en Clinical Medicine Clinical Medicine مقاله پژوهشی Original Research Article <p style="text-align: justify;"><span style="font-size:16px;"><span style="font-family:Times New Roman;"><span style="color:#ffffff;"><strong><span style="background-color:#008080;">Background and Objective:</span></strong></span> Early detection of neonatal hearing disorders is a suitable measure of speech and&nbsp;behavioral development. The aim of this study was to determine the prevalence of hearing disorder in high-risk neonates treated in a neonatal intensive care unit (NICU).<br> <span style="color:#ffffff;"><span style="background-color:#008080;">&nbsp;</span><strong><span style="background-color:#008080;">Materials and Methods:</span></strong></span> This descriptive study was performed on 150 neonates treated in the NICU of Besat Hospital in Hamadan, Iran, using a census method. Auditory brainstem response (ABR) and otoacoustic emission (OAE) tests were performed by Labat and HOMOTH devices in Besat Hospital of Hamadan for diagnosis of&nbsp;hearing disorders. Data were analyzed using descriptive statistics and Chi-square test via&nbsp;SPSS 16.<br> <span style="color:#ffffff;"><span style="background-color:#008080;">&nbsp;</span></span><strong><span style="color:#ffffff;"><span style="background-color:#008080;">Results:</span></span> </strong>In this paper, 63.3% of studied participants were male and 36.7% were female. Also, 4.7% of participants had&nbsp;mild to severe hearing disorder, and 3.3% had moderately-severe hearing loss. There was a statistically significant relationship between age at&nbsp;admission, hearing loss in both ears, and oxygen demand with hearing-impaired participants (ABR test).<br> <span style="color:#ffffff;"><span style="background-color:#008080;">&nbsp;</span><strong><span style="background-color:#008080;">Conclusion:</span></strong></span> Considering the presence of 4.7% of hearing-impaired neonates (ABR test) in this&nbsp;study, it is necessary to design and implement a comprehensive hearing screening for high-risk&nbsp;neonates in terms of hearing disorders.</span></span></p> Auditory brainstem response, Neonate, Otoacoustic emission, Screening 76 81 http://journal.zums.ac.ir/browse.php?a_code=A-10-2025-2&slc_lang=en&sid=1 Fatemeh Eghbalian eghbalian_fa@yahoo.com 5200319475328460051665 5200319475328460051665 Yes Hearing Disorders Research Center, Besat Hospital, Hamadan University of Medical Sciences, Hamadan, Iran Farhad Farahani dr_f_farahani@yahoo.com 5200319475328460051666 5200319475328460051666 No Hearing Disorders Research Center, Besat Hospital, Hamadan University of Medical Sciences, Hamadan, Iran Amir Reza Monsef Esfahani Amonar2009@gmail.com 5200319475328460051667 5200319475328460051667 No Hearing Disorders Research Center, Besat Hospital, Hamadan University of Medical Sciences, Hamadan, Iran Ehsan Mazloumi ehsan.mazloumi1@gmail.com 5200319475328460051668 5200319475328460051668 No Hearing Disorders Research Center, Besat Hospital, Hamadan University of Medical Sciences, Hamadan, Iran Manoochehr Karami ma.karami@umsha.ac.ir. 5200319475328460051669 5200319475328460051669 No Hearing Disorders Research Center, Besat Hospital, Hamadan University of Medical Sciences, Hamadan, Iran Mohammad Jafari kimia822001@gmail.com 5200319475328460051670 5200319475328460051670 No Hearing Disorders Research Center, Besat Hospital, Hamadan University of Medical Sciences, Hamadan, Iran