{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T12:55:26Z","timestamp":1789822526789,"version":"4.0.1"},"reference-count":0,"publisher":"American Academy of Audiology","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["j am acad audiol"],"published-print":{"date-parts":[[2004,6,1]]},"abstract":"<jats:p>Accurate assessment of neonatal hearing screening performance is impossible without knowledge of the true status of hearing, a prohibitive requirement that necessitates a complete diagnostic evaluation on all babies screened. The purpose of this study was to circumvent this limitation\n by integrating two types of screening measures obtained near simultaneously on every baby. Peripheral auditory function was defined by otoacoustic emission results. A complete diagnostic evaluation was performed on every baby who received a \"Refer\" outcome for auditory brainstem\n response screening. The integrated results for auditory brainstem response screening in an unselected group of 300 newborns estimated sensitivity at 100%, specificity at 99.7%, overall referral rate at 2.0%, and a positive predictive value of 83.3%. Conductive loss associated with amniotic\n fluid in the middle ear can persist several weeks after birth; conductive loss can produce a \"Refer\" outcome for auditory brainstem response screening; and auditory neuropathy can be detected with screening measures. Prevalence results were consistent with the published literature.\n The implications of this study are that otoacoustic emissions and auditory brainstem measures provide much more information than either alone and that both are needed for a comprehensive hearing screening program. La evaluaci\u00f3n precisa del desempe\u00f1o en el tamizaje auditivo neonatal\n es imposible sin conocer el verdadero estado de la audici\u00f3n, un requisito prohibitivo que exige una evaluaci\u00f3n diagn\u00f3stica completa de todos los beb\u00e9s evaluados. El prop\u00f3sito de este estudio fue superar esta limitaci\u00f3n integrando dos tipos de medidas\n obtenidas casi simult\u00e1neamente en cada beb\u00e9. La funci\u00f3n auditiva perif\u00e9rica fue definida por los resultados de las emisiones otoac\u00fasticas. Se realiz\u00f3 una evaluaci\u00f3n diagn\u00f3stica completa en cada beb\u00e9 que obtuvo un resultado de \"refer\"\n en el tamizaje por respuestas auditivas de tallo cerebral. Los resultados integrados para el tamizaje por respuestas auditivas de tallo cerebral, en un grupo no seleccionado de 300 reci\u00e9n nacidos, estimaron una sensibilidad de 100%, una especificidad de 99.7%, una tasa global de referencia\n de 2.0%, y un valor predictivo positivo de 83.3%. Una p\u00e9rdida conductiva asociada con l\u00edquido amni\u00f3tico en el o\u00eddo medio puede persistir semanas despu\u00e9s del nacimiento; una p\u00e9rdida conductiva puede generar como resultado un \"refer\" para tamizaje\n por respuestas auditivas de tallo cerebral; una neuropat\u00eda auditiva puede ser detectada con medidas de tamizaje. Los resultados de prevalencia fueron consistentes con los publicados en la literatura. Las implicaciones de este estudio establecen que las emisiones otoac\u00fasticas\n y las medidas de potenciales auditivos del tallo cerebral aportan juntas m\u00e1s informaci\u00f3n que cada prueba por separado, y que ambas se necesitan en un programa integral de tamizaje auditivo.<\/jats:p>","DOI":"10.3766\/jaaa.15.6.3","type":"journal-article","created":{"date-parts":[[2008,4,22]],"date-time":"2008-04-22T23:54:28Z","timestamp":1208908468000},"page":"414-425","source":"Crossref","is-referenced-by-count":46,"title":["Newborn Hearing Screening with Combined Otoacoustic Emissions and Auditory Brainstem Responses"],"prefix":"10.3766","volume":"15","author":[{"given":"James W.","family":"Hall","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven D.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerald R.","family":"Popelka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2087","container-title":["Journal of the American Academy of Audiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/aaa\/jaaa\/2004\/00000015\/00000006\/art00003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T23:09:59Z","timestamp":1738796999000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.3766\/jaaa.15.6.3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,6,1]]},"references-count":0,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2004,6,1]]}},"alternative-id":["1050-0545(20040601)15:6L.414;1-"],"URL":"https:\/\/doi.org\/10.3766\/jaaa.15.6.3","relation":{},"ISSN":["1050-0545"],"issn-type":[{"value":"1050-0545","type":"print"}],"subject":[],"published":{"date-parts":[[2004,6,1]]}}}