{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T08:02:52Z","timestamp":1781510572126,"version":"3.54.1"},"reference-count":27,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T00:00:00Z","timestamp":1748304000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordination for the Improvement of Higher Education Personnel\u2014Brazil (CAPES)\u2014Financing Code 001","doi-asserted-by":"publisher","award":["88887.475368\/2020-00"],"award-info":[{"award-number":["88887.475368\/2020-00"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>Hearing plays a significant role in children\u2019s development. The Auditory Steady State Response (ASSR) using a narrow band CE\u00ae chirp is a technique that allows multiple stimuli to be presented simultaneously, making it possible to obtain electrophysiological thresholds with frequency specificity. The objective of this work is to analyze the findings obtained with the ASSR NB-CE\u00ae chirp technique and compare them with two other methodologies\u2014click ABR and tone-burst ABR\u2014in the audiological assessment of children carried out under inhalation anesthesia. All the exams were performed in a single session. This study involved 71 children aged between 14 and 59 months, male and female, who were referred for ABR and ASSR due to suspected hearing loss and\/or delay in speech\/language development. Pearson\u2019s correlation coefficient between the uncorrected and corrected thresholds obtained in the three methods demonstrated high correlations for all frequencies evaluated.<\/jats:p>","DOI":"10.3390\/life15060860","type":"journal-article","created":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T06:25:04Z","timestamp":1748499904000},"page":"860","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Correlations Between ASSR Based on Narrow-Band CE\u00ae Chirp, Click ABR, and Tone-Burst ABR in Audiological Evaluation of Children Under Anesthesia"],"prefix":"10.3390","volume":"15","author":[{"given":"Karolina P.","family":"Sideri","sequence":"first","affiliation":[{"name":"School of Medical Sciences, State University of Campinas, Campinas 13083-887, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura F.","family":"Chiriboga","sequence":"additional","affiliation":[{"name":"Health, Interdisciplinary Practice and Rehabilitation Program, University of Campinas, Campinas 13083-887, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4978-1915","authenticated-orcid":false,"given":"Piotr Henryk","family":"Skarzynski","sequence":"additional","affiliation":[{"name":"Department of Teleaudiology and Screening, World Hearing Center, Institute of Physiology and Pathology of Hearing, 05-830 Kajetany, Poland"},{"name":"ENT Department, Maria Curie-Sklodowska University, 20-031 Lublin, Poland"},{"name":"Center of Hearing and Speech Medincus, 05-830 Kajetany, Poland"},{"name":"Department of Otolaryngology, Institute of Sensory Organs, 05-830 Warsaw, Poland"},{"name":"Heart Failure and Cardiac Rehabilitation Department, Medical University of Warsaw, 02-091 Warsaw, Poland"},{"name":"World Hearing Center, 05-830 Kajetany, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3340-1698","authenticated-orcid":false,"given":"Magdalena Beata","family":"Skarzynska","sequence":"additional","affiliation":[{"name":"Center of Hearing and Speech Medincus, 05-830 Kajetany, Poland"},{"name":"Department of Pharmacotherapy and Pharmaceutical Care, Pharmaceutical Department, Medical University of Warsaw, 02-091 Warsaw, Poland"},{"name":"Institute of Sensory Organs, 05-830 Kajetany, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3647-3999","authenticated-orcid":false,"given":"Milaine D.","family":"Sanfins","sequence":"additional","affiliation":[{"name":"Department of Teleaudiology and Screening, World Hearing Center, Institute of Physiology and Pathology of Hearing, 05-830 Kajetany, Poland"},{"name":"Department of Speech-Hearing-Language, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo 04044-020, SP, Brazil"},{"name":"Post-Graduate Program in Clinical Audiology, Instituto de Ensino e Pesquisa Albert Einstem, S\u00e3o Paulo 05652-000, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7456-9502","authenticated-orcid":false,"given":"Maria F.","family":"Colella-Santos","sequence":"additional","affiliation":[{"name":"School of Medical Sciences, State University of Campinas, Campinas 13083-887, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,5,27]]},"reference":[{"key":"ref_1","unstructured":"Joint Committee on Infant Hearing (JCIH) (2019). Year 2019 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs. J. Early Hear. Detect. Interv., 4, 1\u201344."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1590\/S2317-64312015000200001453","article-title":"A triagem auditiva neonatal antecipa o diagn\u00f3stico e a interven\u00e7\u00e3o em crian\u00e7as com perda auditiva?","volume":"20","author":"Rodrigues","year":"2015","journal-title":"Audiol. Commun. Res."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e20162964","DOI":"10.1542\/peds.2016-2964","article-title":"Early hearing detection and vocabulary of children with hearing loss","volume":"140","author":"Sedey","year":"2017","journal-title":"Pediatrics"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"S41","DOI":"10.1016\/j.anorl.2017.12.008","article-title":"International consensus (ICON) on audiological assessment of hearing loss in children","volume":"135","author":"Farinetti","year":"2018","journal-title":"Eur. Ann. Otorhinolaryngol. Head. Neck Dis."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1097\/AUD.0000000000000647","article-title":"Early Hearing Detection and Intervention: Timely Diagnosis, Timely Management","volume":"40","author":"Findlen","year":"2019","journal-title":"Ear Hear."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e587","DOI":"10.1542\/neo.18-10-e587","article-title":"Hearing Loss in the Newborn Infant: Early Hearing Detection and Intervention","volume":"18","author":"McGrath","year":"2017","journal-title":"Neoreviews"},{"key":"ref_7","unstructured":"Brennan, S., Lightfoot, G., Ferm, I., and Fitzgerald, J. (2021). Practice Guidance Guidelines for the Early Audiological Assessment and Management of Babies Referred from the Newborn Hearing Screening Programme, British Society of Audiology. Available online: https:\/\/www.thebsa.org.uk\/wp-content\/uploads\/2022\/10\/OD104-98-BSA-Practice-Guidance-Early-Assessment-Management.pdf."