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Universal newborn hearing screening.
K A Stone1, B D Smith, J M Lembke
1Rapid City Regional Hospital, South Dakota, USA. kstone@rcrh.org
The Journal of Family Practice
|November 28, 2000
Summary
Universal newborn hearing screening using distortion product otoacoustic emissions (DPOAE) is feasible in community hospitals. A two-stage screening approach effectively identifies infants with hearing loss, minimizing false positives.
Area of Science:
- Audiology
- Neonatal Care
- Public Health
Background:
- Advancements in technology enable universal newborn hearing screening.
- The study focuses on screening infants in a community hospital setting.
Purpose of the Study:
- To assess the feasibility of universal newborn hearing screening using DPOAE.
- To evaluate the effectiveness of DPOAE in a normal newborn nursery.
Main Methods:
- Distortion product otoacoustic emissions (DPOAE) were used for screening.
- The screening was conducted on newborn infants between February 1997 and March 1999.
Main Results:
- 11.1% (111/1002) of infants failed the initial DPOAE screen.
- A two-stage approach reduced the failure rate significantly, with only 2 infants failing the repeat screen.
- One infant required further testing and treatment, while another was referred for auditory brain response testing.
Conclusions:
- DPOAE screening is easily implemented in newborn nurseries.
- A two-stage screening protocol yields an acceptable false-positive rate.
- The cost-effectiveness of DPOAE for identifying hearing loss in newborns was analyzed.