5) were as follows: 75% (n = 18/24) reported using both distortion product otoacoustic emmissions (DPOAE) and AABR, and 13 of them indicated the additional use of at least one outer-ear or middle-ear screening measure, such as otoscopy, high-frequency (1 000 Hz probe tone) and acoustic reflex screening; 21% (n = 5/24) reported using DPOAE and AABR, with no use of outer and middle ear screening measures; 21% (n = 5/24) reported using either DPOAE or AABR; and 1 participant reported using only otoscopy and tympanometry for NIHS.
Of the 14 participants who screen in the NICU or at discharge from the NICU, 12 reported making use of AABR as one of the screening measures.
The HPCSA endorses the use of both OAEs and AABR for different screening environments.
DPOAE = distortion product otoacoustic emmissions; AABR = automated auditory brainstem response.
Predischarge costs for 1,500 births, which includes personnel, equipment, supplies, and program overhead, was lowest for TEOAE and highest for AABR (See table.
Postdischarge costs, which include follow-up screens and diagnostic evaluations, however, were greatest for TEOAE and lowest for AABR.
The sites utilizing the two-step protocol and AABR used parttime personnel while the TEOAE sites only used full-time personnel.
ALGO and AABR
are registered trademarks of Natus Medical Incorporated.
Mehl and Thompson reported on the Colorado screening program that used either otoacoustic emissions or AABR
award validates the hard work that my staff and I have done over the years to build Filnet into what I hope is a model of small business excellence and possibilities.