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"2955","DOI":"10.1121\/1.3489111","article-title":"A direct approach for the design of chirp stimuli used for the recording of auditory brainstem responses","volume":"128","author":"Elberling","year":"2010","journal-title":"J. Acoust. Soc. Am."},{"key":"ref_9","first-page":"49","article-title":"Using ASSR with narrow-band chirps to evaluate hearing in children and adults","volume":"278","author":"Alzoubi","year":"2020","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"2772","DOI":"10.1121\/1.2783985","article-title":"Auditory steady-state responses to chirp stimuli based on cochlear traveling wave delay","volume":"122","author":"Elberling","year":"2007","journal-title":"J. Acoust. Soc. Am."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"110071","DOI":"10.1016\/j.ijporl.2020.110071","article-title":"Diagnostic accuracy of CE Chirp","volume":"135","author":"Vinck","year":"2020","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"260","DOI":"10.7322\/jhgd.v30.10375","article-title":"Comparison between click and ce-chirp\u00ae stimuli in neonatal hearing screening","volume":"30","author":"Lopes","year":"2020","journal-title":"J. Hum. Growth Dev."},{"key":"ref_13","unstructured":"Hatton, J.L., Van Maanen, A., and Stapells, D.R. (2025, May 21). British Columbia Early Hearing Program: Auditory Brainstem Response (ABR) Protocol. 2022, (November). Available online: http:\/\/www.phsa.ca\/bc-early-hearing\/Documents\/ABR_Protocol.pdf."},{"key":"ref_14","first-page":"74","article-title":"Threshold Estimation by the Tone-Evoked Auditory Brainstem Response: A Literature Meta-Analysis","volume":"24","author":"Stapells","year":"2000","journal-title":"J. Speech-Lang. Pathol. Audiol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1037\/0033-2909.112.1.155","article-title":"A power primer","volume":"112","author":"Cohen","year":"1992","journal-title":"Psychol. Bull."},{"key":"ref_16","unstructured":"Field, A.P. (2024). Discovering Statistics Using IBM SPSS Statistics, Sage Publications, Inc.. [6th ed.]."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1141","DOI":"10.1111\/2041-210X.13434","article-title":"Robustness of linear mixed-effects models to violations of distributional assumptions","volume":"11","author":"Schielzeth","year":"2020","journal-title":"Methods Ecol. Evol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1207","DOI":"10.1097\/AUD.0000000000000580","article-title":"Evaluation of speed and accuracy of next-generation auditory steady state response and auditory brainstem response audiometry in children with normal hearing and hearing loss","volume":"39","author":"Sininger","year":"2018","journal-title":"Ear Hear."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"106","DOI":"10.3109\/14992027.2014.935496","article-title":"Refining the audiological assessment in children using narrow-band CE-Chirp-evoked auditory steady state responses","volume":"54","author":"Venail","year":"2015","journal-title":"Int. J. Audiol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1080\/14992027.2016.1234719","article-title":"Comparison of threshold estimation in infants with hearing loss or normal hearing using auditory steady-state response evoked by narrow band CE-chirps and auditory brainstem response evoked by tone pips","volume":"56","author":"Michel","year":"2017","journal-title":"Int. J. Audiol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.ijporl.2018.06.037","article-title":"Comparison of click auditory brainstem response and chirp auditory steady- state response thresholds in children","volume":"112","author":"Mourtzouchos","year":"2018","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_22","first-page":"701","article-title":"Comparison of Hearing Threshold Estimation Using Auditory Steady State Responses and Brainstem Auditory Evoked Potentials in Children","volume":"58","author":"Komazec","year":"2019","journal-title":"Acta Clin. Croat."},{"key":"ref_23","unstructured":"British Society of Audiology (2022). Practice Guidance Auditory Steady State Response (ASSR) Testing, British Society of Audiology. Available online: https:\/\/www.thebsa.org.uk\/wp-content\/uploads\/2023\/10\/OD104-115-Practice-Guidance-for-ASSR-Testing-1.pdf."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1001\/archotol.1980.00790310011003","article-title":"Effects of Age and Sex on Auditory Brainstem Response","volume":"106","author":"Jerger","year":"1980","journal-title":"Arch. Otolaryng."},{"key":"ref_25","unstructured":"Menezes, P.L., Andrade, K.C.L., Capra, D., Sanfins, M.D., and Frizzo, A.C.F. (2022). Manual de Eletrofisiologia e Eletroac\u00fastica: Um Guia Para Cl\u00ednicos, Booktoy."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"59","DOI":"10.7874\/jao.2016.20.2.59","article-title":"Crosscheck Principle in Pediatric Audiology Today: A 40-Year Perspective","volume":"20","author":"Hall","year":"2016","journal-title":"J. Audiol. Otol."},{"key":"ref_27","unstructured":"Cain, S.E., and Au, D. (2025, May 21). Clinical Guidance Document Assessment of Hearing in Infants and Young Children. Available online: https:\/\/www.audiology.org\/wp-content\/uploads\/2021\/05\/Clin-Guid-Doc_Assess_Hear_Infants_Children_1.23.20.pdf."}],"container-title":["Life"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-1729\/15\/6\/860\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:41:00Z","timestamp":1760031660000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-1729\/15\/6\/860"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,27]]},"references-count":27,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025,6]]}},"alternative-id":["life15060860"],"URL":"https:\/\/doi.org\/10.3390\/life15060860","relation":{},"ISSN":["2075-1729"],"issn-type":[{"value":"2075-1729","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,27]]}}}