title: Influence of acquisition parameters on the measurement of click evoked otoacoustic emissions in neonates in a hospital environment.
abstract: There is much interest in the introduction of a universal neonatal hearing screening programme. Screening programmes using high-risk criteria have been used for some time, but 50 per cent of deaf and hearing-impaired neonates are not identified because they are not classified as high risk for hearing impairment at birth. Otoacoustic emission (OAE) measurement is widely regarded as a technique likely to be suitable for universal hearing screening. To examine this, otoacoustic emissions were measured from 351 neonate ears at a large maternity hospital. Of particular interest were the practicalities of recording OAE in a hospital environment, the establishment of an appropriate age at which screening should be performed on neonates and investigation of the relative advantages of different recording techniques. Main findings were: (1) low OAE levels relative to noise during the first 24 to 48 hours post partum; (2) lower OAE signal to noise levels in low frequencies irrespective of age; (3) increase of overall signal to noise ratio in frequencies above 1 kHz through the use of a shortened response window; and (4) OAE recording could be performed easily in mothers' hospital rooms prior to discharge.
authors.affiliation: National Audiology Centre, Remuera, Auckland, New Zealand.
authors.forename: D
authors.initials: D
authors.lastname: Welch
authors.forename: K A
authors.initials: KA
authors.lastname: Greville
authors.forename: P R
authors.initials: PR
authors.lastname: Thorne
authors.forename: S C
authors.initials: SC
authors.lastname: Purdy
mesh_terms: D000161:Acoustic Stimulation; D003051:Cochlea / Q000502:physiology*; D006309:Hearing; D006311:Hearing Disorders / Q000175:diagnosis*; D006801:Humans; D007231:Infant, Newborn; D015997:Neonatal Screening