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Seven hundred and twenty-three neonates under intensive care have been tested by evoked otoacoustic emissions (EOAE) and the auditory brain stem response (ABR) to investigate the use of EOAE as a test for hearing impairment. Three hundred and thirty-one have had follow-up tests to the age of at least 2 years. The EOAE test has been found to be practical and quick to perform. The proportion of NICU infants producing a recordable EOAE is 80%, and the sensitivity and selectivity to the ABR result in the period up to 3 months post due date is 93 and 84%, respectively. These figures are high enough and the reduction in time compared to ABR is sufficient for the EOAE to be considered as the primary screen. The follow-up data show mixed results with both false positives and false negatives present. The incidence of severe hearing impairment is close to that expected from retrospective studies at 2 in 331 (1 bilateral, 1 unilateral). Firm conclusions on the sensitivity of EOAE to long-term hearing impairment await the results from larger numbers of infants and further follow up data.
J C Stevens, and
H D Webb, and
J Hutchinson, and
J Connell, and
M F Smith, and
J T Buffin
January 2001,
Scandinavian audiology. Supplementum,
J C Stevens, and
H D Webb, and
J Hutchinson, and
J Connell, and
M F Smith, and
J T Buffin
January 2001,
Scandinavian audiology. Supplementum,
J C Stevens, and
H D Webb, and
J Hutchinson, and
J Connell, and
M F Smith, and
J T Buffin
December 2000,
Anales espanoles de pediatria,
J C Stevens, and
H D Webb, and
J Hutchinson, and
J Connell, and
M F Smith, and
J T Buffin
January 1998,
Otolaryngologia polska = The Polish otolaryngology,
J C Stevens, and
H D Webb, and
J Hutchinson, and
J Connell, and
M F Smith, and
J T Buffin
February 1999,
British journal of audiology,
J C Stevens, and
H D Webb, and
J Hutchinson, and
J Connell, and
M F Smith, and
J T Buffin
June 1998,
IEEE transactions on bio-medical engineering,
J C Stevens, and
H D Webb, and
J Hutchinson, and
J Connell, and
M F Smith, and
J T Buffin
October 1995,
Ear and hearing,
J C Stevens, and
H D Webb, and
J Hutchinson, and
J Connell, and
M F Smith, and
J T Buffin
April 1993,
British journal of audiology,
J C Stevens, and
H D Webb, and
J Hutchinson, and
J Connell, and
M F Smith, and
J T Buffin
August 2011,
Computers in biology and medicine,
J C Stevens, and
H D Webb, and
J Hutchinson, and
J Connell, and
M F Smith, and
J T Buffin
April 2000,
Journal of applied physiology (Bethesda, Md. : 1985),
