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- W2031141711 abstract "Objective: Neonatal Hyperbilirubinemia is a very common Problem and can lead to Kernicterous and hearing impairment. Change in ABR were studied and followed in sever hyperbilirubinemic Newborns before and after exchange transfusion (ET) in order to detection bilirubin encephylopathy and early hearing impairment. Methods: ABR were measured in 12 fullterm newborns with severe hyperbilirubinemia, total bilirubin concentration >20 mgldl, direc bilirubin <2mg/dl, before and 6 days after ET (Case), the follow up of ABR was performed at 3months of life. The means of birth weight, gestational age and day of life-on admission were 3066±477gr, 39± 1.4 weeks and 4.25±3.1 days respectively, non of the newborns have had clinically symptom and sign of bilirubin encephalopathy. Data were collected by spss software and analyzed by the method of repeated measure and t test. Result: In tow neonates wave absence before ET was followed by appeared of the waves after ET.The mean latencies time of waves V in before, after ET and follow up (at 3 Months of age) of ABR were 7.53±0.34, 7.43±0.33, 6.99±0.29 milliseconds, (P<0.00l ) respectively, that marked improved . The mean inter- peak- interval (IPI) of III.V were 2.58± 0.19, 2.65±0.19, 2.32±16 respectively (p< 0.009) . The IPI of I-V were 5.38±0.29, 6.16±0.32, 4.84±0.28 (P<0.004) that shortening of IPI after ET. Conclusion: thought ET is effective for improvement of neurological side effect of severe hyperbiliruinemia. The persisting hearing impairment (ABR abnormality) should be discovred early for audiological intervention program. Therfore we recommended ABR for screening and early detection of bilirubin ototoxicity." @default.
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- W2031141711 date "2005-08-01" @default.
- W2031141711 modified "2023-09-25" @default.
- W2031141711 title "427 Auditory Brainstem Responsess (ABR) in Severe Hyperbilirubinemic Neonates Befor and After Exchange Transfusion" @default.
- W2031141711 doi "https://doi.org/10.1203/00006450-200508000-00456" @default.
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