Evidence-Based Systematic Review of Newborn Hearing Screening Using Behavioral Audiometric Threshold as a Gold Standard
Prieve, B. A., Beauchaine, K. L., et al. (2013).
Rockville (MD): American Speech-Language-Hearing Association, 1-34.
This systematic review investigates the effectiveness of otoacoustic emissions (OAEs), auditory brainstem response (ABR), or auditory steady-state response (ASSR) to identify hearing loss in infants less than 6 months of age.
American Speech-Language-Hearing Association
<p>This document was also published as an appendix in the following report:</p><ul><li>American Speech-Language-Hearing Association. (2013). <em>Expert Panel Recommendations on Newborn Hearing Screening</em>. Retrieved from <a href="http://www.asha.org" class="ApplyClass" style="line-height: 1.5;" title="www.asha.org">www.asha.org</a></li></ul>
1975-2008
Published, peer reviewed studies
12
Nine articles investigating the sensitivity and specificity of auditory brainstem response (ABR) to identify hearing loss in infants reported sensitivity ranging between 42% to 100% and specificity ranging between 58% to 100%.
<p>"Newborn hearing screening by [auditory brainstem response] ABR or [otoacoustic emissions] OAEs is often at least moderately effective at identifying permanent hearing loss in early childhood when behavioral audiometric threshold is used as a reference standard" (p. 17).</p><p>"No studies that met inclusion criteria employed currently used screening techniques and equipment, thereby limiting their usefulness to guide recommendations for best-practice protocols" (p. 2).</p>
One article investigated the sensitivity and specificity of auditory steady state response (ASSR) to identify hearing loss in infants finding sensitivity of 100% and specificity of 71.3%.
Five articles investigating the sensitivity and specificity of transient-evoked otoacoustic emissions (TEOAEs) to identify hearing loss in infants reported sensitivity ranging between 55% to 100% and specificity ranging between 71% to 91.1%. One article also reviewed distortion-product otoacoustic emissions (DPOAEs) finding a sensitivity of 78% and specificity of 82%.
