Visual and Hearing Impairments After Preterm Birth

Pediatrics
Mikko HirvonenOuti Tammela

Abstract

Our aim was to determine and compare the incidences of sensory impairments among very preterm (VP) (<32 + 0/7 weeks), moderately preterm (MP) (32 + 0/7-33 + 6/7 weeks), late preterm (LP) (34 + 0/7-36 + 6/7 weeks), and term infants (≥37 weeks) and to establish risk factors of neurosensory disabilities. This national register study included all live-born infants in Finland between 1991 and 2008. Infants who died before the age of 1 year, who had any major congenital anomaly, or had missing data were excluded (n = 21 007; 2.0%). A total of 1 018 256 infants were analyzed. Incidences of hearing loss, visual disturbances or blindness, other ophthalmologic disorders, and retinopathy of prematurity were determined for gestational age (GA) groups. Risk factors of hearing loss and visual disturbances or blindness were analyzed. The incidences of sensory impairments decreased with advancing GA at birth (P < .001). The most prominent factors associated with increased risks of hearing loss and visual impairment were intracranial hemorrhage and convulsions. VP (odds ratio [OR] 2.34; 95% confidence interval [CI] 1.75-3.14) and LP (OR 1.26; 95% CI 1.04-1.52) births were associated with an increased risk of hearing loss, and VP (OR 1.94; 95% C...Continue Reading

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Citations

Dec 21, 2020·Environment International·Youngrin KwagEun-Hee Ha
Nov 18, 2020·Journal of Korean Medical Science·Ji Hyun KimHae Il Cheong
Mar 2, 2021·Frontiers in Neurology·Nikoletta SmyrniAntigone Papavasiliou
Sep 3, 2021·BioMed Research International·Jin HuangZhenyu Cai
Sep 15, 2021·Journal of Reproductive and Infant Psychology·Yura LoscalzoMarco Giannini

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