{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:27:02Z","timestamp":1777890422626,"version":"3.51.4"},"reference-count":40,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2018,4,16]],"date-time":"2018-04-16T00:00:00Z","timestamp":1523836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neonatal-Perinatal Medicine"],"published-print":{"date-parts":[[2018,4,16]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Universal newborn hearing screening (UNHS) aims to identify hearing loss in the early postnatal period; prompt detection of bilateral or unilateral hearing loss is mandatory for timely intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>This retrospective study reports the results of the first two years of a UNHS program on 4,719 newborns in a large public Italian hospital. Screening was divided into two levels: automated transient otoacoustic emissions were used for first level; automated auditory brainstem response for second level. Second level included children with a \u201crefer\u201d response at first level and babies with a family history for hearing loss or other risk factors. Hearing loss diagnosis was made using clinical auditory brainstem response.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>During first level, 254 (5.4% ) newborns were \u201crefer\u201d. At retest, 130 (51.1% ) babies were PASS and 48 (18.8% ) were \u201crefer\u201d. 76 babies dropped out (29.9% ). 146 babies (3.1% ) were referred to the second level: 48 for a \u201crefer\u201d response at first level and 98 for a PASS response but potential hearing loss due to risk factors. 24 babies dropped out (16.4% ). Out of 122 newborns tested in the second level, 105 (86.1% ) had a PASS response and 17 (13.9% ) were \u201crefer\u201d. Our screening protocol identified 7 (0.14% ) babies with profound hearing loss; 5 had unilateral and 2 had bilateral hearing loss. 2 babies dropped out at diagnostic level (11.8% ).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>A correct and early diagnosis of hearing loss is mandatory to prevent permanent consequences; the spread of hearing screening programs is the optimal solution to reach this goal.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3233\/npm-181744","type":"journal-article","created":{"date-parts":[[2018,4,17]],"date-time":"2018-04-17T11:56:44Z","timestamp":1523966204000},"page":"87-92","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Universal newborn hearing screening using A-TEOAE and A-ABR: The experience of\u00a0a\u00a0large public hospital"],"prefix":"10.1177","volume":"11","author":[{"given":"F.","family":"Cianfrone","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, San Camillo Forlanini Hospital, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Mammarella","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, San Camillo Forlanini Hospital, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Ralli","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Evetovic","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, San Camillo Forlanini Hospital, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.M.","family":"Pianura","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, San Camillo Forlanini Hospital, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Bellocchi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, San Camillo Forlanini Hospital, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,4,16]]},"reference":[{"key":"ref001","first-page":"1995","volume":"64","author":"U.S. Preventive Services Task Force","year":"2001","journal-title":"Am Fam Physician"},{"key":"ref002","doi-asserted-by":"publisher","DOI":"10.1542\/peds.101.1.e4"},{"issue":"1","key":"ref003","first-page":"17","volume":"27","author":"Bubbico L","year":"2007","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"ref004","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7200438"},{"key":"ref005","doi-asserted-by":"publisher","DOI":"10.1177\/0969141315572403"},{"key":"ref006","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0152028"},{"key":"ref007","doi-asserted-by":"publisher","DOI":"10.1038\/nn.2311"},{"key":"ref008","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(95)01183-C"},{"key":"ref009","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-3955(05)70082-1"},{"issue":"10","key":"ref010","first-page":"906","volume":"29","author":"Wang Y","year":"2015","journal-title":"Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi"},{"key":"ref011","doi-asserted-by":"crossref","unstructured":"ChooD, Meinzen-DerrJ. 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