Evaluation of click-evoked oto-acoustic emissions in the newborn

Br J Audiol. 1991 Feb;25(1):11-4. doi: 10.3109/03005369109077859.


Click-evoked oto-acoustic emissions and auditory brainstem responses (ABR) have been recorded in 723 babies taken largely from a neonatal intensive care unit to evaluate the use of oto-acoustic emissions as a method of screening for hearing impairment. Twenty-nine infants failed to pass the initial ABR test and repeat ABR tests carried out up to the age of 3 months. The 'sensitivity' and 'specificity' of the oto-acoustic emission test for the ABR test results up to 3 months of age in surviving infants were 93% and 84% respectively. It is proposed that click-evoked oto-acoustic emissions be considered as the initial method to screen for hearing impairment, test failures being followed up by ABR.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acoustic Stimulation
  • Cochlea / physiology*
  • Evoked Potentials, Auditory, Brain Stem / physiology*
  • Hearing Disorders / diagnosis*
  • Humans
  • Infant, Newborn
  • Neonatal Screening / methods*
  • Prospective Studies
  • Sensitivity and Specificity