Evidence and recommendation. What is the best technique for neonatal hearing screening?
Abstract Introduction and objective: Clinical question: The otoacoustic emissions (OAE) and automated auditory evoked potentials brainstem response (ABR-A) are acceptable and used in neonatal hearing screening. PICO question: In a newborn [patient], does technique ABR-A against AEE [compared], provide superior detection [result], for neonatal screening hearing loss [intervention]?. Material and Methods: Literature search in PubMed and Cochrane data meta-analysis, clinical trials and general articles, including descriptors "hearing loss", "neonatal screening", "infant, newborn," "evoked potentials, auditory", "otoacoustic emissions". Selected studies in Spanish or English directly comparing one technique over another. Results: The evidence is high for ABR-A because they are more effective (with higher levels of sensitivity and specificity) than the OAE, especially in neonatal intensive care unit and in children at risk of auditory neuropathy. Conclusions: Recommendation: The recommendation is strongly in favor of using ABR-A versus OAS as an initial test in neonatal screening for hearing loss.
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Dort JC, Tobolski C, Brown D. Screening strategies for neonatal hearing loss: which test is best?. J Otolaryngol. 2000;29(4):206-10. -- PMid:11003070
Doyle KJ, Burggraaff B, Fujikawa S, Kim J. Newborn hearing screening by otoacoustic emissions and automated auditory brainstem response. Int J Pediatr Otorhinolaryngol. 1997;41(2):111-9. http://dx.doi.org/10.1016/S0165-5876(97)00066-9
Trinidad G, Jaúdenes C: Sordera infantil. Del diagnóstico precoz a la inclusión educativa. Guía práctica para el abordaje interdisciplinar. Madrid, Confederación Espa-ola de Familias de Personas Sordas-FIAPAS. 1ª Ed. 2011.
Norton SJ, Gorga MP, Widen JE, Folsom RC, Sininger Y, Cone-Wesson B, et al. Identification of neonatal hearing impairment: evaluation of transient evoked otoacoustic emission, distortion product otoacoustic emission, and auditory brain stem response test performance. Ear Hear. 2000;21(5):508-28. http://dx.doi.org/10.1097/00003446-200010000-00008
http://dx.doi.org/10.1097/00003446-200010000-00013 -- PMid:11059707
Ochoa-Sangrador C. Evidencia y recomendación. Rev. ORL. 2016;7(2). En prensa. Disponible en: http://revistas.usal.es/cinco/index.php/2444-7986/article/view/14019. [citado 5 de junio de 2016]. http://dx.doi.org/10.14201/orl201672.14019
Abdul Wahid SN, Md Daud MK, Sidek D, Abd Rahman N, Mansor S, Zakaria MN. The performance of distortion product otoacoustic emissions and automated auditory brainstem response in the same ear of the babies in neonatal unit. Int J Pediatr Otorhinolaryngol. 2012;76(9):1366-9. http://dx.doi.org/10.1016/j.ijporl.2012.06.008 -- PMid:22770594
Benito-Orejas JI, Ramírez B, Morais D, Almaraz A, Fernández-Calvo JL. Comparison of two-step transient evoked otoacoustic emissions (TEOAE) and automated auditory brainstem response (AABR) for universal newborn hearing screening programs. Int J Pediatr Otorhinolaryngol. 2008;72(8):1193-201. http://dx.doi.org/10.1016/j.ijporl.2008.04.011 -- PMid:18550180
Clarke P, Iqbal M, Mitchell S. A comparison of transient-evoked otoacoustic emissions and automated auditory brainstem responses for pre-discharge neonatal hearing screening. Int J Audiol. 2003;42(8):443-7. http://dx.doi.org/10.3109/14992020309081514 -- PMid:14658852
Freitas VS, Alvarenga Kde F, Bevilacqua MC, Martinez MA, Costa OA. Critical analysis of three newborn hearing screening protocols. Pro Fono. 2009;21(3):201-6. http://dx.doi.org/10.1590/S0104-56872009000300004 -- PMid:19838565
Granell J, Gavilanes J, Herrero J, Sánchez-Jara JL, Velasco MJ, Martín G. Cribado universal de la Hipoacusia neonatal: ¿es más eficiente con potenciales evocados auditivos que con emisiones otoacústicas?. Acta Otorrinolaringol Esp. 2008;59(4):170-5. http://dx.doi.org/10.1016/S0001-6519(08)73288-6
http://dx.doi.org/10.1016/S2173-5735(08)70216-3
Lin HC, Shu MT, Lee KS, Lin HY, Lin G. Reducing false positives in newborn hearing screening program: how and why. Otol Neurotol. 2007;28(6):788-92. http://dx.doi.org/10.1097/MAO.0b013e3180cab754 -- PMid:17948357
van Dyk M, Swanepoel de W, Hall JW 3rd. Outcomes with OAE and AABR screening in the first 48 h--Implications for newborn hearing screening in developing countries. Int J Pediatr Otorhinolaryngol. 2015;79(7):1034-40. http://dx.doi.org/10.1016/j.ijporl.2015.04.021 -- PMid:25921078
Vohr BR, Oh W, Stewart EJ, Bentkover JD, Gabbard S, Lemons J, Papile LA, Pye R. Comparison of costs and referral rates of 3 universal newborn hearing screening protocols. J Pediatr. 2001 Aug;139(2):238-44. http://dx.doi.org/10.1067/mpd.2001.115971 -- PMid:11487750
Doyle KJ, Burggraaff B, Fujikawa S, Kim J. Newborn hearing screening by otoacoustic emissions and automated auditory brainstem response. Int J Pediatr Otorhinolaryngol. 1997;41(2):111-9. http://dx.doi.org/10.1016/S0165-5876(97)00066-9
Trinidad G, Jaúdenes C: Sordera infantil. Del diagnóstico precoz a la inclusión educativa. Guía práctica para el abordaje interdisciplinar. Madrid, Confederación Espa-ola de Familias de Personas Sordas-FIAPAS. 1ª Ed. 2011.
