{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:58:05Z","timestamp":1784768285402,"version":"3.55.0"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"vor","delay-in-days":69,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>To estimate the prevalence of hearing impairment and significant risk factors for congenital loss in a tertiary hospital in South India.<\/jats:p>\n                  <jats:p>Over 3 years, a prospective analytical study was conducted in the Department of Otorhinolaryngology in a tertiary hospital in South India. All newborns born in the hospital or those referred were initially screened using the Transient Evoked Otoacoustic Emissions (TEOAE) in a soundproof room by a trained audiologist at 24 to 48\u2009hours of birth. Results were either \u201cPASS\u201d or \u201cREFER.\u201d Those who did not pass the initial screening were retested with TEOAE at their 6-week vaccination appointment. If the second result was \u201cREFER,\u201d the neonate underwent Brain Evoked Response Auditory (BERA) for confirmation.<\/jats:p>\n                  <jats:p>A total of 3,679 neonates (1,931 males, 1,748 females) underwent TEOAE testing. Of those, 2,426 (65.9%) passed the first test, and 1,253 (34.1%) were referred. The second TEOAE test was done for 1,174 patients, with results of 1,013 (86.29%) as \u201cPASS\u201d and 161 (13.71%) as \u201cREFER.\u201d The BERA results of 95 neonates showed normal in 84 (88.42%), and 11 (11.58%) had profound hearing loss. The prevalence of hearing impairment in the present study was 0.29% (95% CI: 0.2\u20130.6%). Major risk factors such as maternal infections, like toxoplasmosis, others (syphilis, hepatitis B), rubella, cytomegalovirus, and herpes simplex (TORCH), craniofacial anomalies, low birth weight\u2009&lt;\u20091,500\u2009g, low Appearance, Pulse, Grimace, Activity and Respiration (APGAR) scores (0\u20134 at 1\u2009minute and 0\u20136 at 5\u2009minutes), and mechanical ventilation lasting for 5 days or longer, were significantly associated with hearing impairment at p\u2009&lt;\u20090.05.<\/jats:p>\n                  <jats:p>Newborn hearing screenings must be made mandatory, irrespective of risk factors. This way, early diagnosis and necessary interventions can be implemented.<\/jats:p>","DOI":"10.1055\/s-0045-1809928","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:47:57Z","timestamp":1773276477000},"page":"001-007","source":"Crossref","is-referenced-by-count":1,"title":["Universal Screening of Newborns from a Tertiary Care Hospital in South India: A Prospective Analytical Study"],"prefix":"10.1055","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6320-1365","authenticated-orcid":false,"given":"K.","family":"Ngohlaki","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0378-4141","authenticated-orcid":false,"given":"Kalaiarasi","family":"Raja","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akshat","family":"Kushwaha","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8646-5890","authenticated-orcid":false,"given":"H.T.","family":"Lalthanthuami","sequence":"additional","affiliation":[{"name":"College of Nursing, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lokesh Kumar","family":"Penubarthi","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil Kumar","family":"Saxena","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun","family":"Alexander","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sivaraman","family":"Ganesan","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"issue":"01","key":"ref2","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1177\/019459988309100108","article-title":"A study of the high-risk registry for sensorineural 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