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Related Experiment Videos

Automated auditory brainstem response in neonatal hearing screening.

H L van Straaten1

  • 1Isala Clinics, Department of Neonatology, Zwolle, The Netherlands. i.straaten@wxs.nl

Acta Paediatrica (Oslo, Norway : 1992). Supplement
|January 8, 2000
PubMed
Summary

Early diagnosis of congenital hearing impairment is crucial for better developmental outcomes. Universal screening using automated auditory brainstem response (AABR) effectively identifies hearing loss in infants, enabling timely intervention.

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Area of Science:

  • Pediatrics
  • Audiology
  • Neonatal Care

Background:

  • Congenital hearing impairment affects 0.1% of newborns and 1-2% of NICU graduates.
  • Early diagnosis and intervention before 6 months improve intellectual, emotional, language, and speech development.
  • Universal screening is vital as high-risk group screening misses 50% of infants with hearing loss.

Purpose of the Study:

  • To evaluate the effectiveness of automated auditory brainstem response (AABR) for universal infant hearing screening.
  • To assess the AABR's diagnostic capabilities and practicality in various settings.

Main Methods:

  • Utilized automated auditory brainstem response (AABR) screening devices.
  • AABR assesses the auditory pathway up to the brainstem, showing 98% agreement with conventional auditory brainstem response.

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  • Screening was conducted in hospital-based and home-based settings.

    • Main Results:

    • AABR provides comprehensive auditory pathway information.
    • Referral rates in hospital-based screening averaged 4%.
    • Screening time ranged from 4 to 15 minutes with costs of $15-$25 per test.

    Conclusions:

    • AABR is a reliable and efficient tool for universal infant hearing screening.
    • Early detection through AABR facilitates timely intervention, improving long-term outcomes.
    • Universal screening with AABR offers potential healthcare cost savings through reduced need for extensive interventions.