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Hyperbilirubinemia has been associated with auditory dysfunction in premature infants (documented by auditory brainstem-evoked responses), but an association with language delay is uncertain. In a retrospective case-control study, investigators in Canada examined whether language delay at age 3 years was associated with serum bilirubin levels during the first 2 weeks of life in 125 infants weighing ≤1500 g who were admitted to a single neonatal intensive care unit during a 10-month period. Infants with genetic disorders, postnatal hearing loss, or recurrent ear infections were excluded.
Fifteen infants died, and 102 infants (93% of discharged infants) had follow-up data at age 3 years. Twenty-four infants (25%) had language delay (defined as…