NON INFECTIOUS RISK FACTORS IN PEDIATRIC SENSORINEURAL HEARING LOSS
ABSTRACT: Pediatric
sensorineural hearing loss can cause delay in speech, daily social
communication. The causative factors are infectious or non infecious. The role
of infectious risk factors in pediatric sensorineral hearing loss had been
proven, therefore, it is necessary to prove the role of non infectious factors.
The aim of the research to determine the role of non infectious factors: low
birth weight, asphyxia, prematurity, and hyperbilirubinemia in Pediatric sensorineural
hearing loss.
The design is case control study, the data were collected from
outpatients beside the data from patients’ medical records in Dr. Sardjito
Hospital, Yogyakarta from June to December 2015. The data collection was
obtained until the required sample size were fulfilled. The case group
inclusion criterias were sensorineural hearing loss children age 0 – 5 years
old. The control group were normal hearing ability children. The exclusion
criteria were children with history of infectious risk factors and head trauma.
Hearing status were determined by OAE and BERA, based on α = 5%, β = 20%; OR
asumption = 3.0, there were 31 samples collected for each group, with the total
of 62 samples. Based on multivariate analysis, the variables that significance
statistically as risk factors for pediatric sensorineural hearing loss were Low
Birth Weight (p: 0.016 with OR 6.43; 95% CI: 1.25 – 36.21) and asphyxia (p:
0.046 with OR 4.17; 95% CI: 0.03 – 22.48), while the variable thas no
significance statistically as risk factors were hyperbilirubinemia (P: 0.382
with OR 2.246; 95% CI: 0.365 – 13.802) and gestation (P: 0.876 with OR: 0.831;
95% CI: 0.081 – 8.483).
Based on this research result, low
birth weight and asphyxia is significance statistically as risk factors for
pediatric sensorineural hearing loss, whereas prematurity and
hyperbilirubinemia is no significance stastistically as risk factors.
Keywords: Pediatric
sensorineural hearing loss, non-infectious risk factors
Author: Bambang Udji Djoko
Rianto
Journal Code: jpkedokterangg170310
