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Methodological factors involved in neonatal screening using transient-evoked otoacoustic emissions and automated auditory brainstem response testing

Methodological factors involved in neonatal screening using transient-evoked otoacoustic emissions and automated auditory brainstem response testing
Methodological factors involved in neonatal screening using transient-evoked otoacoustic emissions and automated auditory brainstem response testing
The methodological factors involved in screening neonates for hearing loss, using transient-evoked otoacoustic emissions (TEOAEs) and automated auditory brainstem responses, have been evaluated from a large sample of neonates. The risk factors, commonly used to select babies for a targeted screen, have very little correlation with failing TEOAE testing. The parameters used to determine passing or failing the TEOAE test and the false alarm rate change markedly with age in the first few days of life as, of course, did the percentage of babies who failed the test. The stimulus level used was the default setting for the Otodynamics equipment but the stimulus level measured in the ear canal decreased over the first 140 h of life. It is thought that this reflects the impedance changes in outer and middle ears and possible changes in middle ear dynamics. The methodological variables investigated here can illuminate some of the differences in previous reports of neonatal screening, in particular the reported hit and false alarm rates.
neonatal screening, hearing loss, itoacoustic emissions, automated ABR, universal screen
0378-5955
65-76
Thornton, A. Roger D.
d3dff0a6-a361-48d8-ba77-7264343e8fce
Kimm, Lindsay
278bd4cf-e643-4ddc-9557-9b8fc4528e61
Kennedy, Colin R.
7c3aff62-0a86-4b44-b7d7-4bc01f23ec93
Thornton, A. Roger D.
d3dff0a6-a361-48d8-ba77-7264343e8fce
Kimm, Lindsay
278bd4cf-e643-4ddc-9557-9b8fc4528e61
Kennedy, Colin R.
7c3aff62-0a86-4b44-b7d7-4bc01f23ec93

Thornton, A. Roger D., Kimm, Lindsay and Kennedy, Colin R. (2003) Methodological factors involved in neonatal screening using transient-evoked otoacoustic emissions and automated auditory brainstem response testing. Hearing Research, 182 (1-2), 65-76. (doi:10.1016/S0378-5955(03)00173-4).

Record type: Article

Abstract

The methodological factors involved in screening neonates for hearing loss, using transient-evoked otoacoustic emissions (TEOAEs) and automated auditory brainstem responses, have been evaluated from a large sample of neonates. The risk factors, commonly used to select babies for a targeted screen, have very little correlation with failing TEOAE testing. The parameters used to determine passing or failing the TEOAE test and the false alarm rate change markedly with age in the first few days of life as, of course, did the percentage of babies who failed the test. The stimulus level used was the default setting for the Otodynamics equipment but the stimulus level measured in the ear canal decreased over the first 140 h of life. It is thought that this reflects the impedance changes in outer and middle ears and possible changes in middle ear dynamics. The methodological variables investigated here can illuminate some of the differences in previous reports of neonatal screening, in particular the reported hit and false alarm rates.

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More information

Published date: 2003
Keywords: neonatal screening, hearing loss, itoacoustic emissions, automated ABR, universal screen

Identifiers

Local EPrints ID: 27728
URI: http://eprints.soton.ac.uk/id/eprint/27728
ISSN: 0378-5955
PURE UUID: 4b9db937-df82-4939-bb9b-6ad56413596c

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Date deposited: 27 Apr 2006
Last modified: 15 Mar 2024 07:20

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Contributors

Author: A. Roger D. Thornton
Author: Lindsay Kimm

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