16th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
February 26-28, 2017 • Atlanta, GA
| Outpatient Rescreening of Newborn Infants using AABR and OAE
Outpatient Rescreening of Newborn Infants using AABR and OAE
Newborn hearing screening has become a standard of care throughout the United States. Protocols vary, however, for follow-up with infants who do not pass the initial screening. At UNC Hospitals and at most birthing hospitals in North Carolina, newborns undergo initial hearing screening prior to discharge. If the infant refers in either ear the family is scheduled to return for outpatient rescreening. Although several studies have compared automated auditory brainstem response (AABR) and otoacoustic emissions (OAE) screening in the well-baby nursery, the two technologies have not been compared at the time of outpatient rescreening. The purpose of this presentation is to share the results of an ongoing prospective investigation aimed at comparing ABR and OAE screening of newborn infants in an outpatient audiology clinic. Outpatient rescreening for both AABR and OAE are performed using the Intelligent Hearing Systems SmartScreener-Plus2. Dependent variables include test time, cost of consumables, and rescreening outcomes. Preliminary findings, consistent with studies conducted at the time of initial screening during the birth admission, suggest that AABR screening takes longer than OAE and requires more expensive consumables, but results in a higher pass rate. Challenges include OAE probe fit, adhesion of the AABR ear coupler, and delays associated with the infant’s sleep state. Rescreening outcomes for infants using AABR and OAE will be discussed including the costs and benefits of achieving a higher pass rate at the time of initial screening.
- Participants will be able to list one advantage and one disadvantage of AABR for outpatient rescreening.
- Participants will be able to list one advantage and one disadvantage of OAE for outpatient rescreening.
- Participants will be able to contrast AABR and OAE used alone and in combination for outpatient rescreening.
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Presenters/Authors
Kelly Allison
(), University of North Carolina - Chapel Hill, kelly_allison@med.unc.edu;
Kelly Allison is a full time graduate student in the audiology doctoral program at the University of North Carolina-Chapel Hill. She received a Bachelor of Science in Speech, Language and Hearing Sciences with a minor in Spanish from Purdue University. Ms. Allison is a LEND Audiology Trainee at the Carolina Institute for Developmental Disabilities, UNC School of Medicine.
ASHA DISCLOSURE:
Financial -
Nonfinancial -
No relevant nonfinancial relationship exist.
Skye Dorsett
(), University of North Carolina at Chapel Hill, skye_dorsett@med.unc.edu;
Skye Dorsett is a full time graduate student in the audiology doctoral program at the University of North Carolina-Chapel Hill. She received a Bachelor of Science degree in Education of the Deaf and Hard of Hearing from the University of North Carolina-Greensboro and taught children with hearing loss for five years before returning to graduate school to pursue a doctorate in audiology. Ms. Dorsett is a LEND audiology trainee at the Carolina Institute for Developmental Disabilities, UNC School of Medicine.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Marisa Marsteller
(), University of North Carolina-Chapel Hill , marisa_marsteller@med.unc.edu;
Marisa Marsteller is a full time graduate student in the audiology doctoral program at the University of North Carolina-Chapel Hill. She received a Bachelor of Science in Speech, Language, and Hearing Sciences with minors in Deaf Studies and Psychology from the University of Arizona. Ms. Marsteller is a LEND Audiology Trainee at the Carolina Institute for Developmental Disabilities, UNC School of Medicine.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Melissa Simpson
(), University of North Carolina-Chapel Hill, melissa_simpson@med.unc.edu;
Melissa Simpson is a full time graduate student in the audiology doctoral program at the University of North Carolina-Chapel Hill. She received a Bachelor of Science in Speech Language Pathology and Audiology from Towson University. Ms. Simpson is a LEND Audiology Trainee at the Carolina Institute for Developmental Disabilities, UNC School of Medicine. She is also a child of deaf adults (CODA) and is proficient in American Sign Language.
ASHA DISCLOSURE:
Financial -
Receives Grants for Other activities from LEND.
Receives Grants for Other activities from LEND.
Nonfinancial -
No relevant nonfinancial relationship exist.
Mallory Baker
(), Pediatric Audiologist, UNC Hospitals, Mallory.Baker@unchealth.unc.edu;
Dr. Baker is a former LEND audiology trainee and now a full-time pediatric audiologist at UNC Hospitals where her responsibilities include management of the newborn hearing outpatient re-screening clinic.
ASHA DISCLOSURE:
Financial -
Nonfinancial -
Marcia Fort
(), NC DHHS, marcia.fort@dhhs.nc.gov;
Dr. Fort is the Genetics and Newborn Screening Unit Manager in the Whole Child Health Section of the North Carolina Division of Child and Family Well-Being and serves as the NC EHDI Coordinator. Marcia has worked with the NC EHDI program since 2002. Dr. Fort has 32 years of experience as a pediatric audiologist in hospital, private practice, ENT office and public school settings.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Jackson Roush
(), University of North Carolina - Chapel Hill, jroush@med.unc.edu;
Dr. Roush is Professor and Director of the Division of Speech and Hearing Sciences, University of North Carolina School of Medicine, Chapel Hill, NC. He also serves as Director of the North Carolina LEND program and is co-chair of the NC EHDI Advisory Board. Dr. Roush has been a pediatric audiologist for 35 years.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.