Skip to main content
PMC home page
Archives of Disease in Childhood logoLink to Archives of Disease in Childhood
. 1989 Aug;64(8):1105–1111. doi: 10.1136/adc.64.8.1105

Click evoked otoacoustic emissions compared with brain stem electric response.

J C Stevens 1, H D Webb 1, J Hutchinson 1, J Connell 1, M F Smith 1, J T Buffin 1
PMCID: PMC1792539  PMID: 2782925

Abstract

The hearing of 346 babies taken largely from a neonatal intensive care unit has been tested by otoacoustic emissions and brain stem electric response audiometry. A total of 336 (97%) of the babies have been followed up by hearing tests from the age of 8 months. The otoacoustic emission test has been found to be practical with a mean test time of 12.1 minutes compared with 21.0 minutes for brain stem electric response. An otoacoustic emission was recorded bilaterally in 274 (79%) babies. Twenty of the 21 surviving infants who failed brain stem electric response in the neonatal period did not produce an emission. It is concluded that the otoacoustic emission test would make a good first screen to be followed by the brain stem electric response if no otoacoustic emission was present. There is poor agreement between the test results in the neonatal period and those of the follow up period, however, indicating the need for continuous monitoring of those babies failed by brain stem electric response.

Full text

PDF
1106

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Duara S., Suter C. M., Bessard K. K., Gutberlet R. L. Neonatal screening with auditory brainstem responses: results of follow-up audiometry and risk factor evaluation. J Pediatr. 1986 Feb;108(2):276–281. doi: 10.1016/s0022-3476(86)81004-6. [DOI] [PubMed] [Google Scholar]
  2. Elberling C., Parbo J., Johnsen N. J., Bagi P. Evoked acoustic emission: clinical application. Acta Otolaryngol Suppl. 1985;421:77–85. doi: 10.3109/00016488509121760. [DOI] [PubMed] [Google Scholar]
  3. Galambos R., Hicks G. E., Wilson M. J. The auditory brain stem response reliably predicts hearing loss in graduates of a tertiary intensive care nursery. Ear Hear. 1984 Jul-Aug;5(4):254–260. doi: 10.1097/00003446-198407000-00011. [DOI] [PubMed] [Google Scholar]
  4. Guerit J. M. Applications of surface-recorded auditory evoked potentials for the early diagnosis of hearing loss in neonates and premature infants. Acta Otolaryngol Suppl. 1985;421:68–76. doi: 10.3109/00016488509121759. [DOI] [PubMed] [Google Scholar]
  5. Johnsen N. J., Bagi P., Elberling C. Evoked acoustic emissions from the human ear. III. Findings in neonates. Scand Audiol. 1983;12(1):17–24. doi: 10.3109/01050398309076220. [DOI] [PubMed] [Google Scholar]
  6. Kemp D. T., Bray P., Alexander L., Brown A. M. Acoustic emission cochleography--practical aspects. Scand Audiol Suppl. 1986;25:71–95. [PubMed] [Google Scholar]
  7. Kemp D. T. Stimulated acoustic emissions from within the human auditory system. J Acoust Soc Am. 1978 Nov;64(5):1386–1391. doi: 10.1121/1.382104. [DOI] [PubMed] [Google Scholar]
  8. McCormick B., Curnock D. A., Spavins F. Auditory screening of special care neonates using the auditory response cradle. Arch Dis Child. 1984 Dec;59(12):1168–1172. doi: 10.1136/adc.59.12.1168. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. McCormick B. Hearing screening by health visitors: a critical appraisal of the distraction test. Health Visit. 1983 Dec;56(12):449–451. [PubMed] [Google Scholar]
  10. Murray A. D., Javel E., Watson C. S. Prognostic validity of auditory brainstem evoked response screening in newborn infants. Am J Otolaryngol. 1985 Mar-Apr;6(2):120–131. doi: 10.1016/s0196-0709(85)80050-8. [DOI] [PubMed] [Google Scholar]
  11. Nield T. A., Schrier S., Ramos A. D., Platzker A. C., Warburton D. Unexpected hearing loss in high-risk infants. Pediatrics. 1986 Sep;78(3):417–422. [PubMed] [Google Scholar]
  12. Rutten W. L. Evoked acoustic emissions from within normal and abnormal human ears: comparison with audiometric and electrocochleographic findings. Hear Res. 1980 Jun;2(3-4):263–271. doi: 10.1016/0378-5955(80)90062-3. [DOI] [PubMed] [Google Scholar]
  13. Stevens J. C. Click-evoked oto-acoustic emissions in normal and hearing-impaired adults. Br J Audiol. 1988 Feb;22(1):45–49. doi: 10.3109/03005368809077797. [DOI] [PubMed] [Google Scholar]
  14. Stevens J. C., Webb H. D., Smith M. F., Buffin J. T., Ruddy H. A comparison of oto-acoustic emissions and brain stem electric response audiometry in the normal newborn and babies admitted to a special care baby unit. Clin Phys Physiol Meas. 1987 May;8(2):95–104. doi: 10.1088/0143-0815/8/2/001. [DOI] [PubMed] [Google Scholar]

Articles from Archives of Disease in Childhood are provided here courtesy of BMJ Publishing Group

RESOURCES