Norton SJ, Gorga MP, Widen JE, Folsom RC, Sininger Y, Cone-Wesson B, et al. Identification of neonatal hearing impairment: evaluation of transient evoked otoacoustic emission, distortion product otoacoustic emission, and auditory brain stem response test performance. Ear Hear. 2000;21(5):508-28. http://dx.doi.org/10.1097/00003446-200010000-00008
http://dx.doi.org/10.1097/00003446-200010000-00013 -- PMid:11059707
Ochoa-Sangrador C. Evidencia y recomendación. Rev. ORL. 2016;7(2). En prensa. Disponible en: http://revistas.usal.es/cinco/index.php/2444-7986/article/view/14019. [citado 5 de junio de 2016]. http://dx.doi.org/10.14201/orl201672.14019
Abdul Wahid SN, Md Daud MK, Sidek D, Abd Rahman N, Mansor S, Zakaria MN. The performance of distortion product otoacoustic emissions and automated auditory brainstem response in the same ear of the babies in neonatal unit. Int J Pediatr Otorhinolaryngol. 2012;76(9):1366-9. http://dx.doi.org/10.1016/j.ijporl.2012.06.008 -- PMid:22770594
Benito-Orejas JI, Ramírez B, Morais D, Almaraz A, Fernández-Calvo JL. Comparison of two-step transient evoked otoacoustic emissions (TEOAE) and automated auditory brainstem response (AABR) for universal newborn hearing screening programs. Int J Pediatr Otorhinolaryngol. 2008;72(8):1193-201. http://dx.doi.org/10.1016/j.ijporl.2008.04.011 -- PMid:18550180
Clarke P, Iqbal M, Mitchell S. A comparison of transient-evoked otoacoustic emissions and automated auditory brainstem responses for pre-discharge neonatal hearing screening. Int J Audiol. 2003;42(8):443-7. http://dx.doi.org/10.3109/14992020309081514 -- PMid:14658852
Freitas VS, Alvarenga Kde F, Bevilacqua MC, Martinez MA, Costa OA. Critical analysis of three newborn hearing screening protocols. Pro Fono. 2009;21(3):201-6. http://dx.doi.org/10.1590/S0104-56872009000300004 -- PMid:19838565
Granell J, Gavilanes J, Herrero J, Sánchez-Jara JL, Velasco MJ, Martín G. Cribado universal de la Hipoacusia neonatal: ¿es más eficiente con potenciales evocados auditivos que con emisiones otoacústicas?. Acta Otorrinolaringol Esp. 2008;59(4):170-5. http://dx.doi.org/10.1016/S0001-6519(08)73288-6
http://dx.doi.org/10.1016/S2173-5735(08)70216-3
Lin HC, Shu MT, Lee KS, Lin HY, Lin G. Reducing false positives in newborn hearing screening program: how and why. Otol Neurotol. 2007;28(6):788-92. http://dx.doi.org/10.1097/MAO.0b013e3180cab754 -- PMid:17948357
van Dyk M, Swanepoel de W, Hall JW 3rd. Outcomes with OAE and AABR screening in the first 48 h--Implications for newborn hearing screening in developing countries. Int J Pediatr Otorhinolaryngol. 2015;79(7):1034-40. http://dx.doi.org/10.1016/j.ijporl.2015.04.021 -- PMid:25921078
Vohr BR, Oh W, Stewart EJ, Bentkover JD, Gabbard S, Lemons J, Papile LA, Pye R. Comparison of costs and referral rates of 3 universal newborn hearing screening protocols. J Pediatr. 2001 Aug;139(2):238-44. http://dx.doi.org/10.1067/mpd.2001.115971 -- PMid:11487750
Benito-Orejas, J. I., & Pardal-Refoyo, J. L. (2016). Evidence and recommendation. What is the best technique for neonatal hearing screening?. Revista ORL, 7(2), 97–102. https://doi.org/10.14201/orl.14680
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