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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

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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.

Related Experiment Videos

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.