Abstract:
OBJECTIVES:1) To describe the auditory brain stem response (ABR) measurement system and optimized methods used for study of newborn hearing screening. 2) To determine how recording and infant factors related to the screening, using well-defined, specific ABR outcome measures. DESIGN:Seven thousand one hundred seventy-nine infants, 4478 from the neonatal intensive care unit (NICU) and the remaining from the well-baby nursery, were evaluated with an automated ABR protocol in each ear. Two channel recordings were obtained (vertex to mastoid or channel A and vertex to nape of neck or channel B) in response to click stimuli of 30 and 69 dB nHL in all infants as well as 50 dB nHL in infants who did not meet criteria for response at 30 dB. Criteria for response included F(SP) > or =3.1 and a tester-judgment of response. Criteria could be met in the first or repeat test with a maximum of 6144 accepted sweeps per test. RESULTS:More than 99% of infants could complete the ABR protocol. More than 90% of NICU and well-baby nursery infants "passed" given the strict criteria for response, whereas 86% of those with high risk factors met criterion for ABR response detection. The number of infants who did not meet ABR response criteria in one or both ears was systematically related to stimulus level with the largest group not meeting criteria at 30 dB followed by 50 and 69 dB nHL. Meeting criteria on the ABR was positively correlated with the amplitude of wave V, with low noise and low electrode impedance. Factors that predicted how many sweeps would be needed to reach criterion F(SP) included noise level of the test site, state of the baby (for example, quiet sleep versus crying), recording noise, electrode impedance and response latency. Channel A (vertex to mastoid) reached criterion more often than channel B (vertex to nape of neck) due to higher noise in channel B. Average total test time for 30 dB nHL screening in both ears was under 8 minutes. Well babies with risk factors took slightly longer to evaluate than other groups with this automated ABR procedure and have higher noise levels. CONCLUSIONS:ABR implemented with an automated detection algorithm using a 30 dB nHL click stimulus is reliable technique for rapid assessment of auditory status in newborns. Factors other than hearing loss that influenced the test result include infant state, electrode location and impedance, testing site, and infant risk status. Even so, ABRs were reliably recorded in the vast majority of babies under circumstances in which most babies are found in the perinatal period.
journal_name
Ear Hearjournal_title
Ear and hearingauthors
Sininger YS,Cone-Wesson B,Folsom RC,Gorga MP,Vohr BR,Widen JE,Ekelid M,Norton SJdoi
10.1097/00003446-200010000-00006subject
Has Abstractpub_date
2000-10-01 00:00:00pages
383-99issue
5eissn
0196-0202issn
1538-4667journal_volume
21pub_type
杂志文章相关文献
EAR AND HEARING文献大全abstract:OBJECTIVE:Click and galvanic stimulations of vestibular-evoked myogenic potential (c-VEMP and g-VEMP) were applied to measure the interaural difference (IAD) of saccular responses in patients with acute low-tone sensorineural hearing loss (ALHL). This study intended to explore the relationship between saccular asymmetr...
journal_title:Ear and hearing
pub_type: 杂志文章,随机对照试验
doi:10.1097/AUD.0b013e3181c5b743
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVES:Hearing-impaired children are at risk for vestibular damage and delayed motor development. Two major causes of congenital hearing loss are cytomegalovirus (CMV) infection and connexin (Cx) 26 mutations. Comparison of the motor performance and vestibular function between these specific groups is still underex...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/AUD.0000000000000364
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVES:This study was conducted to examine improvements of cognitive abilities after cochlear implantation in deaf children. We also examined the psychosocial factors that predict good outcomes of cochlear implantation. DESIGN:A neuropsychological test battery was administered to 17 deaf children (mean age, 7 yr 2...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/AUD.0b013e318031541b
更新日期:2007-04-01 00:00:00
abstract::A follow-up study of two groups of tinnitus patients was conducted in an attempt to evaluate the tinnitus masking program. Results are discussed separately for a group of patients seen during the first three years of the program (1976 through 1978) and during the last year (1979). These results suggest an improvement ...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/00003446-198003000-00004
更新日期:1980-03-01 00:00:00
abstract:OBJECTIVE:To evaluate the additional perceptual benefit provided to children through the use of two cochlear implants in comparison to one after 6 to 13 mo experience with sequential bilateral implants. DESIGN:A second cochlear implant was received by 11 children. The principal selection criteria were being age 4 to 1...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/AUD.0b013e31806dc194
更新日期:2007-08-01 00:00:00
abstract::A moderate-bandwidth master hearing aid was used to study the relationships among low-frequency response, syllable recognition scores, and perceived speech quality. As measured on KEMAR, this hearing aid provided true high-frequency emphasis in all conditions, with three degrees of relative low-frequency de-emphasis. ...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/00003446-198604000-00001
更新日期:1986-04-01 00:00:00
abstract:OBJECTIVES:The long-term goal of this research is to determine whether the middle ear muscle reflex can be used to predict the number of healthy auditory nerve fibers in hearing-impaired ears. In this study, we develop a high-impedance source and an animal model of the middle ear muscle reflex and explore the influence...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/AUD.0000000000000520
