Brainstem evoked response audiometry and risk factors in premature infants

KARAHAN, Hakan; ŞAHİNER, Türker; KURT İNCESU, tülay; Ergin, Hacer; KILIÇ, İlknur

Brainstem evoked response audiometry and risk factors in premature infants

İlknur KILIÇ, (Pamukkale Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Denizli, Türkiye)

Hakan KARAHAN, (Pamukkale Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Denizli, Türkiye)

TÜLAY KURT İNCESU, (Pamukkale Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, Denizli, Türkiye)

Hacer ERGİN, (Pamukkale Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Denizli, Türkiye)

Türker ŞAHİNER (Pamukkale Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, Denizli, Türkiye)

Marmara Medical Journal

2 0

Yıl: 2007 Cilt: 20 Sayı: 1 Sayfa Aralığı: 21 - 28 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Brainstem evoked response audiometry and risk factors in premature infants

Öz:

Amaç: Bu çalışmada preterm bebeklerde “Joint Committee on Infant Hearing”e göre olası risk faktörlerinin ve preterm anemisinin işitsel beyin sapı cevabı (BAER) üzerine etkisi incelenmiştir. Yöntem: Bu amaçla, 29 term bebekten doğumdan sonraki 48.saat ve 7.günler arası BAER kaydı alındı. Yirmidokuz preterm bebeğe ise BAER, postkonsepsiyonel yaşları (gebelik haftası+doğum sonrası yaşı) 39.4±0.8 hafta (38-42) olunca uygulandı. Doğum şekli, 1500 g’ın altında doğum ağırlığı, fototerapi sınırlarını aşan hiperbilirubinemi, aminoglikozid tedavisi, respiratuar distres sendromu, düşük Apgar skoru ve prematüre anemisi risk faktörü olarak değerlendirmeye alındı. I,III,V latens ve I-III, III-V, I-V interpik latensleri analiz edildi.Bulgular: Term ve preterm bebeklerde aynı postkonsepsiyonel yaşta BAER parametreleri karşılaştırıldığında (latens ve interpik latensları) istatistiksel bir fark saptanmadı. Doğum şekli, <1500 g’ın altında doğum ağırlığı, fototerapi gerektiren hiperbilirubinemi ve düşük Apgar skorunun bazı BAER parametrelerini etkilediği görüldü (p<0.05). Aminoglikozid tedavisi (amikasin ve/veya netilmisin) ve respiratuar distres sendromunun BAER paremetrelerini etkilemediği saptandı. Latens ve interpik latens ortalamaları preterm anemisi olan grupta anemik olmayan preterm gruba göre daha yüksek olsa da istatistiksel anlamlılık taşımıyordu (p>0.05).Sonuç: Prematüre anemisi olan bebeklerde BAER parametrelerinin daha büyük bir grupta çalışılmasının uygun olacağını düşünüyoru

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Preterm bebeklerde risk faktörleri ve işitsel beyin sapı cevabı

Öz:

Objective: In this study; we evaluated the effects of possible risk factors according to the Joint Committee on Infant Hearing in preterm infants and physiologic anemia of prematurity on brainstem auditory evoked response (BAER) measurement variables. Methods: For this aim, twenty-nine term newborn infants underwent the BAER recording session between 48 hours to 7 days of age. In 29 preterm infants, BAER was performed at a mean postconceptional (gestational age + age after birth) age of 39.4 ± 0.8 weeks (38-42 weeks). Type of delivery, birth weight <1500 g, hyperbilirubinemia exceeding phototherapy limits, aminoglycoside therapy, respiratory distress syndrome, low Apgar scores, and physiologic anemia of prematurity were evaluated. I,III,V peak latencies and I-III, III-V, I-V interpeak latencies were measured and analyzed.Results: There were no significant differences for latencies and interpeak latencies between term and preterm groups at the same postconceptional age. We found that type of delivery (caesarean section), birth weight <1500 g, hyperbilirubinemia exceeding phototherapy limits, and low Apgar scores affected some of the BAER parameters (p<0.05). However we did not find any effect of aminoglycoside (amicasin and/or netilmicin) therapy, respiratory distress syndrome on BAER measurement variables. Although the mean latencies and interpeak latencies in anemic preterm group were higher than non-anemic preterm group, statistically significant difference was not found (p>0.05).Conclusion: We suggest that the effect of anemia of prematurity on BAER parameters should be studied in a larger group of infants

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KILIÇ İ, KARAHAN H, KURT İNCESU t, Ergin H, ŞAHİNER T (2007). Brainstem evoked response audiometry and risk factors in premature infants. , 21 - 28.
Chicago	KILIÇ İlknur,KARAHAN Hakan,KURT İNCESU tülay,Ergin Hacer,ŞAHİNER Türker Brainstem evoked response audiometry and risk factors in premature infants. (2007): 21 - 28.
MLA	KILIÇ İlknur,KARAHAN Hakan,KURT İNCESU tülay,Ergin Hacer,ŞAHİNER Türker Brainstem evoked response audiometry and risk factors in premature infants. , 2007, ss.21 - 28.
AMA	KILIÇ İ,KARAHAN H,KURT İNCESU t,Ergin H,ŞAHİNER T Brainstem evoked response audiometry and risk factors in premature infants. . 2007; 21 - 28.
Vancouver	KILIÇ İ,KARAHAN H,KURT İNCESU t,Ergin H,ŞAHİNER T Brainstem evoked response audiometry and risk factors in premature infants. . 2007; 21 - 28.
IEEE	KILIÇ İ,KARAHAN H,KURT İNCESU t,Ergin H,ŞAHİNER T "Brainstem evoked response audiometry and risk factors in premature infants." , ss.21 - 28, 2007.
ISNAD	KILIÇ, İlknur vd. "Brainstem evoked response audiometry and risk factors in premature infants". (2007), 21-28.

APA	KILIÇ İ, KARAHAN H, KURT İNCESU t, Ergin H, ŞAHİNER T (2007). Brainstem evoked response audiometry and risk factors in premature infants. Marmara Medical Journal, 20(1), 21 - 28.
Chicago	KILIÇ İlknur,KARAHAN Hakan,KURT İNCESU tülay,Ergin Hacer,ŞAHİNER Türker Brainstem evoked response audiometry and risk factors in premature infants. Marmara Medical Journal 20, no.1 (2007): 21 - 28.
MLA	KILIÇ İlknur,KARAHAN Hakan,KURT İNCESU tülay,Ergin Hacer,ŞAHİNER Türker Brainstem evoked response audiometry and risk factors in premature infants. Marmara Medical Journal, vol.20, no.1, 2007, ss.21 - 28.
AMA	KILIÇ İ,KARAHAN H,KURT İNCESU t,Ergin H,ŞAHİNER T Brainstem evoked response audiometry and risk factors in premature infants. Marmara Medical Journal. 2007; 20(1): 21 - 28.
Vancouver	KILIÇ İ,KARAHAN H,KURT İNCESU t,Ergin H,ŞAHİNER T Brainstem evoked response audiometry and risk factors in premature infants. Marmara Medical Journal. 2007; 20(1): 21 - 28.
IEEE	KILIÇ İ,KARAHAN H,KURT İNCESU t,Ergin H,ŞAHİNER T "Brainstem evoked response audiometry and risk factors in premature infants." Marmara Medical Journal, 20, ss.21 - 28, 2007.
ISNAD	KILIÇ, İlknur vd. "Brainstem evoked response audiometry and risk factors in premature infants". Marmara Medical Journal 20/1 (2007), 21-28.