Universal Newborn Hearing Screening: Are We Achieving the Joint Committee on Infant Hearing (JCIH) Objectives?

Connolly, James L.; Carron, Jeffrey D.; Roark, Suzanne D.

doi:10.1097/01.mlg.0000154724.00787.49

Cited by 73 publications

(60 citation statements)

References 13 publications

(9 reference statements)

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“…Testing at a later age, for example at the 34th week, might provide better test feasibility scores and lower false-positive rates. In support of our hypotheses, more recent studies have used better-tuned screening procedures or newer OAE technology (fourth-generation OAE screeners) and have reported very low false-positive rates compatible with the estimates of the present study [Connolly et al, 2005;Yee-Arellano et al, 2006;Mansur Tatli et al, 2007].…”

Section: Discussionsupporting

confidence: 90%

Optimizing Otoacoustic Emission Protocols for a UNHS Program

Hatzopoulos

Petruccelli²,

Ciorba³

2008

Audiol Neurotol

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Objective: To identify the optimal test protocol to screen for hearing problems in newborns, an evaluation of three distortion product otoacoustic emission (DPOAE) protocols was conducted in neonates, from a well-baby nursery (WBN) and from a neonatal intensive care unit (NICU) and compared to the performance in newborns of a more standard protocol based on transient-evoked OAEs (TEOAEs). Methods: The DPOAE protocols used asymmetrical stimulus intensities (L₁ > L₂) with a frequency ratio of 1.22, in the following format: (P1), L₁ = 60, L₂ = 50 dB SPL; (P2), L₁ = 65, L₂ = 55 dB SPL, and (P3), L₁ = 75, L₂ = 65 dB SPL. Linear TEOAE responses, evoked by click stimuli of 75 dB peSPL, were used as controls of normal cochlear function. Five frequencies at 1.5, 2.0, 3.0, 4.0 and 5.0 kHz were tested with a common commercially available macro-based software subroutine (Otodynamics Corp, ILO-92). The project evaluated the responses from 1200 WBN infants (average age 48 h) and 350 low-birth-weight NICU infants, all randomly selected. Results: Statistical analyses comparing the signal-to-noise ratios (S/N), at the predefined f₂ frequencies, indicated that the P1 and P2 DPOAE protocols generated similar responses. Significant S/N differences were observed in the P3 to P2 dataset comparisons. DPOAE scoring criteria were estimated from the P3 dataset using a one-sided, distribution-free confidence intervals. The scoring criteria for a ‘pass’ were estimated as a minimum S/N of 6.0, 7.0 and 6.0 dB at 2.0, 3.0 and 4.0 kHz, respectively. In terms of feasibility, the P3 protocol generated responses in 98% of the WBN and 94.8% of the NICU infants. Conclusions: All three DPOAE protocols demonstrated shorter time-recording requirements than the standard TEOAE test. The false-positive and false-negative rates for the NICU infants were estimated as 0.0028 and 0.003%, respectively.

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Section: Discussionsupporting

confidence: 90%

Optimizing Otoacoustic Emission Protocols for a UNHS Program

Hatzopoulos

Petruccelli²,

Ciorba³

2008

Audiol Neurotol

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“…In Connolly, Mississippi, USA study 1.3% of total high risk babies screened were detected with hearing loss [13]. In my study 10% of total high risk babies screened were detected with hearing loss (AABR REFER).…”

Section: Discussionmentioning

confidence: 72%

Hearing Screening in a Tertiary Care Hospital in India

Kumar

Shah

Patel

et al. 2015

JCDR

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“…If the patients continue to fail, then an automated ABR test is recommended. 5 In the ABR test, transient acoustic stimuli is generated and detected with surface electrodes that are placed near the ears. If the patients pass this test, no follow-up is required; however, if they fail, they must be followed up as an outpatient for repeated testing.…”

Section: H Earing Loss Is the Mostmentioning

confidence: 99%

Children With Sensorineural Hearing Loss After Passing the Newborn Hearing Screen

Dedhia¹,

Kitsko²,

Sabo³

et al. 2013

JAMA Otolaryngol Head Neck Surg

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This is the largest study to characterize children with hearing loss who passed the NHS. In our review, parental concerns and school hearing screens were the most common method to diagnose hearing loss after passing the NHS. Families and primary care physicians may have a false sense of security when patients pass the NHS and overlook symptoms of hearing loss. This study raises the question whether further screens would identify hearing loss in children after passing the NHS.

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Universal Newborn Hearing Screening: Are We Achieving the Joint Committee on Infant Hearing (JCIH) Objectives?

Abstract: Our current UNHS protocol using sequential ABR has been successful in screening virtually all neonates and providing timely intervention. This retrospective review has shown one HL diagnosis for every 811 babies screened without high-risk factors.

Cited by 73 publications

References 13 publications

Optimizing Otoacoustic Emission Protocols for a UNHS Program

Optimizing Otoacoustic Emission Protocols for a UNHS Program

Hearing Screening in a Tertiary Care Hospital in India

Children With Sensorineural Hearing Loss After Passing the Newborn Hearing Screen

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