A Multisite Study to Examine the Efficacy of the Otoacoustic Emission/Automated Auditory Brainstem Response Newborn Hearing Screening Protocol Research Design and Results of the Study Supplement Article
Supplement Article  |   December 01, 2005
A Multisite Study to Examine the Efficacy of the Otoacoustic Emission/Automated Auditory Brainstem Response Newborn Hearing Screening Protocol
 
Author Affiliations & Notes
  • Karl R. White
    National Center for Hearing Assessment and Management, Utah State University, Logan
  • Betty R. Vohr
    Women and Infants Hospital, Providence, RI
  • Sally Meyer
    National Center for Hearing Assessment and Management, Utah State University, Logan
  • Judith E. Widen
    University of Kansas Medical Center, Kansas City
  • Jean L. Johnson
    Center on Disability Studies, University of Hawaii, 1776 University Avenue, Honolulu, HI 96822
  • Judith S. Gravel
    Albert Einstein College of Medicine and Jacobi Medical Center, Bronx, NY
  • Michele James
    Arnold Palmer Hospital for Children and Women, Orlando, FL
  • Teresa Kennalley
    Via Christi Regional Medical Center, Wichita, KS
  • Antonia B. Maxon
    New England Center for Hearing Rehabilitation, Hampton, CT
  • Lynn Spivak
    Long Island Jewish Medical Center, New Hyde Park, NY
  • Maureen Sullivan-Mahoney
    Good Samaritan Hospital, Cincinnati, OH
  • Yusnita Weirather
    Kapiòlani Medical Center for Women and Infants, Honolulu, HI
  • Corresponding author: e-mail: jeanj@hawaii.edu
  • Judith S. Gravel is now at The Children’s Hospital of Philadelphia.
    Judith S. Gravel is now at The Children’s Hospital of Philadelphia.×
Article Information
Hearing Disorders / Special Populations / Early Identification & Intervention / Supplement: A Multisite Study to Examine the Efficacy of the Otoacoustic Emission/Automated Auditory Brainstem Response Newborn Hearing Screening Protocol
Supplement Article   |   December 01, 2005
A Multisite Study to Examine the Efficacy of the Otoacoustic Emission/Automated Auditory Brainstem Response Newborn Hearing Screening Protocol
American Journal of Audiology, December 2005, Vol. 14, S186-S199. doi:10.1044/1059-0889(2005/021)
History: Received May 7, 2005 , Accepted November 14, 2005
 
American Journal of Audiology, December 2005, Vol. 14, S186-S199. doi:10.1044/1059-0889(2005/021)
History: Received May 7, 2005; Accepted November 14, 2005

Purpose: Most newborns are screened for hearing loss, and many hospitals use a 2-stage protocol in which all infants are screened first with otoacoustic emissions (OAEs). In this protocol, no additional testing is done for those passing the OAE screening, but infants failing the OAE are also screened with automated auditory brainstem response (A-ABR). This study evaluated how many infants who failed the OAE and passed the A-ABR had permanent hearing loss (PHL) at 8–12 months of age.

Method: A total of 86,634 infants were screened at 7 birthing centers using a 2-stage OAE/A-ABR hearing screening protocol. Of infants who failed the OAE but passed the A-ABR, 1,524 were enrolled in the study. Diagnostic audiologic evaluations were performed on 64% of the enrolled infants (1,432 ears from 973 infants) when they were 8–12 months old.

Results: Twenty-one infants (30 ears) who passed the newborn A-ABR hearing screening were identified with PHL when they were 8–12 months old. Most (71%) had mild hearing loss.

Conclusions: If all infants were screened for hearing loss using a typical 2-stage OAE/A-ABR protocol, approximately 23% of those with PHL at 8–12 months of age would have passed the A-ABR.

Acknowledgments
This study was made possible through a Cooperative Agreement between the Centers for Disease Control and Prevention (CDC) and the Association of Teachers of Preventive Medicine (ATPM), Award U50/CCU300860 TS-523. The contents of the study are the sole responsibility of the authors and do not necessarily reflect the official views of the CDC or the ATPM. An abbreviated version of the four articles in this series was previously published in the September 2005 issue of Pediatrics (Johnson, White, Widen, Gravel, James, et al., 2005).
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