Age and Other Factors Affecting the Outcome of AABR Screening in Neonates

Hospital Pediatrics
Lise Carolyn JohnsonEllice Lieberman

Abstract

Although the utility of universal newborn hearing screening is undisputed, testing protocols vary. In particular, the impact of the infant's age at the time of automated auditory brainstem response (AABR) screening has not been well studied. We conducted a retrospective review of newborn hearing screening data in 6817 low-risk, term and late-preterm newborns at our large, urban, academic medical center for a 1-year period to analyze the impact of age and other factors on the screening failure rate and referral for diagnostic testing. AABR screening failure rates decreased with postnatal age over the first 48 hours; 13.3% failed at <24 hours versus 3.8% at ≥48 hours (P< .0001). Infants who were initially tested at ≥36 hours failed repeat testing more often than those who were tested at <36 hours (11.5% vs 18.9%;P= .03). Other factors that were associated with failure included being a boy and of a race other than white. Sensorineural hearing loss (SNHL) was diagnosed in 18.6% of infants who failed their final screening at ≥48 hours compared with 2.8% of those whose final screening occurred earlier (P= .03). SNHL was more likely in infants who failed their first screening bilaterally (21.2%) than unilaterally (4.4%);P= .03). Among...Continue Reading

References

Aug 1, 1995·Archives of Pediatrics & Adolescent Medicine·D G RobertsK Yaffee
Oct 1, 1993·British Journal of Audiology·A R ThorntonD Cafarelli-Dees
Mar 1, 1993·Archives of Otolaryngology--head & Neck Surgery·K W ChangM D Lekas
Aug 20, 1997·International Journal of Pediatric Otorhinolaryngology·K J DoyleJ Kim
Jul 6, 2000·Pediatrics·C J ClemensA R Bailey
Mar 16, 2002·Journal of Perinatology : Official Journal of the California Perinatal Association·James LemonsAllan Diefendorf
Jan 16, 2003·Hearing Research·Ronit PrinerHaim Sohmer
Oct 18, 2003·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·Stavros KorresDimitrios G Balatsouras
May 8, 2007·International Journal of Pediatric Otorhinolaryngology·Catherine KolskiVladimir Strunski
Jun 15, 2007·American Journal of Audiology·Jessica R MacNeilJanet Farrell
Oct 3, 2007·Pediatrics·UNKNOWN American Academy of Pediatrics, Joint Committee on Infant Hearing
Feb 5, 2011·International Journal of Pediatric Otorhinolaryngology·Md Daud Mohd KhairiZakaria Mohamad Normani
Jun 13, 2012·Pediatrics·Tatiana SmolkinImad R Makhoul
Mar 1, 2013·Health Care for Women International·Becky S Spencer, Jane S Grassley
Apr 9, 2013·International Journal of Pediatric Otorhinolaryngology·Luciana da Mata LupoliAna Claudia Fontana
Oct 2, 2013·Acta otorrinolaringológica española·José M Sequi-CanetJosé I Collar Del Castillo
Mar 13, 2014·International Journal of Pediatric Otorhinolaryngology·Olubunmi V AkinpeluSam J Daniel
Feb 11, 2015·International Journal of Pediatric Otorhinolaryngology·Tiejun XiaoQi Hu
Jun 1, 1997·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Karen Jo DoyleCarol J Macarthur

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Citations

May 15, 2020·Journal of Speech, Language, and Hearing Research : JSLHR·Céline RichardNathalie L Maitre

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