{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T01:32:02Z","timestamp":1787621522538,"version":"build-2736575974"},"reference-count":0,"publisher":"American Academy of Audiology","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Am Acad Audiol"],"published-print":{"date-parts":[[2020,6]]},"abstract":"Abstract<\/jats:title>\n Background\u2003Audiologists often lack\n confidence in results produced by current\n protocols for diagnostic electrophysiologic\n testing of infants. This leads to repeat testing\n appointments and slow protocols which extend the\n time needed to complete the testing and\n consequently delay fitting of amplification. A\n recent publication (Sininger et al50) has shown\n how new technologies can be applied to\n electrophysiologic testing systems to improve\n confidence in results and allow faster test\n protocols. Average test times for complete\n audiogram predictions when using new technologies\n and protocols were found to be just over\n 32\u2009minutes using auditory brainstem response (ABR)\n and just under 20\u2009minutes using auditory\n steady-state response (ASSR) technology.<\/jats:p>\n Purpose\u2003The purpose of this manuscript is\n to provide details of expedited test protocols for\n infant and toddler diagnostic electrophysiologic\n testing.<\/jats:p>\n Summary\u2003Several new technologies and\n their role in test speed and confidence are\n described including CE-Chirp stimuli, automated\n detection of ABRs using a technique called F MP,\n Bayesian weighting which is an alternative to\n standard artifact rejection and Next-Generation\n ASSR with improved response detection and chirp\n stimuli. The test protocol has the following\n features: (1) preliminary testing includes\n impedance measures and otoacoustic emissions, (2)\n starting test levels are based on Broad-Band\n CE-Chirp thresholds in each ear, (3) ABRs or ASSRs\n are considered present based on automated\n detection rather than on replication of responses,\n (4) number of test levels is minimized, (5) ASSR\n generally evaluates four frequencies in each ear\n simultaneously with flexibility to change all test\n levels independently.<\/jats:p>\n Conclusions\u2003Combining new technologies\n with common-sense strategies has been shown to\n substantially reduce test times for predicting\n audiometric thresholds in infants and toddlers\n (Sininger et al50). Details and rationales for\n changing test strategies and protocols are given\n and case examples are used to illustrate.<\/jats:p>","DOI":"10.3766\/jaaa.19046","type":"journal-article","created":{"date-parts":[[2020,8,4]],"date-time":"2020-08-04T12:07:07Z","timestamp":1596542827000},"page":"455-468","source":"Crossref","is-referenced-by-count":20,"title":["Protocol for Rapid, Accurate,\n Electrophysiologic, Auditory Assessment of Infants\n and Toddlers"],"prefix":"10.3766","volume":"31","author":[{"given":"Yvonne S.","family":"Sininger","sequence":"additional","affiliation":[{"name":"C & Y Consultants, Santa Fe, NM"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa L.","family":"Hunter","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH"},{"name":"Department of Communication Disorders, University of Cincinnati, Cincinnati, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia A.","family":"Roush","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, University of North Carolina Medical Center, Chapel Hill, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sue","family":"Windmill","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Hayes","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Colorado School of Medicine, Denver, CO"},{"name":"Department of Physical Medicine and Rehabilitation, Colorado School of Medicine, Denver, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin M.","family":"Uhler","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Colorado School of Medicine, Denver, CO"},{"name":"Department of Physical Medicine and Rehabilitation, Colorado School of Medicine, Denver, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2087","published-online":{"date-parts":[[2020,8,3]]},"container-title":["Journal of the American Academy of Audiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.3766\/jaaa.19046.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,2]],"date-time":"2025-01-02T19:51:50Z","timestamp":1735847510000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.3766\/jaaa.19046"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6]]},"references-count":0,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2020,8,3]]},"published-print":{"date-parts":[[2020,6]]}},"URL":"https:\/\/doi.org\/10.3766\/jaaa.19046","relation":{},"ISSN":["1050-0545","2157-3107"],"issn-type":[{"value":"1050-0545","type":"print"},{"value":"2157-3107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6]]}}}