{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T18:45:09Z","timestamp":1790621109397,"version":"4.1.0"},"reference-count":33,"publisher":"American Speech Language Hearing Association","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Audiol"],"published-print":{"date-parts":[[2018,3,8]]},"abstract":"<jats:sec>\n            <jats:title>Purpose<\/jats:title>\n            <jats:p>The auditory brainstem response (ABR) is a powerful tool for making clinical decisions about the presence, degree, and type of hearing loss in individuals in whom behavioral hearing thresholds cannot be obtained or are not reliable. Although the test is objective, interpretation of the results is subjective.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Method<\/jats:title>\n            <jats:p>This review provides information about evidence-based criteria, suggested by the 2013 Newborn Hearing Screening Program guidelines, and the use of cross-check methods for making valid interpretations about hearing status from ABR recordings.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The use of an appropriate display scale setting, templates of expected response properties, and objective criteria to estimate the residual noise, signal level, and signal-to-noise ratio will provide quality data for determining ABR thresholds. Cross-checks (e.g., immittance measures, otoacoustic emissions testing, functional indications of a child's hearing) are also needed to accurately interpret the ABR.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Using evidence-based ABR signal detection criteria and considering the results within the context of other physiologic tests and assessments of hearing function will improve the clinician's accuracy for detecting hearing loss and, when present, the degree of hearing loss. Diagnostic accuracy will ensure that appropriate remediation is initiated and that children or infants with normal hearing are not subjected to unnecessary intervention.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1044\/2017_aja-17-0074","type":"journal-article","created":{"date-parts":[[2018,2,1]],"date-time":"2018-02-01T20:30:49Z","timestamp":1517517049000},"page":"25-36","source":"Crossref","is-referenced-by-count":20,"title":["Clinicians' Guide to Obtaining a Valid Auditory Brainstem Response to Determine Hearing Status: Signal, Noise, and Cross-Checks"],"prefix":"10.1044","volume":"27","author":[{"given":"Linda W.","family":"Norrix","sequence":"first","affiliation":[{"name":"Department of Speech, Language, &amp; Hearing Sciences, The University of Arizona, Tucson"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Velenovsky","sequence":"additional","affiliation":[{"name":"Department of Speech, Language, &amp; Hearing Sciences, The University of Arizona, Tucson"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1310","reference":[{"key":"e_1_3_1_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/14992020903160892"},{"key":"e_1_3_1_3_1","unstructured":"British Columbia Early Hearing Program. (2012). Audiology assessment protocol version 4.1. Retrieved from http:\/\/www.phsa.ca\/Documents\/bcehpaudiologyassessmentprotocol.pdf"},{"key":"e_1_3_1_4_1","doi-asserted-by":"publisher","DOI":"10.1044\/2015_AJA-14-0021"},{"key":"e_1_3_1_5_1","author":"Crumley W.","year":"2011","journal-title":"Good practices in auditory brainstem response, part 1"},{"key":"e_1_3_1_6_1","doi-asserted-by":"publisher","DOI":"10.1121\/1.411281"},{"key":"e_1_3_1_7_1","doi-asserted-by":"publisher","DOI":"10.1121\/1.414560"},{"key":"e_1_3_1_8_1","doi-asserted-by":"publisher","DOI":"10.1121\/1.3397640"},{"key":"e_1_3_1_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000155"},{"key":"e_1_3_1_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/00206099309071860"},{"key":"e_1_3_1_11_1","doi-asserted-by":"publisher","DOI":"10.3109\/03005369209076660"},{"key":"e_1_3_1_12_1","volume-title":"New handbook of auditory evoked responses","author":"Hall J. 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Retrieved from http:\/\/www.audiologyonline.com"},{"key":"e_1_3_1_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0074579"},{"key":"e_1_3_1_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1976.00780150082006"},{"key":"e_1_3_1_17_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-2333"},{"key":"e_1_3_1_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0b013e3182a4ee10"},{"key":"e_1_3_1_19_1","first-page":"19","article-title":"Noise reduction to achieve quality ABR measurement","volume":"8","author":"Marcoux A.","year":"2012","journal-title":"Canadian Hearing Report"},{"key":"e_1_3_1_20_1","unstructured":"Newborn Hearing Screening Program. (2013). Guidelines for the early audiological assessment and management of babies referred from the newborn hearing screening programme version 3.1. Retrieved from http:\/\/www.thebsa.org.uk\/wp-content\/uploads\/2014\/08\/NHSP_NeonateAssess_2014.pdf"},{"key":"e_1_3_1_21_1","doi-asserted-by":"publisher","DOI":"10.3766\/jaaa.16112"},{"key":"e_1_3_1_22_1","unstructured":"Ontario Infant Hearing Program. (2008). Audiologic assessment protocol version 3.1. Retrieved from https:\/\/www.mountsinai.on.ca\/care\/infant-hearing-program\/documents\/IHPAudiologicAssessmentProtocol3.1FinalJan2008.pdf"},{"key":"e_1_3_1_23_1","volume-title":"Human auditory evoked potentials","author":"Picton T. W.","year":"2011"},{"key":"e_1_3_1_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003446-199610000-00006"},{"issue":"6","key":"e_1_3_1_25_1","first-page":"20","article-title":"ABR and ASSR: Challenges and solutions","volume":"19","author":"Sauter T. 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