Judith E. C. Lieu|Nancy Tye?Murray|Roanne K. Karzon|Jay F. Piccirillo
Unilateral Hearing Loss Is Associated With Worse Speech-Language Scores in Children
Washington University in St. Louis|Washington University in St. Louis|Washington University in St. Louis|St. Louis Children's Hospital|Washington University in St. Louis
determine whether children unilateral hearing loss uhl demonstrate worse language skills siblings normal hearing whether children uhl likely receive extra assistance schoolwe conducted casecontrol study 6 12yearold children uhl compared sibling controls 74 pairs n 148 scores oral portion oral written language scales owls primary outcome measure multivariable analysis used determine whether uhl independently predicted owls scores controlled potential confounding variableschildren uhl worse scores siblings language comprehension 91 vs 98 p 003 oral expression 94 vs 101 p 007 oral composite 90 vs 99 p 001 uhl independently predicted owls scores multivariable regression used moderate effect sizes 03 07 family income maternal education also independent predictors oral expression oral composite scores differences found children right leftear uhl varying severity hearing loss children uhl likely individualized education plan odds ratio 44 95 confidence interval 2095 received speechlanguage therapy odds ratio 26 95 confidence interval 1354schoolaged children uhl demonstrated worse oral language scores siblings normal hearing findings suggest common practice withholding hearingrelated accommodations children uhl reconsidered studied parents educators informed deleterious effects uhl oral language skills