Research Article

Neonatal Hearing Screening and Prevalence of Hearing Impairment in the Time Period of COVID-19 Epidemic in the North of Iran

Abstract

Background and Aim: COVID-19 is an acute respiratory disease, caused by a coronavirus named SARS-CoV-2. Previous reports suggest an association between COVID-19 infection and Hearing Loss (HL). We have investigated the Universal Newborn Hearing Screening (UNHS) results in the time period of COVID-19 epidemic in Guilan Province, north of Iran.
Methods: We analyzed UNHS results from10 major obstetrics hospitals from 20th Mar 2020 to 19th Mar 2021, and compared the total UNHS positive/“refer” and total neonatal HL reports with the same time periods of recent three years. The prevalence of risk factors for HL were analyzed during the same period.
Results: The total number of childbirth was decreased significantly from 27735 birth cases in Mar 2017-2018 to 18216 births in Mar 2020-2021 (p<0.001), but the total “refer” rate was significantly increased from 63.0 per 1,000 births in Mar 2019-2020 to 79.8 in Mar 2020-2021 (OR=1.29, 95% CI: 1.19-1.39, p<0.001), and also increased from 74.7 per 1,000 births in Mar 2017-2020 to 79.8 in Mar 2020-2021 (OR=1.07, 95% CI: 1.01-1.14, p=0.020). The HL rate increased from 10.3 per 10,000 births in Mar 2019-2020 and from 11.4 per 10,000 births in Mar 2017-2020 to 18.7 in Mar 2020-2021 (OR=1.81 and 1.63, 95% CI: 1.06-3.09 and 1.10-2.44, p=0.028 and 0.015, respectively). The prevalence of preterm birth (p=0.039) and neonatal intensive care unit stay (p=0.016) was increased significantly during Mar 2020-2021.
Conclusion: The chance of “refer” results and neonatal HL, found in the UNHS program, increased during the COVID-19 epidemic in comparison to the past years.