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVES:Although previous research indicates that cognitive skills influence benefit from different types of hearing aid algorithms, comparatively little is known about the role of, and potential interaction with, hearing loss. This holds true especially for noise reduction (NR) processing. The purpose of the presen...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/AUD.0000000000000003
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVES:New tinnitus therapies are being developed and marketed that target the patient's tinnitus frequency. This frequency is estimated clinically by pitch matching, which has the patient identify the pure tone that is closest to the perceived tinnitus frequency. Though widely used, pitch matching is heavily criti...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/AUD.0000000000000081
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVE:Pure-tone thresholds for conventional and extended high frequencies were analyzed for 188 older adult human subjects (91 females, 97 males). The objectives were to study longitudinal changes in thresholds as well as the effects of initial threshold levels, age, gender, and noise history on these longitudinal ...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/00003446-200502000-00001
更新日期:2005-02-01 00:00:00
abstract:OBJECTIVE:The main objective was to investigate whether the broadening and narrowing of formant bandwidths had a significant effect on the identification of vowels often confused by Nucleus cochlear implant recipients using the Spectral Peak (SPEAK) speech coding strategy. Specifically, identification performance for s...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/00003446-199712000-00006
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVES:To measure benefit in terms of speech recognition in quiet and in noise, and conservation of residual hearing in three groups of subjects implanted with the Nucleus Straight Research Array cochlear implant. This device incorporates the Nucleus Slim Straight electrode carrier designed to be easier to insert i...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/01.aud.0000444781.15858.f1
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVES:Early-deafened, late-implanted adolescents and adults constitute a unique group of cochlear implant (CI) users, showing a large variability in outcomes. The current systematic review aimed to determine which preimplantation factors are relevant in predicting postoperative outcomes in this patient group. DES...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/AUD.0000000000000889
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVES:The ability of a treatment method to interfere with tinnitus-related neural activity patterns, such as cortical gamma rhythms, has been suggested to indicate its potential in relieving tinnitus. Therapeutic modulation of gamma-band oscillations with vagus nerve stimulation has been recently reported in epile...
journal_title:Ear and hearing
pub_type: 临床试验,杂志文章
doi:10.1097/AUD.0000000000000123
更新日期:2015-05-01 00:00:00
abstract:OBJECTIVE:To examine the prevalence of auditory neuropathy in a group of infants at risk for hearing impairment and to present an overview of the clinical findings for affected children. DESIGN:Results for 20 subjects who showed repeatable cochlear microphonic potentials in the absence of click-evoked auditory brain s...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/00003446-199906000-00006
更新日期:1999-06-01 00:00:00
abstract::The ability to remove cochlear implants from children and subsequently reimplant a more complex device in the same ear was the concern of this single case study. A postlinguistically deafened child, J.L., received a single-channel cochlear implant 1 yr after contracting meningitis and suffering a profound bilateral se...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/00003446-199206000-00009
更新日期:1992-06-01 00:00:00
abstract::We report results on a cued-listening task designed to simulate the listening problems commonly described by individuals with sensorineural hearing loss, especially those experienced by elderly persons. Against a background of multitalker babble, the subject detected targets embedded in continuous discourse. Noncohere...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/00003446-199208000-00009
更新日期:1992-08-01 00:00:00
abstract:OBJECTIVE:To determine the maximum stimulus levels at which a measured auditory steady-state response (ASSR) can be assumed to be a reliable measure of auditory thresholds. DESIGN:ASSR thresholds were measured at octave frequencies from 500 to 4000 Hz in 10 subjects with profound hearing loss. These subjects provided ...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/01.aud.0000130801.96611.6b
更新日期:2004-06-01 00:00:00
abstract::Coupler output levels were obtained for six repeated placements of a TDH-49 earphone in a P/N 51 cushion on a NBS 9A coupler and a B-71 and B-72 bone vibrator on a mechanical coupler from 250 to 4000 Hz using experienced (N = 9) and untrained subjects (N = 9) who were later trained. The largest minus the smallest coup...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/00003446-198608000-00009
更新日期:1986-08-01 00:00:00
abstract:OBJECTIVES:The impact of social distancing on communication and psychosocial variables among individuals with hearing impairment during COVID-19 pandemic. It was our concern that patients who already found themselves socially isolated (Wie et al. 2010) as a result of their hearing loss would be perhaps more susceptible...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/AUD.0000000000000991
更新日期:2020-12-22 00:00:00
abstract::The objective of this study was regarding sensory and cognitive interactions in older adults published since 2009, the approximate date of the most recent reviews on this topic. After an electronic database search of articles published in English since 2009 on measures of hearing and cognition or vision and cognition ...
