title: A comparison of acoustic reflex and auditory brain stem response screening of high-risk infants.
abstract: This investigation was undertaken to explore the feasibility of screening for hearing impairment in an intensive care nursery population with a combined acoustic stapedius reflex-ABR approach. Acoustic reflex threshold measurements (AR) were made on intensive care nursery patients in an existing ABR screening program. Pass-fail results were determined for the two methods, separately and in combination. AR screening identified all 10 ears that failed the ABR screen. The cost savings of screening with a combined AR-ABR approach was determined for various pass-fail criteria. The results suggest that the AR-ABR approach can produce a significant cost savings without compromising the sensitivity and specificity of the screening program.
authors.affiliation: Department of Otolaryngology, University of Minnesota, Minneapolis.
authors.forename: J E
authors.initials: JE
authors.lastname: Hirsch
authors.forename: R H
authors.initials: RH
authors.lastname: Margolis
authors.forename: J R
authors.initials: JR
authors.lastname: Rykken
mesh_terms: D000158:Acoustic Impedance Tests; D000161:Acoustic Stimulation; D002669:Child Welfare; D016057:Evoked Potentials, Auditory, Brain Stem; D005260:Female; D006309:Hearing / Q000502:physiology*; D006311:Hearing Disorders / Q000175:diagnosis; D006320:Hearing Tests; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D015997:Neonatal Screening; D012022:Reflex, Acoustic; D013061:Speech Acoustics