Otoacoustic emissions as a screening test for hearing impairment in children.

Richardson, Martin; Williamson, Timothy J.; Lenton, S; Tarlow, M J; Rudd, Peter

doi:10.1136/adc.72.4.294

Cited by 28 publications

(23 citation statements)

References 13 publications

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“…OAEs were also recorded at discharge from hospital. The QuickScreen programme on the ILO88 System (Otodynamics, Hatfield) was used as previously described 15. The programme delivers a click stimulus to a loudspeaker that is contained within a loosely sealed aural probe.…”

Section: Methodsmentioning

confidence: 99%

“…In children where a convincing OAE was seen at an earlier stage the test was terminated after a minimum of 60 responses. The presence of an OAE was confirmed both visually and objectively using our previously validated screening criterion (pass = signal-to-noise ratio ⩾ 3 dB on one or more bandwidths) 15. If OAEs were absent, the entire test procedure was repeated to exclude methodological failure.…”

Section: Methodsmentioning

confidence: 99%

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Hearing loss during bacterial meningitis

Richardson

Reid

Tarlow

et al. 1997

Archives of Disease in Childhood

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126

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Objective-To determine the natural history and pathogenesis of hearing loss in children with acute bacterial meningitis. Design-Multicentre prospective study. Setting-21 hospitals in the south and west of England and South Wales. Subjects-124 children between the ages of 4 weeks and 16 years with newly diagnosed bacterial meningitis. Methods-Children underwent repeated audiological assessment with the first tests being performed within six hours of diagnosis. By using a combination of otoacoustic emissions, auditory brainstem responses, and tympanometry the diVerences between cochlear, neural, and conductive defects were distinguished. Results-Ninety two children (74%) had meningococcal and 18 (15%) had pneumococcal meningitis. All cases of hearing loss were apparent at the time of the first assessment. Three children (2.4%, 95% confidence interval (CI) 0.5 to 6.9%) had permanent sensorineural hearing loss. Thirteen children (10.5%) had reversible hearing loss of whom nine had an impairment that resolved within 48 hours of diagnosis. It is believed that this 'fleeting' hearing loss has not been reported previously. The cochlea was identified as the site of the lesion in both the permanent sensorineural and reversible impairments. Hearing loss was more common in children who had been ill for more than 24 hours (relative risk 2.72; 95% CI 0.93 to 7.98). Conclusions-Sensorineural hearing loss developed during the earliest stages of meningitis. Permanent deafness was rare but 10% of the patients had a rapidly reversible cochlear dysfunction. This may have progressed to permanent deafness if the patients had not been treated promptly. (Arch Dis Child 1997;76:134-138)

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Hearing loss during bacterial meningitis

Richardson

Reid

Tarlow

et al. 1997

Archives of Disease in Childhood

Self Cite

126

View full text Add to dashboard Cite

show abstract

“…Children were screened for hearing loss by means of otoacoustic emission testing (Otodynamics), which has been shown to be a relatively simple but very sensitive screening test for cochlear hearing loss [11,12]. Children with hearing loss Vision.…”

Section: Assessmentsmentioning

confidence: 99%

Neurodevelopmental Sequelae in Pneumococcal Meningitis Cases in Bangladesh: A Comprehensive Follow‐up Study

Saha

Khan

Ahmed³

et al. 2009

CLIN INFECT DIS

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In addition to the risk of death, pneumococcal meningitis in children causes severe disabilities among survivors, as well as disruption of the life of other siblings and family members. This study demonstrated that high rates of sequelae are associated with pneumococcal meningitis. Neurodevelopmental assessment during follow-up of patients with meningitis is critical to our understanding of the burden of the adverse consequences of pneumococcal disease. These data, along with the fact of poor access to health care, provide a compelling argument in favor of the introduction of pneumococcal vaccine, specifically in a setting where access to health care is poor and disabled children remain incapacitated because of a lack of resources and facilities.

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“…121 The feasibility of utilizing transient evoked otoacoustic emissions, compared to standard audiometry, to screen for hearing impairment in children has been demonstrated (class II study). 122 Its use has not yet been reported specifically in a group of children with developmental delay. However, retrospective analysis of a statewide (Rhode Island) legally mandated universal newborn screening program (53,121 newborns over 4 years) demonstrated the utility of a two-stage otoacoustic emission evaluation process in accurately detecting early hearing loss in a population not amenable to audiometric testing (class II study).…”

Section: Are Vision and Hearing Disorders Common In Children With Glomentioning

confidence: 99%

Practice parameter: Evaluation of the child with global developmental delay [RETIRED]

et al. 2003

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Abstract-Objective:To make evidence-based recommendations concerning the evaluation of the child with a nonprogressive global developmental delay. Methods: Relevant literature was reviewed, abstracted, and classified. Recommendations were based on a four-tiered scheme of evidence classification. Results: Global developmental delay is common and affects 1% to 3% of children. Given yields of about 1%, routine metabolic screening is not indicated in the initial evaluation of a child with global developmental delay. Because of the higher yield (3.5% to 10%), even in the absence of dysmorphic features or features suggestive of a specific syndrome, routine cytogenetic studies and molecular testing for the fragile X mutation are recommended. The diagnosis of Rett syndrome should be considered in girls with unexplained moderate to severe developmental delay. Additional genetic studies (e.g., subtelomeric chromosomal rearrangements) may also be considered in selected children. Evaluation of serum lead levels should be restricted to those children with identifiable risk factors for excessive lead exposure. Thyroid studies need not be undertaken (unless clinically indicated) if the child underwent newborn screening. An EEG is not recommended as part of the initial evaluation unless there are historical features suggestive of epilepsy or a specific epileptic syndrome. Routine neuroimaging, with MRI preferred to CT, is recommended particularly if abnormalities are found on physical examination. Because of the increased incidence of visual and auditory impairments, children with global developmental delay may undergo appropriate visual and audiometric assessment at the time of diagnosis. Conclusions: A specific etiology can be determined in the majority of children with global developmental delay. Certain routine screening tests are indicated and depending on history and examination findings, additional specific testing may be performed.

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Otoacoustic emissions as a screening test for hearing impairment in children.

Cited by 28 publications

References 13 publications

Hearing loss during bacterial meningitis

Hearing loss during bacterial meningitis

Neurodevelopmental Sequelae in Pneumococcal Meningitis Cases in Bangladesh: A Comprehensive Follow‐up Study

Practice parameter: Evaluation of the child with global developmental delay [RETIRED]

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