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Maintaining acceptably low referral rates in TEOAE-based newborn hearing screening programs

A B Maxon1, K R White, B Culpepper

  • 1University of Connecticut, Storrs 06269-1085, USA. Maxon@uconnvm.uconn.edu

Journal of Communication Disorders
|December 16, 1997
PubMed
Summary

Newborn hearing screening using otoacoustic emissions (OAE) can achieve low refer rates when proper procedures are followed. Infant age did not significantly impact screening outcomes in this study of 1328 newborns.

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Area of Science:

  • Audiology
  • Neonatal Care
  • Public Health

Background:

  • Otoacoustic emissions (OAE) are a common method for newborn hearing screening.
  • Refer rates in OAE screening can be influenced by various factors.
  • Standardized screening protocols are crucial for accurate results.

Purpose of the Study:

  • To identify factors affecting refer rates in OAE newborn hearing screening.
  • To evaluate the impact of infant age on TEOAE screening outcomes.
  • To assess the feasibility of achieving low refer rates with appropriate procedures.

Main Methods:

  • Analysis of factors influencing OAE screening refer rates.
  • Screening of 1328 newborns using transient evoked otoacoustic emissions (TEOAE).
  • Comparison of TEOAE screening outcomes across different infant age groups (6-60 hours).

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Main Results:

  • Factors such as probe fit, software, ear conditions, and screener training affect refer rates.
  • Infant age (6-60 hours) did not significantly alter TEOAE screening pass rates.
  • Youngest infants (6-9 hours) showed a 90% pass rate, comparable to older infants.

Conclusions:

  • Consistent and low refer rates (mean 6.9%) are achievable in TEOAE-based newborn hearing screening programs.
  • Adherence to appropriate screening procedures is key to successful newborn hearing screening.
  • Infant age within the first 60 hours is not a barrier to effective TEOAE screening.