[1] Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. Int J Antimicrob Agents. 2020;55(3):105924. [DOI:10.1016/j.ijantimicag.2020.105924]
[2] Mao L, Jin H, Wang M, Hu Y, Chen S, He Q, et al. Neurologic Manifestations of Hospitalized Patients with Coronavirus Disease 2019 in Wuhan, China. JAMA Neurol. 2020;77(6):683-90. [DOI:10.1001/jamaneurol.2020.1127]
[3] Dort JC, Tobolski C, Brown D. Screening strategies for neonatal hearing loss: which test is best? J Otolaryngol. 2000;29(4):206-10.
[4] Lieu JEC, Kenna M, Anne S, Davidson L. Hearing Loss in Children: A Review. JAMA. 2020;324(21):2195-205. [DOI:10.1001/jama.2020.17647]
[5] Firoozbakht M, Mahmoudian S, Alaeddini F, Esmaeilzadeh M, Rafiei M, Firouzbakht A, et al. Community-based newborn hearing screening programme for early detection of permanent hearing loss in Iran: an eight-year cross-sectional study from 2005 to 2012. J Med Screen. 2014;21(1):10-7. [DOI:10.1177/0969141314522992]
[6] Dumanch KA, Holte L, O’Hollearn T, Walker E, Clark J, Oleson J. High Risk Factors Associated with Early Childhood Hearing Loss: A 3-Year Review. Am J Audiol. 2017;26(2):129-42. [DOI:10.1044/2017_AJA-16-0116]
[7] Cohen BE, Durstenfeld A, Roehm PC. Viral causes of hearing loss: a review for hearing health professionals. Trends Hear. 2014;18:2331216514541361. [DOI:10.1177/2331216514541361]
[8] Ahmed MU, Hanif M, Ali MJ, Haider MA, Kherani D, Memon GM, et al. Neurological Manifestations of COVID-19 (SARS-CoV-2): A Review. Front Neurol. 2020;11:518. [DOI:10.3389/fneur.2020.00518]
[9] Munro KJ, Uus K, Almufarrij I, Chaudhuri N, Yioe V. Persistent self-reported changes in hearing and tinnitus in posthospitalisation COVID-19 cases. Int J Audiol. 2020;59(12):889-90. [DOI:10.1080/14992027.2020.1798519]
[10] Mustafa MWM. Audiological profile of asymptomatic Covid-19 PCR-positive cases. Am J Otolaryngol. 2020;41(3):102483. [DOI:10.1016/j.amjoto.2020.102483]
[11] Mostafa BE, Mostafa A, Fiky LME, Omara A, Teaima A. Maternal COVID-19 and neonatal hearing loss: a multicentric survey. Eur Arch Otorhinolaryngol. 2022;279(7):3435-8. [DOI:10.1007/s00405-021-07098-5]
[12] Alan MA, Alan C. Hearing screening outcomes in neonates of SARS-CoV-2 positive pregnant women. Int J Pediatr Otorhinolaryngol. 2021;146:110754. [DOI:10.1016/j.ijporl.2021.110754]
[13] Iyengar K, Mabrouk A, Jain VK, Venkatesan A, Vaishya R. Learning opportunities from COVID-19 and future effects on health care system. Diabetes Metab Syndr. 2020;14(5):943-6. [DOI:10.1016/j.dsx.2020.06.036]
[14] Degen C, Lenarz T, Willenborg K. Acute Profound Sensorineural Hearing Loss After COVID-19 Pneumonia. Mayo Clin Proc. 2020;95(8):1801-3. [DOI:10.1016/j.mayocp.2020.05.034]
[15] Koumpa FS, Forde CT, Manjaly JG. Sudden irreversible hearing loss post COVID-19. BMJ Case Rep. 2020;13(11):e238419. [DOI:10.1136/bcr-2020-238419]
[16] Yıldız G, Kurt D, Mat E, Yıldız P, Başol G, Gündogdu EC, et al. Hearing test results of newborns born from the coronavirus disease 2019 (COVID-19) infected mothers: A tertiary center experience in Turkey. J Obstet Gynaecol Res. 2022;48(1):113-8. [DOI:10.1111/jog.15008]
[17] Almufarrij I, Munro KJ. One year on: an updated systematic review of SARS-CoV-2, COVID-19 and audio-vestibular symptoms. Int J Audiol. 2021;60(12):935-45. [DOI:10.1080/14992027.2021.1896793]
[18] Oskovi-Kaplan ZA, Ozgu-Erdinc AS, Buyuk GN, Sert-Dinc UY, Ali-Algan C, Demir B, et al. Newborn Hearing Screening Results of Infants Born To Mothers Who Had COVID-19 Disease During Pregnancy: A Retrospective Cohort Study. Ear Hear. 2022;43(1):41-4. [DOI:10.1097/AUD.0000000000001167]
[19] Schwartz DA. An Analysis of 38 Pregnant Women with COVID-19, Their Newborn Infants, and Maternal-Fetal Transmission of SARS-CoV-2: Maternal Coronavirus Infections and Pregnancy Outcomes. Arch Pathol Lab Med. 2020;144(7):799-805. [DOI:10.5858/arpa.2020-0901-SA]
[20] Wei SQ, Bilodeau-Bertrand M, Liu S, Auger N. The impact of COVID-19 on pregnancy outcomes: a systematic review and meta-analysis. CMAJ. 2021;193(16):E540-8. [DOI:10.1503/cmaj.202604]
[21] Lebel C, MacKinnon A, Bagshawe M, Tomfohr-Madsen L, Giesbrecht G. Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. J Affect Disord. 2020;277:5-13. [DOI:10.1016/j.jad.2020.07.126]
[22] Moossavi A, Panahi R. The effects of preterm birth on neural development, language acquisition, and auditory system. Aud Vestib Res. 2017;26(3):117-24.
[23] Holzinger D, Weishaupt A, Fellinger P, Beitel C, Fellinger J. Prevalence of 2.2 per mille of significant hearing loss at school age suggests rescreening after NHS. Int J Pediatr Otorhinolaryngol. 2016;87:121-5. [DOI:10.1016/j.ijporl.2016.06.006]
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IssueVol 32 No 1 (2023) QRcode
SectionResearch Article(s)
DOI https://doi.org/10.18502/avr.v32i1.11318
Keywords
Newborn hearing screening hearing loss COVID-19

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How to Cite
1.
Panahi R, Nemati S, Akbarpour M, Nasirmohtaram S, Maroufizadeh S, Hosseinian A. Neonatal Hearing Screening and Prevalence of Hearing Impairment in the Time Period of COVID-19 Epidemic in the North of Iran. Aud Vestib Res. 2023;32(1):32-38.