Effectiveness Of Transient Evoked Otoacoustic Emission (TEOAE) Test For Neonatal Auditory Screening

Authors

  • Shanila Feroz
  • Iqbal Hussain Udaipurwala
  • Danish Muhammad Khan
  • FATIMA IQBAL Hussain

DOI:

https://doi.org/10.51985/JBUMDC2018029

Keywords:

screening, Transient evoked otoacoustic emissions; Brainstem evoked response audiometry, Congenital deafness

Abstract

Objective: The purpose of this study is to assess the efficacy of Transient Evoked Otoacoustic Emission (TEOAE) as
screening test for auditory function in neonates.
Study Design: A cross-sectional study
Place and Duration of Study: This study was conducted at United Medical and Dental College, Creek General Hospital,
Karachi, from July 2106 to May 2017. A total number of 120 newborn babies were screened for hearing loss before discharge
from hospital but 20 were lost for follow up and 100 cases were included in this study.
Method: TEOAE was done in all neonates born during this period at 3rd day after birth. Those who were found to have
hearing loss, TEOAE was repeated at the end of 1st week and again in 6th week after birth. BERA was done in those cases
who showed hearing loss on TEOAE on all three occasions. All the 100 cases were followed up regularly for more than
one year for appearance of any sign or symptom related with hearing loss or speech development failure.
Result: Out of 100 cases included in this study, 96 were found to have no hearing loss on TEOAE and 1 on BERA test.
Remaining three cases were found to have hearing loss on both TEOAE and BERA test. True negative cases where no
hearing loss was found on TEOAE and subsequent follow up were 96. True positive cases were 3 where hearing loss was
found on TEOAE and BERA and also on subsequent follow-up. False positive case was 1, where hearing loss was detected
on TEOAE but BERA showed normal hearing and subsequent follow-up also showed normal hearing and false negative
result was not detected in any case. Sensitivity of TEOAE was found to be 100%, specificity is 98.9%, accuracy is 99%,
positive predictive value is 75% and negative predictive value is 100% in this study.
Conclusion: TEOAE was found to be a cost-effective and practicable method of recognizing congenital hearing loss. It
should be done in all newborns as routine screening for hearing loss.

References

Doyle KJ, Burggraaff B, Fujikawa S, Kim J. Newborn hearing

screening by otoacoustic emissions and automated auditory

brainstem response, Int. J. Pediatr. Otorhinolaryngol. 1997;

: 111-119.

Hahn M, Lamprecht-Dinnesen A, Heinecke A, Hartmann S,

Bulbul S, Schroder G, et al., Hearing screening in healthy

newborns: feasibility of different methods with regard to test

time. Int. J. Pediatr. Otorhinolaryngol. 1999; 51: 83-8.

De Capua B, De Felice C, Costantini D, Bagnoli F, Passali

D. Newborn hearing screening by transient evoked otoacoustic

emissions: analysis of response as a function of risk factors.

Acta Otorhinolaryngol Ital. 2003; 23: 16-20.

Maxon AB, White KR, Vohr BR, Behrens TR. Using transient

evoked otoacoustic emissions for neonatal hearing screening.

Br J Audiol. 1993; 27: 149-53.

Effectiveness Of Transient Evoked Otoacoustic Emission (TEOAE) Test For Neonatal Auditory Screening

JBUMDC 2018; 8(2):77-81

Page - 81

Iwasaki S, Hayashi Y, Seki A, Nagura M, Hashimoto Y,

Oshima G, et al. A model of two-stage newborn hearing

screening with automated auditory brainstem response. Int J

Pediatr Otorhinolaryngol. 2003; 67: 1099-104.

Van Straaten HL, Hille ET, Kok JH, Verkerk PH. Dutch NICU

Neonatal Hearing Screening Working Group. Implementation

of a nation-wide automated auditory brainstem response

hearing screening program in neonatal intensive care units.

Acta Paediatr. 2003; 92: 332-8.

Benito-Orejas JI, RamI'rez B, Morais D, et al. Comparison

of two-step transient evoked otoacoustic emissions (OAE)

and automated auditory brainstem response (AABR) for

universal newborn hearing screening programs. Int J Pediatr

Otorhinolaryngol. 2008; 72(8): 1193–201.

Mumtaz N, Butt AK. Parental Response to Benefits of Early

Detection in Hearing Impaired Children in Pakistan. J Riphah

Coll Rehab Sci. 2013; 1(1): 17-20.

