Hubungan Prematuritas dan Berat Badan Lahir Rendah dengan Derajat Gangguan Pendengaran pada Anak
Abstract
Abstrak
Latar Belakang: Gangguan pendengaran sering ditemukan pada anak - anak yang lahir prematur dan berat badan lahir rendah (BBLR). Kejadian gangguan pendengaran pada anak di Indonesia dengan prematur dan BBLR adalah 19,3% dan 36,1%. Tujuan penelitian ini adalah untuk mengetahui hubungan antara prematuritas dan BBLR dengan derajat kurang dengar pada anak. Metode: Penelitian deskriptif analitik menggunakan data rekam medik anak dengan kurang dengar di RSUP Dr. Kariadi Semarang tahun 2019 – 2020. Diagnosis gangguan dengar berdasarkan hasil BERA variabel yang diteliti derajat gangguan pendengaran, prematuritas, BBLR. Analisis data dengan uji korelasi. Hasil: Subjek penelitian sebanyak 466 anak. Jenis kelamin didominasi oleh laki – laki 237 (50,9%) dan subyek yang berusia kurang dari 5 tahun sebanyak 406 (87,1%). Faktor risiko kelahiran prematur 23 (4,9%), BBLR 33 (7,1%), prematur disertai BBLR sebanyak 18 (3,9%). Gangguan pendengaran derajat ringan – sedang 111 (23,8%), gangguan pendengaran derajat berat – sangat berat 355(76,2%). Tidak terdapat hubungan antara prematuritas dengan derajat kurang dengar (p = 0,059). Tidak terdapat hubungan antara BBLR dengan derajat kurang dengar (p = 0,158). Terdapat hubungan yang signifikan antara prematuritas dan berat badan lahir rendah dengan derajat kurang dengar (p= 0,046). Kesimpulan:Terdapat hubungan antara prematuritas dan berat badan lahir rendah dengan derajat kurang dengar.
Kata Kunci: Gangguan Pendengaran, Prematuritas, Berat Badan Lahir Rendah
Abstrac
Background: Hearing loss is often found in children born prematurely and with low birth weight (LBW). The incidence of hearing loss in children in Indonesia with preterm and LBW was 19.3% and 36.1%. The purpose of this study was to determine the relationship between prematurity and LBW with the degree of hearing loss in children. Methods: A descriptive analytic study using medical record data of children with hearing impairment at Dr. Kariadi Semarang in 2019 - 2020. Diagnostic hearing loss is based on BERA. The variables studied were the degree of hearing loss, prematurity, LBW. Data analysis was performed by using correlation test. Result : The subjects were 466 children, 237 men (50.9%) and less than 5 years old 406 (87.1%).Risk factors for preterm birth were 23 (4.9%), LBW 33 (7.1%), premature accompanied by LBW was 18 (3.9%). Mild to moderate degree of hearing loss were 111 (23.8%),hearing loss with a degree of severity - very severe 355 ( 76.2%). There was no relationship between prematurity and degree of hearing loss (p = 0.059). There was no relationship between LBW and the degree of hearing loss (p = 0.158). There was a significant relationship between prematurity and low birth weight and the degree of hearing loss (p = 0.046). Conclusion: There is a relationship between prematurity and low birth weight and the degree of hearing loss.
Keyword: Hearing Loss, Premature, Low Birth Weight
References
Sholehen A, Pralampito F, Galih A, Ghaus A, Airina A, Purnami N. The role of family intervention in early detection of congenital deafness: A case study. J Community Med Public Heal Res. Universitas Airlangga; 2020 Aug 30;1(2):98.
World Health Organization (WHO). WHO global estimates on prevalence of hearing loss. World Health Organization. 2012. p. 1–15.
Rahayuningrum DF, Naftali Z, Yusmawan W. Faktor-faktor risiko yang berpengaruh terhadap sensorineural hearing loss (SNHL) pada penderita speech delay: Studi di rumah sakit umum pusat dokter Kariadi Semarang JKD. DIPONEGORO Med J (JURNAL Kedokt DIPONEGORO). 2016;5(4):649–57.
Maharani NLP, Haksari EL, Artana IWD. Risk factors for hearing loss in neonates. Paediatr Indones. 2016;55(6):328.
Finitzo T, Sininger Y, Brookhouser P, Epstein S, Erenberg A, Roizen N, et al. Year 2019 position statement: Principles and guidelines for early hearing detection and intervention programs. Pediatrics. 2019;106(4 I):798–817.
Nisotakis E, Chalkiadakis V, Marangoudakis P, Tzagkaroulakis A, Nikolopoulos T. Risk Factors Affecting Hearing in Neonatal Intensive Care Unit Neonates. J Hear Sci. 2016;6(3):45–53.
Hamam K, Purnami N. Newborns Hearing Screening With Otoacoustic Emissions and. J Community Med Pub Heal Res. 2020;1(1):1–13.
Gunawan YE, Eka PP. Profil Penderita Keterlambatan Bicara Dengan Pemeriksaan ASSR di TOA Jala Puspa Rumkital Dr. Ramelan Surabaya Tahun 2016 - 2017. Hang Tuah Med J. Universitas Hang Tuah; 2019 Jun 13;16(2):161.
Purnami N, Dipta C, Rahman MA. Characteristics of infants and young children with sensorineural hearing loss in Dr. Soetomo Hospital. Oto Rhino Laryngol Indones. 2018;48(1):11.
Abraham ZS, Alawy K, Massawe ER, Ntunaguzi D, Kahinga AA, Mapondella KB. Prevalence of hearing loss and associated factors among neonates in Zanzibar. Med J Zambia. 2018;45(2):98–105.
Wroblewska-Seniuk K, Greczka G, Dabrowski P, Szyfter-Harris J, Mazela J. Hearing impairment in premature newborns —Analysis based on the national hearing screening database in Poland. PLoS One. 2017;12(9):1–15.
Hirvonen M, Ojala R, Korhonen P, Haataja P, Eriksson K, Gissler M, et al. Visual and hearing impairments after preterm birth. Pediatrics. American Academy of Pediatrics; 2018 Aug 1;142(2).
Thakkar D, Barot D. Brainstem-evoked response audiometry in pediatric age group. Indian J Otol. Wolters Kluwer Medknow Publications; 2018 Oct 1;24(4):246–51.
Hardani AK, Goodarzi E, Delphi M, Badfar G. Prevalence and Risk Factors for Hearing Loss in Neonates Admitted to the Neonatal Intensive Care Unit: A Hospital Study. Cureus. Cureus, Inc.; 2020 Oct 28;12(10).
Thangavelu K, Martakis K, Fabian S, Venkateswaran M, Roth B, Beutner D, et al. Prevalence and risk factors for hearing loss in high-risk neonates in Germany. Acta Paediatr Int J Paediatr. Blackwell Publishing Ltd; 2019 Nov 1;108(11):1972–7.
