title: Evaluation of click-evoked oto-acoustic emissions in the newborn.
abstract: Click-evoked oto-acoustic emissions and auditory brainstem responses (ABR) have been recorded in 723 babies taken largely from a neonatal intensive care unit to evaluate the use of oto-acoustic emissions as a method of screening for hearing impairment. Twenty-nine infants failed to pass the initial ABR test and repeat ABR tests carried out up to the age of 3 months. The 'sensitivity' and 'specificity' of the oto-acoustic emission test for the ABR test results up to 3 months of age in surviving infants were 93% and 84% respectively. It is proposed that click-evoked oto-acoustic emissions be considered as the initial method to screen for hearing impairment, test failures being followed up by ABR.
authors.affiliation: Department of Medical Physics and Clinical Engineering, Royal Hallamshire Hospital, Sheffield, UK.
authors.forename: J C
authors.initials: JC
authors.lastname: Stevens
authors.forename: H D
authors.initials: HD
authors.lastname: Webb
authors.forename: J
authors.initials: J
authors.lastname: Hutchinson
authors.forename: J
authors.initials: J
authors.lastname: Connell
authors.forename: M F
authors.initials: MF
authors.lastname: Smith
authors.forename: J T
authors.initials: JT
authors.lastname: Buffin
mesh_terms: D000161:Acoustic Stimulation; D003051:Cochlea / Q000502:physiology*; D016057:Evoked Potentials, Auditory, Brain Stem / Q000502:physiology*; D006311:Hearing Disorders / Q000175:diagnosis*; D006801:Humans; D007231:Infant, Newborn; D015997:Neonatal Screening / Q000379:methods*; D011446:Prospective Studies; D012680:Sensitivity and Specificity