Search for: [Abstract = "Objective\: The incidence of sensorineural hearing impairment among premature infants \- survivors of intensive care \- is high. The purpose of this study was to identify the risk factors of hearing impairment in this group of children. Methods\: Prospective cohort study \(2.10.96 \- 17.11.02\). A total of 218 premature infants with birth weight 520\-3000g \(Me\-1300g\) and gestational age 22\-36 weeks \(Me\-30\) were tested by ABR and divided into 2 groups\: with hearing impairment n = 18 and control n = 200. The logistic regression analysis was performed to identify the independent risk factors of hearing impairment. Results\: Significant risk factors of hearing impairment were\: gestation age \(OR\: 0,7\; 95%CI\: 0,6\-0,97\), hyperbilirubinemia qualified to exchange transfusion \(OR\: 13\; 95%CI\: 2,9\-64\), severe general condition and prolonged use of katecholamines > 8 days \(OR\: 18\; 95%CI\: 3,6\-96\), treatment with amikacin >15 days \(OR\: 8\; 95%CI\: 1,6\-43\), hypoglycaemia ≤ 2,46mmol\/l \(OR\:6\; 95%CI\: 1,2\-23\). Mechanical ventilation > 14 days was additional risk factor associated with gestational age \(OR\: 8\; 95%CI\: 1,1\-65\). The model evaluated by logistic regression could predict 13 out of 18 hearing impairment cases \(72%\). Conclusion\: The independent risk factors of hearing impairment in premature infants are\: low gestational age or associated with it prolonged mechanical ventilation, hyperbilirubinemia, se"]
