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Newborn Hearing Screening Results for Infants with Prenatal Opioid Exposure in Southern Appalachia

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Title: Newborn Hearing Screening Results for Infants with Prenatal Opioid Exposure in Southern Appalachia
Language: English
Authors: Marcy K. Hite (ORCID 0000-0003-4710-2963), Alyson J. Chroust (ORCID 0000-0003-4853-2017), Kerry Proctor-Williams (ORCID 0000-0003-0841-6468), Jennifer L. Lowe
Source: Journal of Speech, Language, and Hearing Research. 2024 67(4):1268-1280.
Availability: American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
Peer Reviewed: Y
Page Count: 13
Publication Date: 2024
Document Type: Journal Articles
Reports - Research
Descriptors: Premature Infants, Neonates, Drug Abuse, Narcotics, Prenatal Influences, Screening Tests, Auditory Tests, At Risk Persons, Symptoms (Individual Disorders), Referral
DOI: 10.1044/2024_JSLHR-23-00492
ISSN: 1092-4388
1558-9102
Abstract: Purpose: Infants prenatally exposed to opioids exhibit withdrawal symptomology that introduce physiological noise and can impact newborn hearing screening results. This study compared the referral rate and physiological noise interpreted by number of trials rejected due to artifact on initial newborn hearing screenings of infants with prenatal opioid exposure (POE) and infants with no opioid exposure (NOE). Furthermore, within the POE group, it examined the relationship of referral rates with severity of withdrawal symptomology, and with maternal and infant risk factors. Method: This study used a retrospective cohort design of electronic medical records from six delivery hospitals in South-Central Appalachia. Newborn hearing screenings were conducted using automated auditory brainstem response (ABR) for 334 infants with POE and 226 infants with NOE. Severity of withdrawal symptomology was measured using the Modified Finnegan Neonatal Abstinence Scoring Tool, which includes observation of behaviors that introduce physiological noise. Results: There was no significant difference in newborn hearing screening referral rate between infants with POE and infants with NOE. Referral rate was not affected by maternal or infant risk factors. Infants with POE had statistically significant higher artifact (defined as rejected ABR sweeps) than infants with NOE. There was a strong positive correlation between Finnegan scores and artifact but not referral rates. Sensitivity and specificity analysis indicated artifact decreased substantially after Day 4 of life. Conclusions: Referral rates of infants with POE were similar to those of infants with NOE. Nevertheless, the withdrawal symptomology of infants with POE introduces physiological noise reflected as artifact on ABR, which can affect efficiency of newborn hearing screenings.
Abstractor: As Provided
Entry Date: 2024
Accession Number: EJ1421071
Database: ERIC
FullText Links:
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  Data: Newborn Hearing Screening Results for Infants with Prenatal Opioid Exposure in Southern Appalachia
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  Data: English
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  Data: <searchLink fieldCode="AR" term="%22Marcy+K%2E+Hite%22">Marcy K. Hite</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-4710-2963">0000-0003-4710-2963</externalLink>)<br /><searchLink fieldCode="AR" term="%22Alyson+J%2E+Chroust%22">Alyson J. Chroust</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-4853-2017">0000-0003-4853-2017</externalLink>)<br /><searchLink fieldCode="AR" term="%22Kerry+Proctor-Williams%22">Kerry Proctor-Williams</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-0841-6468">0000-0003-0841-6468</externalLink>)<br /><searchLink fieldCode="AR" term="%22Jennifer+L%2E+Lowe%22">Jennifer L. Lowe</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+Speech%2C+Language%2C+and+Hearing+Research%22"><i>Journal of Speech, Language, and Hearing Research</i></searchLink>. 2024 67(4):1268-1280.
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  Data: American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
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  Data: Y
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  Data: 13
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  Data: 2024
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="DE" term="%22Premature+Infants%22">Premature Infants</searchLink><br /><searchLink fieldCode="DE" term="%22Neonates%22">Neonates</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+Abuse%22">Drug Abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Narcotics%22">Narcotics</searchLink><br /><searchLink fieldCode="DE" term="%22Prenatal+Influences%22">Prenatal Influences</searchLink><br /><searchLink fieldCode="DE" term="%22Screening+Tests%22">Screening Tests</searchLink><br /><searchLink fieldCode="DE" term="%22Auditory+Tests%22">Auditory Tests</searchLink><br /><searchLink fieldCode="DE" term="%22At+Risk+Persons%22">At Risk Persons</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms+%28Individual+Disorders%29%22">Symptoms (Individual Disorders)</searchLink><br /><searchLink fieldCode="DE" term="%22Referral%22">Referral</searchLink>
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1044/2024_JSLHR-23-00492
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 1092-4388<br />1558-9102
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: Infants prenatally exposed to opioids exhibit withdrawal symptomology that introduce physiological noise and can impact newborn hearing screening results. This study compared the referral rate and physiological noise interpreted by number of trials rejected due to artifact on initial newborn hearing screenings of infants with prenatal opioid exposure (POE) and infants with no opioid exposure (NOE). Furthermore, within the POE group, it examined the relationship of referral rates with severity of withdrawal symptomology, and with maternal and infant risk factors. Method: This study used a retrospective cohort design of electronic medical records from six delivery hospitals in South-Central Appalachia. Newborn hearing screenings were conducted using automated auditory brainstem response (ABR) for 334 infants with POE and 226 infants with NOE. Severity of withdrawal symptomology was measured using the Modified Finnegan Neonatal Abstinence Scoring Tool, which includes observation of behaviors that introduce physiological noise. Results: There was no significant difference in newborn hearing screening referral rate between infants with POE and infants with NOE. Referral rate was not affected by maternal or infant risk factors. Infants with POE had statistically significant higher artifact (defined as rejected ABR sweeps) than infants with NOE. There was a strong positive correlation between Finnegan scores and artifact but not referral rates. Sensitivity and specificity analysis indicated artifact decreased substantially after Day 4 of life. Conclusions: Referral rates of infants with POE were similar to those of infants with NOE. Nevertheless, the withdrawal symptomology of infants with POE introduces physiological noise reflected as artifact on ABR, which can affect efficiency of newborn hearing screenings.
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        Value: 10.1044/2024_JSLHR-23-00492
    Languages:
      – Text: English
    PhysicalDescription:
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        PageCount: 13
        StartPage: 1268
    Subjects:
      – SubjectFull: Premature Infants
        Type: general
      – SubjectFull: Neonates
        Type: general
      – SubjectFull: Drug Abuse
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      – SubjectFull: Narcotics
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      – SubjectFull: Prenatal Influences
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      – SubjectFull: Screening Tests
        Type: general
      – SubjectFull: Auditory Tests
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      – SubjectFull: At Risk Persons
        Type: general
      – SubjectFull: Symptoms (Individual Disorders)
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      – SubjectFull: Referral
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    Titles:
      – TitleFull: Newborn Hearing Screening Results for Infants with Prenatal Opioid Exposure in Southern Appalachia
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            NameFull: Kerry Proctor-Williams
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