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Updated: Jul 30, 2026

Non-invasive Optical Measurement of Cerebral Metabolism and Hemodynamics in Infants
Published on: March 14, 2013
[Coefficients between TEOAEs and DPOAEs in infants]
1Department of Otolaryngology, Affiliated Hospital of Ningxia Medical College, Yinchuan 750004.
Insights
Screening infant hearing using transient evoked otoacoustic emissions (TEOAEs) and distortion product otoacoustic emissions (DPOAEs) showed poor agreement between methods and varying criteria. This suggests no simple relationship exists for accurate hearing loss detection.
Area of Science:
- Audiology
- Neonatal care
- Hearing screening
Context:
- Infant hearing loss affects development.
- Early detection is crucial.
- Otoacoustic emissions (OAEs) are used for screening.
Purpose:
- To compare transient evoked otoacoustic emissions (TEOAEs) and distortion product otoacoustic emissions (DPOAEs) screening results.
- To evaluate the impact of different pass/fail criteria on screening outcomes.
- To assess the agreement between TEOAE and DPOAE in infants.
Summary:
- Thirty-six Australian infants (1-6 months) underwent TEOAE and DPOAE testing.
- Cohen's Kappa analysis revealed significant low agreement between TEOAE and DPOAE screening outcomes.
- Different pass/fail criteria for TEOAEs also showed poor agreement.
Impact:
- Current OAE screening protocols may lack standardization.
- Findings highlight the need for improved criteria in infant hearing screening.
- Results suggest reconsidering combined or alternative screening approaches.
Objective:
To investigate the coefficients of TEOAEs and DPOAEs based on various pass/fail criteria.
Method:
Thirty-six Australia infants were tested (age range: 1-6 months) using both TEOAE and DPOAE. Cohen's Kappa (K) were used to analyze different criteria.
Result:
There is a significant low agreement in the screening outcomes between TEOAEs and DPOAEs, and different criteria for TEOAEs.
Conclusion:
The findings from the study of coefficients among commonly used screening pass/fail criteria suggested that there is no simple relationship among them. The possible reasons for weak agreement were discussed.
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