title: Referral rates and cost efficiency in a universal newborn hearing screening program using transient evoked otoacoustic emissions.
abstract: Recently, a National Institutes of Health Consensus Statement recommended that all infants be screened for hearing prior leaving the birthing hospital using a two-stage screening process based on transient evoked otoacoustic emissions (TEOAEs). Although the value of identifying hearing loss before 1 year of age is widely recognized, the feasibility of universal newborn hearing screening using TEOAE is sometimes questioned because it is presumed that the technique has a high false positive rate and is not cost efficient. This paper presents new data for 4253 infants from an operational universal newborn hearing screening program using a TEOAE procedure that answers those arguments.
authors.affiliation: Department of Communication Sciences, University of Connecticut, Storrs 06269-1085, USA.
authors.forename: A B
authors.initials: AB
authors.lastname: Maxon
authors.forename: K R
authors.initials: KR
authors.lastname: White
authors.forename: T R
authors.initials: TR
authors.lastname: Behrens
authors.forename: B R
authors.initials: BR
authors.lastname: Vohr
mesh_terms: D000161:Acoustic Stimulation; D003051:Cochlea / Q000502:physiology*; D006311:Hearing Disorders / Q000175:diagnosis*; D006801:Humans; D007231:Infant, Newborn; D015997:Neonatal Screening / Q000191:economics*; D012017:Referral and Consultation