PEDIATRICS Vol. 73 No. 1 January 1984, pp. 22-26
This Article
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Shannon, D. A.
Right arrow Articles by Harris, K. C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Shannon, D. A.
Right arrow Articles by Harris, K. C.

Hearing Screening of High-Risk Newborns with Brainstem Auditory Evoked Potentials: A Follow-up Study

Dorothy A. Shannon PhD1, Jacob K. Felix MD, FAAP1, Allan Krumholz MD1, Phillip J. Goldstein MD1, and Kenneth C. Harris 1

1 From the Departments of Rehabilitation Medicine, Pediatrics, Neurology, and Obstetrics, Sinai Hospital, and Departments of Pediatrics, Neurology, and Obstetrics, Johns Hopkins University School of Medicine, Baltimore

Numerous techniques have been used in attempts to find a reliable and efficient screening method for determining auditory function in the newborn. The brainstem auditory evoked potential (BAEP) is the latest method advocated for that purpose. The BAEP was evaluated as a hearing screening test in 168 high-risk newborns between 35 and 45 weeks of conceptual age. Follow-up data were obtained after 1 year (mean 17.3 months) on 134 of the infants (80%). Normal hearing was defined as a reproducible response in both ears to a 25 dB normal hearing level (nHL) click stimulus; 21 infants (12.5%) failed the initial screening test. Follow-up on 19/21 infants revealed 18 infants with normal hearing and one infant with an 80 dB nHL bilateral hearing loss substantiated. One infant with an abnormal screening test died before retesting, and the other infant was lost to follow-up but had only a unilaterally abnormal BAEP. None of the infants with a normal BAEP screening study had evidence of hearing loss on retesting. Sensitivity of the BAEP was 100%, specificity was 86%, predictive value of a positive test was 5.26%, and the predictive value of a negative test was 100%. The incidence of significant hearing loss in our population was between 0.75% (1/134 infants) confirmed, and 2.24% (3/134 infants) including infants who failed screening but were lost to follow-up. The BAEP is a sensitive procedure for the early identification of hearing-impaired newborns. However, the yield of significant hearing abnormalities was less than predicted in other studies using BAEP for newborn hearing screening.

Key Words: hearing screening • newborn • brainstem • auditory brainstem response • evoked potentials

Submitted on October 29, 1982
Accepted on June 10, 1983




This article has been cited by other articles:


Home page
 PediatricsHome page
N. Jeck, S. C. Reinalter, T. Henne, W. Marg, R. Mallmann, K. Pasel, M. Vollmer, G. Klaus, A. Leonhardt, H. W. Seyberth, et al.
Hypokalemic Salt-Losing Tubulopathy With Chronic Renal Failure and Sensorineural Deafness
Pediatrics, July 1, 2001; 108(1): e5 - 5.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
C. Meyer, J. Witte, A. Hildmann, K.-H. Hennecke, K.-U. Schunck, K. Maul, U. Franke, H. Fahnenstich, H. Rabe, R. Rossi, et al.
Neonatal Screening for Hearing Disorders in Infants at Risk: Incidence, Risk Factors, and Follow-up
Pediatrics, October 1, 1999; 104(4): 900 - 904.
[Abstract] [Full Text]