{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T14:52:14Z","timestamp":1781535134173,"version":"3.54.5"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Newborn hearing screening using transient evoked otoacoustic emissions (TEOAEs) is essential for early detection of hearing impairment. The Joint Committee on Infant Hearing recommends screening near hospital discharge but does not specify an optimal timing. To determine the optimal timing for TEOAE screening in neonates at low risk of hearing impairment and to identify perinatal factors influencing pass rates.<\/jats:p>\n                  <jats:p>Neonates underwent sequential TEOAE screening based on postnatal age at the time of testing: less than 24, 24 to 36, 36 to 48, and more than 48\u2009hours, with follow-up at 1 month for persistent failures. Statistical analyses included Fisher's exact test to compare pass rates across time intervals and multivariate Cox's proportional hazards regression and Laplace regression to assess factors associated with screening outcomes.<\/jats:p>\n                  <jats:p>Among 408 neonates, the median passing age was 23.8\u2009hours (interquartile range: 14.3). Pass rates improved with later screening: 53.7% at less than 24\u2009hours, 80.1% at 24 to 36\u2009hours, 92.6% at 36 to 48\u2009hours, and 99.3% at more than 48\u2009hours. A significant improvement was observed only at more than 48\u2009hours (odds ratio: 5.26; p\u2009=\u20090.0153). Cesarean delivery was associated with delayed passing compared with vaginal delivery (p\u2009=\u20090.036). Late preterm neonates demonstrated a significantly delayed passing time of approximately 12.9\u2009hours (p\u2009&lt;\u20090.01), whereas small for gestational age neonates passed earlier by 8.2\u2009hours (p\u2009=\u20090.021).<\/jats:p>\n                  <jats:p>Screening at greater than or equal to 48\u2009hours significantly improved pass rates. An older age at successful screening was observed among preterm neonates and those delivered by cesarean section, underscoring the need for tailored follow-up protocols. These findings highlight the importance of optimizing screening strategies to enhance early detection and intervention.<\/jats:p>","DOI":"10.1055\/a-2675-1768","type":"journal-article","created":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T23:29:04Z","timestamp":1754350144000},"page":"673-681","source":"Crossref","is-referenced-by-count":0,"title":["Timing of Newborn Hearing Screening Effects on Passing Rates: A Prospective Cohort Study"],"prefix":"10.1055","volume":"43","author":[{"given":"Wongsathon","family":"Seehiranwong","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pichada","family":"Saengrat","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,8,20]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"1161","DOI":"10.1542\/peds.102.5.1161","article-title":"Language of early- and later-identified children with hearing loss","volume":"102","author":"C Yoshinaga-Itano","year":"1998","journal-title":"Pediatrics"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"e2023063288","DOI":"10.1542\/peds.2023-063288","article-title":"Hearing assessment in infants, children, and adolescents: recommendations beyond neonatal screening","volume":"152","author":"C Bower","year":"2023","journal-title":"Pediatrics"},{"key":"ref3","first-page":"S108","article-title":"Newborn hearing screening at Rajavithi Hospital, Thailand: hearing loss in infants not admitting in intensive care unit","volume":"94","author":"V Tungvachirakul","year":"2011","journal-title":"J Med Assoc Thai"},{"issue":"02","key":"ref4","first-page":"81","article-title":"Results of the Sawan\u2013Pracharak newborn hearing screening program","volume":"54","author":"R Chareonsil","year":"2015","journal-title":"Chiang Mai Med J"},{"issue":"01","key":"ref5","first-page":"1","article-title":"Incidence of hearing loss in newborns screened with otoacoustic emissions at Takuapa Hospital","volume":"3","author":"P Rungkarn","year":"2020","journal-title":"Krabi Med J"},{"key":"ref6","first-page":"27","volume-title":"Guiding principles for action","author":"World Health Organization","year":"2010"},{"issue":"12","key":"ref7","first-page":"1479","article-title":"Making a difference from day one: the urgent need for universal neonatal hearing screening","volume":"11","author":"M Athanasopoulos","year":"2024","journal-title":"Children (Basel)"},{"issue":"02","key":"ref8","first-page":"1","article-title":"Year 2019 position statement: principles and guidelines for early hearing detection and intervention programs","volume":"4","author":"The Joint Committee on Infant Hearing","year":"2019","journal-title":"J Early Hear Detect Interv"},{"key":"ref9","first-page":"21","volume-title":"Guideline principle for early hearing detection and intervention, EHDI; 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