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Neonatal hearing screening: a combined click evoked and tone burst otoacoustic emission approach.

Abstract：

OBJECTIVE:This study evaluated an alternative transient evoked otoacoustic emissions method for screening hearing in newborn babies that may reduce the referral rate of initial screening. METHODS:A total of 1,033 neonates (2,066 ears) from two hospitals were recruited. Subjects had their hearing screened in both ears using a combined approach-both click evoked OAEs (CEOAEs) and 1kHz tone burst evoked OAEs (TBOAEs). RESULTS:1kHz TBOAEs were more robust than CEOAEs in terms of emission response level and signal-to-noise ratio (SNR) at both 1 and 1.5kHz frequency bands. The prevalence rate for CEOAE and TBOAE responses in these two frequency bands was significantly different. The combined protocol significantly reduced the referral rate-by almost 2 percentage points for first time screening. CONCLUSIONS:The implementation of a combined 1kHz TBOAE/CEOAE screening protocol is a feasible and effective way to reduce referral rates, and hence false positive rates, in neonatal hearing screening programs.

journal_name

Int J Pediatr Otorhinolaryngol

journal_title

International journal of pediatric otorhinolaryngology

authors

Zhang VW,McPherson B,Shi BX,Tang JL,Wong BY

doi

10.1016/j.ijporl.2007.11.010

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

351-60

issue

3

eissn

0165-5876

issn

1872-8464

pii

S0165-5876(07)00570-8

journal_volume

72

pub_type

杂志文章

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