Optimizing hearing screening in newborn infants with transient evoked otoacoustic emissions [optimierung des Horscreenings mittels Transient evozierter otoakustischer Emimssionen (TEOAE) bei Neugeborenen]

被引：0

作者：

Welzl-Müller K. ^{[1
,3
]}

Böheim K. ^{[2
]}

Stephan K. ^{[1
]}

Schlögel H. ^{[2
]}

Stadimann A. ^{[1
]}

Nekahm D. ^{[1
]}

机构：

[1] Universitäts-Klinik für Hör-, Stimm- und Sprachstörungen, Universität Innsbruck

[2] Klinik für Hör-, Stimm- und Sprachstörungen, A-6020 Innsbruck

来源：

HNO | 1997年 / 45卷 / 4期

关键词：

audiologic screening; hearing loss; new-born infants; otoacoustic emissions;

D O I：

10.1007/s001060050109

中图分类号：

学科分类号：

摘要：

One of the major drawbacks using transient evoked otoacoustic emissions (TEOAEs) for hearing screening in newborn infants is the high fail rate in normal-hearing children. The purpose of the present study was to improve the overall performance of the test procedure and reduce of the fail rate. Improvement was obtained by 3 modifications: (1) change of the pass criterion in healthy newborns by requiring TEOAEs in at least one ear and not both ears, (2) performing the test only after the second post-partum day, and (3) using a second-stage screening prior to hospital discharge in new-borns who failed the initial test. In all, 3980 newborns from 2 well-baby clinics and 243 new-borns from a neonatal intensive care unit (NICU) were screened using an system ILO-88 system program mode quick-check test was completed in 3820 infants. Considering these modifications, the pass rate of healthy new-borns was improved from 79.5% to >99%, and only 0.7% of the false-negative (healthy) new-borns required further audiological evaluation. Babies from the NICU failed in 3.8% of the screening tests. Overall, the number of new-borns who failed the ILO-88 screening test was significantly reduced and the fail rate minimize when compared to previously published experiences with TEOAEs in new-born hearing screening.

引用

页码：227 / 232

页数：5

共 23 条

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