Sensitivity of the Automated Auditory Brainstem Response in Neonatal Hearing Screening

Pediatrics
Yael LevitShaul Dollberg

Abstract

In a 2-stage neonatal hearing screening protocol, if an infant fails the first-stage abstract screening with an otoacoustic emissions test, an automated auditory brainstem response (ABR)test is performed. The purpose of this study was to estimate the rate of hearing loss detected byfirst-stage otoacoustic emissions test but missed by second-stage automated ABR testing. The data of 17 078 infants who were born at Lis Maternity Hospital between January 2013 and June 2014 were reviewed. Infants who failed screening with a transient evoked otoacoustic emissions (TEOAE) test and infants admitted to the NICU for more than 5 days underwent screening with an automated ABR test at 45 decibel hearing level (dB HL). All infants who failed screening with TEOAE were referred to a follow-up evaluation at the hearing clinic. Twenty-four percent of the infants who failed the TEOAE and passed the automated ABR hearing screening tests were eventually diagnosed with hearing loss by diagnostic ABR testing (22/90). They comprised 52% of all of the infants in the birth cohort who were diagnosed with permanent or persistent hearing loss .25 dB HL in 1 or both ears (22/42).Hearing loss .45 dB HL, which is considered to be in the range of moderate to p...Continue Reading

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Citations

Aug 23, 2019·Journal of Speech, Language, and Hearing Research : JSLHR·Sreedevi AithalAlehandrea Manuel
May 5, 2017·Archives of Disease in Childhood. Fetal and Neonatal Edition·Daphne Ari-Even RothGalia Barkai
Sep 5, 2020·Journal of Perinatology : Official Journal of the California Perinatal Association·Adriana R T AnastasioMarisa M Mussi-Pinhata
Aug 18, 2020·International Journal of Pediatric Otorhinolaryngology·Roberto GallusGuido Conti
Feb 3, 2021·Early Human Development·Akihisa OkumuraIchiro Morioka
Nov 20, 2020·Precision Clinical Medicine·Ryan K Thorpe, Richard J H Smith
Feb 6, 2021·International Archives of Otorhinolaryngology·Maha ZaitounFeda Al-Tamimi
Dec 17, 2018·The Journal of Pediatrics·Tomohisa AkamatsuMasayuki Itoh

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