The impact of pass/refer criteria in the use of otoacoustic emission technology for newborn hearing screening

Loading...
Thumbnail Image

Authors

Kanji, Amisha
Naudé, Alida Maryna

Journal Title

Journal ISSN

Volume Title

Publisher

American Speech-Language-Hearing Association

Abstract

PURPOSE : The current study aimed to compare the specificity of transient evoked otoacoustic emissions (TEOAEs) and distortion product otoacoustic emissions (DPOAEs) in isolation and in combination, with varying pass/refer criteria for DPOAE technology. METHOD : A longitudinal, repeated-measures design was employed. The current study sample comprised 91 of the initial 325 participants who returned for the repeat screening and diagnostic audiological assessment within a risk-based newborn hearing screening program. RESULTS : TEOAE screening had the highest specificity in comparison to DPOAE screening at the initial and repeat screening, irrespective of differences in DPOAE pass/refer criteria. DPOAE screening had a slightly higher specificity, with a three out of six rather than the four out of six frequency pass criteria. CONCLUSIONS : Pass/refer criteria alone do not influence referral rates and specificity. Instead, consideration of other factors in combination with these criteria is important. More research is required in terms of the sensitivity and specificity of OAE screening technology using repeated-measures and diagnostic audiological evaluation as the gold standard.

Description

Keywords

Transient evoked otoacoustic emission (TEOAE), Distortion product otoacoustic emission (DPOAE), Pass/refer criteria, Otoacoustic emission technology, Newborn hearing screening

Sustainable Development Goals

Citation

Kanji A, Naudé A. The Impact of Pass/Refer Criteria in the Use of Otoacoustic Emission Technology for Newborn Hearing Screening. American Journal of Audiology 2021 May 30(2):416-422. doi: 10.1044/2021_AJA-20-00160.