Brainstem-evoked response audiometry

Background: Newborn hearing screening was conducted in a tertiary care hospital in a step by step manner using otoacoustic emissions (OAE) and brainstem evoked response audiometry (BERA) and details were recorded.Methods: A prospective institutional based study was conducted. All the newborns born in the hospital over a period of 18 months from December 2018 to May 2020 were considered in the study. Healthy newborns were screened bedside within 24 hours of delivery and NICU (Neonatal Intensive Care Unit) babies were screened in the NICU. Handheld OAE apparatus was used as the initial screening tool. A total of 3 OAEs were done for babies with a “refer” result in the OAEs, which were done 1 month apart. Babies with a “refer” in the third OAE were subjected for BERA.Results: A total of 14226 babies were screened at 24-48 hours of birth. Among them, 13,069 babies passed the first OAE screening in both ears. Remaining babies were referred for further follow-up. After subsequent follow-ups and successive testing, 11 babies were found to have hearing loss, which was diagnosed within 4-5 months of the child’s birth.Conclusions: Universal newborn hearing screening is the need of the day. OAE is an effective screening tool for newborn hearing loss. When complemented by BERA, majority of congenitally deaf babies can be diagnosed at a very early age. This helps in early intervention.

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Brain Stem Evoked Response Audiometry in Newborn Hearing Screening

Archives of Otolaryngology - Head and Neck Surgery ◽

10.1001/archotol.1979.00790140032006 ◽

1979 ◽

Vol 105 (2) ◽

pp. 86-90 ◽

Cited By ~ 137

Author(s):

C. Schulman-Galambos ◽

R. Galambos

Keyword(s):

Brain Stem ◽

Hearing Screening ◽

Evoked Response ◽

Newborn Hearing Screening ◽

Newborn Hearing ◽

Brain Stem Evoked Response ◽

Evoked Response Audiometry

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Traceability in newborn hearing screening via an auditory-evoked response simulator

International Journal of Audiology ◽

10.3109/14992027.2015.1020973 ◽

2015 ◽

Vol 54 (8) ◽

pp. 559-561

Author(s):

Janine Avison ◽

Richard Jackett

Keyword(s):

Hearing Screening ◽

Evoked Response ◽

Newborn Hearing Screening ◽

Auditory Evoked Response ◽

Newborn Hearing

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A prospective study for hearing screening of 4356 newborns by transient evoked oto-acoustic emissions and brainstem evoked response audiometry: a study of high risk factors for hearing loss

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20171264 ◽

2017 ◽

Vol 5 (4) ◽

pp. 1554 ◽

Cited By ~ 2

Author(s):

Pradeep Kumar Singh ◽

Nishant Kumar ◽

Dheeraj Kumar ◽

Nisha Shrivastava ◽

Abhishek Kumar

Keyword(s):

Risk Factors ◽

Hearing Loss ◽

High Risk ◽

Prospective Study ◽

Acoustic Emissions ◽

Hearing Screening ◽

Evoked Response ◽

Brainstem Evoked Response Audiometry ◽

High Risk Factors ◽

Evoked Response Audiometry

Background: A child’s normal speech and language development depends on the ability to hear. Early detection of hearing loss by screening at or shortly after birth and appropriate intervention are critical to speech, language and cognitive development. Objectives were to describe socio-epidemiological profile of newborns for hearing loss screening by transient evoked oto-acoustic emissions (TEOAE) and brainstem evoked response audiometry (BERA) in Rajendra Institute of Medical Sciences (RIMS), Ranchi, Jharkhand, India during 18 months period (June 2015- November 2016), and to study association between hearing loss and risk factors.Methods: This prospective study was done on 4356 newborns for hearing screening by TEOAE in maternity ward and NICU and BERA in those noted “refer” on retest TEOAE at RIMS, Ranchi, Jharkhand, India during the period of 18 months (June 2015 - November 2016). Follow- up done by visits and phone calls. Templates were generated in MS excel sheet and data analysis was done using SPSS software (version 20).Results: Study showed 3.90/1000 newborns were noted “refer” on retest TEOAE. Hearing loss (BERA- Fail) is slightly more common in males (2.20/1000 newborns), of rural areas (2.44/1000 newborns), tribal ethnicity (2.75/1000 newborns) and those delivered by lower section caesarean section (LSCS) (4.47/1000 newborns). Hearing loss noted in 2.07/1000 newborns. Among high risk newborns 21.41/1000 newborns were noted “refer” on retest TEOAE and 11.53 were found BERA fail.Conclusions: Hearing loss was 21.71 times more common in newborns associated with high risk factors, mainly low birth weight and preterm newborns.