Norton SJ, Gorga MP, Widen JE, Folsom RC, Sininger Y,

Cone-Wesson B, et al., Identification of neonatal hearing

impairment: evaluation of transient evoked Otoacoustic

emission, distortion product otoacoustic emission and auditory

brain stem response test performance, Ear Hear. 2000; 21:

-528.

Norton SJ, Gorga MP, Widen JE, Folsom RC, Sininger Y,

Cone-Wesson B, et al., Identification of neonatal hearing

impairment: summary and recommendations, Ear Hear. 2000;

: 529-535.

Meier S, Narabayashi O, Probst R, Schmuziger N, Comparison

of currently available devices designed for newborn hearing

screening using automated auditory brainstem and/ or

otoacoustic emission measurements, Int. J. Pediatr.

Otorhinolaryngol. 2004; 68: 927-934.

Kennedy CR, Kimm L, Cafarelli D, Evans PIP, Hunter M,

Lenton S, Thornton RD, Otoacoustic emissions and auditory

brainstem responses in the newborn, Arch. Dis. Child. 1991;

: 1124—1129.

Keren R, Helfand M, Homer C, McPhillips H, Lieu TA.

Projected cost-effectiveness of statewide universal newborn

hearing screening. Pediatrics. 2002; 110: 855-64.

Gabbard SA, Northern JL, Yoshinaga-Itano C. Hearing

screening in newborns under 24 hours of age, Semin. Hear.

; 20: 291-305.

Naqqash S, Zaman S, Hamid KA. Early Detection of Hearing

Impairment among High-Risk Neonates. Ann Pak Inst Med

Sci. 2013; 9(1): 22-5.

Ali L, Khan MA, Baloch GR, Aziz MT. Hearing screening

in high risk Neonates. Pak Paed J. 2004; 28(1): 1-6.

Ulusoy S, Ugras H, Cingi C, Yilmaz HB, Muluk NB. The

results of national newborn hearing screening (NNHS) data

of 11,575 newborns from west part of Turkey. Eur Rev Med

Pharmacol Sci 2014; 18(20): 2995-3003

Cornel M, Rigter T, Weinreich S, Burgard P, Hoffmann GF,

Lindner M, et al. Newborn Screening in Europe; Expert

opinion document. Eur J Hum Genet 2014; 22: 12-7. 7.

Rai N, Thakur N. Universal screening of newborns to detect

hearing impairment—Is it necessary? Int J Pediatr

Otorhinolaryngol 2013; 77(6): 1036-41.

Pimperton H, Kennedy CR. The impact of early identification

of permanent childhood hearing impairment on speech and

language outcomes. Arch Dis child, 2012;97(7):648-53.

Tzanakakis MG, Chimona TS, Apazidou E, Giannakopoulou

C, Velegrakis GA, Papadakis CE. Transitory evoked

otoacoustic emission (TEOAE) and distortion product

otoacoustic emission (DPOAE) outcomes from a three-stage

newborn hearing screening protocol. Hippokratia. 2016; 20:

: 104-109.

Sachdeva K, Sao T. Outcomes of Newborn Hearing Screening

Program: A Hospital Based Study. Indian J Otolaryngol Head

Neck Surg. 2017; 69(2): 194-198. doi: 10.1007/s12070-017-

-0.

Olusanya BO. Neonatal hearing screening and intervention

in resource-limited settings: an overview. Arch Dis Child.

; 97: 654–659.

Stevens G, Flaxman S, Brunskill E, Mascarenhas M, Mathers

CD, Finucane M; Global Burden of Disease Hearing Loss

Expert Group. Global and regional hearing impairment

prevalence: an analysis of 42 studies in 29 countries. Eur J

Public Health. 2013; 23: 146-152.

Olusanya BO, Neumann KJ, Saunders JE. The global burden

of dis¬abling hearing impairment: a call to action. Bull World

Health Organ. 2014; 92: 367–373.

Van-Kerschaver E, Boudewyns AN, Declau F, Van de Heyning

PH, Wuyts FL. Sociodemographic determinants of hearing

impairment studied in 103 835 term babies. Eur J Public

Health. 2013; 23(1): 55-60.

Norrix LW, Velenovsky DS. Auditory neuropathy spectrum

disorder: A review. J speech Lang Hear 2014; 57(4): 1564-

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Published

2018-06-13

How to Cite

Feroz, S. ., Udaipurwala, I. H. ., Khan, D. M. ., & Hussain, F. I. . (2018). Effectiveness Of Transient Evoked Otoacoustic Emission (TEOAE) Test For Neonatal Auditory Screening. Journal of Bahria University Medical and Dental College, 8(2), 77–81. https://doi.org/10.51985/JBUMDC2018029

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