journal_title:Ear and hearing
pub_type: 杂志文章,评审
doi:10.1097/AUD.0000000000000303
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVE:The purposes of this study were to (a) examine the accuracy of cochlear implant recipients who use different types of devices and signal processing strategies on pitch ranking as a function of size of interval and frequency range and (b) to examine the relations between this pitch perception measure and demog...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/AUD.0b013e3180479318
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVE:Vestibular evoked myogenic potential (VEMP) has become a diagnostic tool to evaluate the integrity of sacculo-collic reflex. To obtain a more consistent VEMP response in normal-hearing subjects, we examine whether clicks or short tone bursts are more effective in eliciting VEMP responses. DESIGN:Prospective ...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/01.AUD.0000069225.80220.CB
更新日期:2003-06-01 00:00:00
abstract:OBJECTIVES:We report on the ability of patients fit with bilateral cochlear implants (CIs) to distinguish the front-back location of sound sources both with and without head movements. At issue was (i) whether CI patients are more prone to front-back confusions than normal hearing listeners for wideband, high-frequency...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/AUD.0000000000000581
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVES:In this four-site clinical trial, we evaluated whether tinnitus masking (TM) and tinnitus retraining therapy (TRT) decreased tinnitus severity more than the two control groups: an attention-control group that received tinnitus educational counseling (and hearing aids if needed; TED), and a 6-month-wait-list ...
journal_title:Ear and hearing
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1097/AUD.0000000000000330
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVE:This paper reports some preliminary findings from patients, implanted at the University of Iowa, using the Advanced Bionics Clarion cochlear implant (version 1.0). We compared the performance of patients using both simultaneous analog and nonsimultaneous pulsatile processing strategies. The performance of Cla...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/00003446-199612000-00008
更新日期:1996-12-01 00:00:00
abstract::To provide insight into the behavioral characteristics of people who listen excessively to loud music, the 32-item Northeastern Excessive Music Listening Survey was developed and administered to 90 subjects. Results indicate that 8 of the 90 subjects scored within a range that would suggest the presence of a maladapti...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/00003446-199812000-00003
更新日期:1998-12-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to evaluate streamlined programming procedures for the Nucleus cochlear implant system with the Contour electrode array. DESIGN:Phase 1 involved an examination of the clinical MAPs for the first 103 recipients implanted with the Contour electrode array in the Melbourne Cochlea...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/01.aud.0000188201.86799.01
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVES:The nature of communication between patient and practitioner influences patient outcomes. Specifically, the history-taking phase of a consultation plays a role in the development of a relationship and in the success of subsequent shared decision making. There is limited research investigating patient-centere...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/AUD.0000000000000100
更新日期:2015-03-01 00:00:00
abstract::A common element of the psychophysiological research on listening effort is the focus on listening demand as determinant of effort. The article discusses preceding studies and theorizing on effort to show that the link between listening demand and listening effort is moderated by various variables. Moreover, I will pr...
journal_title:Ear and hearing
pub_type: 杂志文章
doi:10.1097/AUD.0000000000000295
更新日期:2016-07-01 00:00:00