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The New York State Universal Newborn Hearing Screening Demonstration Project: Outpatient Outcome Measures

Ear and Hearing ◽

10.1097/00003446-200004000-00005 ◽

2000 ◽

Vol 21 (2) ◽

pp. 104-117 ◽

Cited By ~ 57

Author(s):

Beth Prieve ◽

Larry Dalzell ◽

Abbey Berg ◽

Mary Bradley ◽

Anthony Cacace ◽

...

Keyword(s):

New York ◽

Outcome Measures ◽

New York State ◽

Hearing Screening ◽

Demonstration Project ◽

Newborn Hearing Screening ◽

York State ◽

Universal Newborn Hearing Screening ◽

Newborn Hearing

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An alternative strategy for universal infant hearing screening in tertiary hospitals with a high delivery rate, within a developing country, using transient evoked oto-acoustic emissions and brainstem evoked response audiometry

The Journal of Laryngology & Otology ◽

10.1017/s0022215106004403 ◽

2006 ◽

Vol 121 (7) ◽

pp. 639-643 ◽

Cited By ~ 10

Author(s):

N N Mathur ◽

R Dhawan

Keyword(s):

False Positive ◽

Acoustic Emissions ◽

Hearing Screening ◽

Evoked Response ◽

Alternative Strategy ◽

Pass Rate ◽

Delivery Rate ◽

Tertiary Referral Hospital ◽

Brainstem Evoked Response Audiometry ◽

Evoked Response Audiometry

Objective: To formulate an alternative strategy for universal infants hearing screening in an Indian tertiary referral hospital with a high delivery rate, which could be extended to similar situations in other developing countries. The system should be able to diagnose, in a timely fashion, all infants with severe and profound hearing losses.Methods: One thousand newborn were randomly selected. All underwent testing with transient evoked oto-acoustic emissions (TEOAE) in the first 48 hours of life. All TEOAE failures were followed up and repeat tests were performed at three weeks, three months and six months of age. Infants with acceptable TEOAE results at any of the four ages were discharged from the study. Infants with unacceptable TEOAE results at all the four ages underwent brainstem evoked response audiometry and oto-endoscopy. The ‘pass rate’ for TEOAE testing was calculated for all four ages. The time taken to perform TEOAE and brainstem evoked response audiometry was recorded for all subjects. These recordings were statistically analysed to find the most suitable strategy for universal hearing screening in our hospital.Results: The pass rate for TEOAE was 79.0 per cent at ≤48 hours, 85.0 per cent at three weeks, 97.0 per cent at three months and 98.0 per cent at six months. The average time taken to perform the test was 12 minutes for TEOAE and 27 minutes for brainstem evoked response audiometry. Obstructed and collapsed external auditory canals were the two factors that significantly affected the specificity of TEOAE in infants ≤48 hours old.Conclusion: The concept of screening all neonates within the first 48 hours of life is impractical because the specificity of TEOAE is lowest at that age. Many false positive results are generated, such that a larger number must undergo brainstem evoked response audiometry, wasting time and resources. This can easily be avoided by delaying TEOAE screening until three months of age, when it has a substantially lower false positive outcome. We expect that implementation of this alternative strategy in our hospital will maximise the benefits of such a programme.

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