title: The importance of retesting the hearing screening as an indicator of the real early hearing disorder.
abstract: BACKGROUND
  Early diagnosis of hearing loss minimizes its impact on child development. We studied factors that influence the effectiveness of screening programs.
  
  
  OBJECTIVE
  To investigate the relationship between gender, weight at birth, gestational age, risk factors for hearing loss, venue for newborn hearing screening and "pass" and "fail" results in the retest.
  
  
  METHODS
  Prospective cohort study was carried out in a tertiary referral hospital. The screening was performed in 565 newborns through transient evoked otoacoustic emissions in three admission units before hospital discharge and retest in the outpatient clinic. Gender, weight at birth, gestational age, presence of risk indicators for hearing loss and venue for newborn hearing screening were considered.
  
  
  RESULTS
  Full-term infants comprised 86% of the cases, preterm 14%, and risk factors for hearing loss were identified in 11%. Considering the 165 newborns retested, only the venue for screening, Intermediate Care Unit, was related to "fail" result in the retest.
  
  
  CONCLUSIONS
  Gender, weight at birth, gestational age and presence of risk factors for hearing loss were not related to "pass" and/or "fail" results in the retest. The screening performed in intermediate care units increases the chance of continued "fail" result in the Transient Otoacoustic Evoked Emissions test.
authors.affiliation: Secretariat of Health of the State of Sao Paulo, São Paulo, SP, Brazil; Graduate Program, General Basic Surgery, Botucatu Medicine School, Universidade Estadual Paulista (UNESP), Botucatu, SP, Brazil. Electronic address: daniela-polo@uol.com.
authors.forename: Daniela Polo Camargo da
authors.initials: DP
authors.lastname: Silva
authors.affiliation: Graduate Program, General Basic Surgery, Botucatu Medicine School, Universidade Estadual Paulista (UNESP), Botucatu, SP, Brazil.
authors.forename: Priscila Suman
authors.initials: PS
authors.lastname: Lopez
authors.affiliation: Secretariat of Health of the State of Sao Paulo, São Paulo, SP, Brazil; Graduate Program, General Basic Surgery, Botucatu Medicine School, Universidade Estadual Paulista (UNESP), Botucatu, SP, Brazil.
authors.forename: Georgea Espíndola
authors.initials: GE
authors.lastname: Ribeiro
authors.affiliation: Neonatology, Botucatu Medicine School, Universidade Estadual Paulista (UNESP), Botucatu, SP, Brazil.
authors.forename: Marcos Otávio de Mesquita
authors.initials: MO
authors.lastname: Luna
authors.affiliation: Botucatu Medicine School, Universidade Estadual Paulista (UNESP), Botucatu, SP, Brazil.
authors.forename: João César
authors.initials: JC
authors.lastname: Lyra
authors.affiliation: Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, Botucatu Medicine School, Universidade Estadual Paulista (UNESP), Botucatu, SP, Brazil.
authors.forename: Jair Cortez
authors.initials: JC
authors.lastname: Montovani
mesh_terms: D000161:Acoustic Stimulation; D005260:Female; D006311:Hearing Disorders / Q000175:diagnosis*; D006320:Hearing Tests; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D015997:Neonatal Screening / Q000379:methods*; D017084:Otoacoustic Emissions, Spontaneous / Q000502:physiology*; D011446:Prospective Studies; D012307:Risk Factors
keywords: Acoustic stimulation; Audição; Estimulação acústica; Hearing; Neonatal screening; Newborn; Recém-nascido; Triagem neonatal