12","key":"ref49","doi-asserted-by":"crossref","first-page":"1693","DOI":"10.4187\/respcare.10989","article-title":"Noise produced by neonatal ventilators inside and outside of the incubators","volume":"68","author":"L Bergez","year":"2023","journal-title":"Respir Care"},{"issue":"07","key":"ref50","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1016\/j.ijporl.2011.04.007","article-title":"Risk factors associated with hearing loss in infants: an analysis of 5282 referred neonates","volume":"75","author":"I Bielecki","year":"2011","journal-title":"Int J Pediatr 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