Int Arch Otorhinolaryngol 2014; 18 - a2420
DOI: 10.1055/s-0034-1388738

Risk Indicators for Hearing Loss and Clinical Risk Indicators for Child Development

Eliara Pinto Vieira Biaggio 1, Ana Paula Ramos de Souza 1, Ândrea de Melo 1, Inaê Costa Rechia 1, Michele Vargas Garcia 1
  • 1Universidade Federal de Santa Maria (UFSM)

Introduction: The Clinical Risk Indicators for Child Development (CRICD) have the potential to detect risk for the development as a whole, including to the language, since they seek to assess children from 0 to 18 months, to analyze the course of their development.

Objective: Investigate the Risk Indicators for Hearing Loss (RIHL) in children who are at risk for child development from a Newborn Hearing Screening (NHS) program.

Methodology: The sample consisted of 139 babies aged between 0 and 18 months, who showed “pass” results on NHS. It also analyzed the mother-infant interaction, through the CRICD protocol (KUPFER, 2008) and the presence of RIHL (Lewis et al, 2010).

Results: It was found that of the 139 babies assessed, 38(27.53%) of them presented some CRICD, thereby indicating the possibility of a risk for developing. From these, 8 (21.05%) were premature, 7 (18.42%) remained in ICU, 8 (21.05%) made use of ototoxic medication, and 7 (18.42%) had hyperbilirubinemia. Analyzing the present, CRICD has been the main indicators altered were CRICD 1 (31.57%), CRICD 2(26.31%), CRICD 5(18.42%), and CRICD 8(13.15%). Correlating the most significant RIHL with CRICD, there has been present in the prematurity the CRICD 1, 5, 8, 9, 10, 12, 14, 15, and 17; neonatal ICU 1, 5, 6, 12, 14, 16, and 18; ototoxicity 1, 2, 5, 6, 12, 14, and 16; hyperbilirubinemia 1, 3, 5, 8, 12, and 18.

Conclusion: Some RIHL, such as prematurity, ICU permanency, use of ototoxic medication and hyperbilirubinemia are predictive risk factors for child development.