Rapid neonatal hearing screening using maximum length sequence auditory brainstem response, chirps and automated signal detection

Universal Newborn Hearing Screening (UNHS) programs have been implemented in many countries throughout the world, including Australia and New Zealand. Currently the most widely accepted tests for UNHS are the Otoacoustic Emissions (OAE) and the Auditory Brainstem Response (ABR). Whilst both are popu...

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Main Authors:	Dzulkarnain, Ahmad Aidil Arafat, Wilson, Wayne, Bradle, Andrew, Petoe, Matthew
Format:	Article
Language:	English
Published:	The New Zealand Audiological Society 2005
Subjects:	RF Otorhinolaryngology RJ Pediatrics
Online Access:	http://irep.iium.edu.my/41099/ http://irep.iium.edu.my/41099/ http://irep.iium.edu.my/41099/1/NZASBulletinOct2005edit.pdf

id	iium-41099
recordtype	eprints
spelling	iium-410992015-06-30T00:42:00Z http://irep.iium.edu.my/41099/ Rapid neonatal hearing screening using maximum length sequence auditory brainstem response, chirps and automated signal detection Dzulkarnain, Ahmad Aidil Arafat Wilson, Wayne Bradle, Andrew Petoe, Matthew RF Otorhinolaryngology RJ Pediatrics Universal Newborn Hearing Screening (UNHS) programs have been implemented in many countries throughout the world, including Australia and New Zealand. Currently the most widely accepted tests for UNHS are the Otoacoustic Emissions (OAE) and the Auditory Brainstem Response (ABR). Whilst both are popular, the ABR is often preferred because it tests a greater proportion of the auditory pathway with a higher sensitivity and specificity (Dort et al., 2000). Despite its advantages, the ABR has limitations. Of particular interest to UNHS is the time required to complete an ABR assessment. A standard ABR screening assessment can usually be completed in approximately 8 minutes for both ears (including subject preparation). This falls to approximately 3 minutes if a simple pass/fail result is all that is required, provided the infant is in natural sleep or quiet rest (Hahn et al., 1999). Part of the ABR test time is taken up by the signal averaging process. Several thousand auditory responses are required to obtain a reliable ABR at or near threshold levels. To make matters worse, each new response cannot be obtained until after the previous response has finished. Whilst these delays may seem small per neonate, they are large per UNHS program, particularly in programs where tens of thousands of neonates must be screened per year. Such delays result in significant cost to the organisations responsible for UNHS (National Center for Hearing Assessment & Management (NCHAM)), and go against the UNHS guidelines provided by the American Speech-Language and Hearing Association (ASHA) in 1997 (American Speech-Language Hearing Association Audiologic Assessment Panel 1996, 1997) which state that a screening test should be short in duration, comfortable for patients, and of minimal cost to the organization providing the screening service. This paper describes three methods that could reduce ABR acquisition time: Maximum length sequences (MLS), chirp stimuli and automated signal detection. The New Zealand Audiological Society 2005 Article PeerReviewed application/pdf en http://irep.iium.edu.my/41099/1/NZASBulletinOct2005edit.pdf Dzulkarnain, Ahmad Aidil Arafat and Wilson, Wayne and Bradle, Andrew and Petoe, Matthew (2005) Rapid neonatal hearing screening using maximum length sequence auditory brainstem response, chirps and automated signal detection. The New Zealand Audiological Society Bulletin, 15 (2). pp. 35-44. ISSN 1171-4999 http://www.audiology.org.nz/
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RF Otorhinolaryngology RJ Pediatrics
spellingShingle	RF Otorhinolaryngology RJ Pediatrics Dzulkarnain, Ahmad Aidil Arafat Wilson, Wayne Bradle, Andrew Petoe, Matthew Rapid neonatal hearing screening using maximum length sequence auditory brainstem response, chirps and automated signal detection
description	Universal Newborn Hearing Screening (UNHS) programs have been implemented in many countries throughout the world, including Australia and New Zealand. Currently the most widely accepted tests for UNHS are the Otoacoustic Emissions (OAE) and the Auditory Brainstem Response (ABR). Whilst both are popular, the ABR is often preferred because it tests a greater proportion of the auditory pathway with a higher sensitivity and specificity (Dort et al., 2000). Despite its advantages, the ABR has limitations. Of particular interest to UNHS is the time required to complete an ABR assessment. A standard ABR screening assessment can usually be completed in approximately 8 minutes for both ears (including subject preparation). This falls to approximately 3 minutes if a simple pass/fail result is all that is required, provided the infant is in natural sleep or quiet rest (Hahn et al., 1999). Part of the ABR test time is taken up by the signal averaging process. Several thousand auditory responses are required to obtain a reliable ABR at or near threshold levels. To make matters worse, each new response cannot be obtained until after the previous response has finished. Whilst these delays may seem small per neonate, they are large per UNHS program, particularly in programs where tens of thousands of neonates must be screened per year. Such delays result in significant cost to the organisations responsible for UNHS (National Center for Hearing Assessment & Management (NCHAM)), and go against the UNHS guidelines provided by the American Speech-Language and Hearing Association (ASHA) in 1997 (American Speech-Language Hearing Association Audiologic Assessment Panel 1996, 1997) which state that a screening test should be short in duration, comfortable for patients, and of minimal cost to the organization providing the screening service. This paper describes three methods that could reduce ABR acquisition time: Maximum length sequences (MLS), chirp stimuli and automated signal detection.
format	Article
author	Dzulkarnain, Ahmad Aidil Arafat Wilson, Wayne Bradle, Andrew Petoe, Matthew
author_facet	Dzulkarnain, Ahmad Aidil Arafat Wilson, Wayne Bradle, Andrew Petoe, Matthew
author_sort	Dzulkarnain, Ahmad Aidil Arafat
title	Rapid neonatal hearing screening using maximum length sequence auditory brainstem response, chirps and automated signal detection
title_short	Rapid neonatal hearing screening using maximum length sequence auditory brainstem response, chirps and automated signal detection
title_full	Rapid neonatal hearing screening using maximum length sequence auditory brainstem response, chirps and automated signal detection
title_fullStr	Rapid neonatal hearing screening using maximum length sequence auditory brainstem response, chirps and automated signal detection
title_full_unstemmed	Rapid neonatal hearing screening using maximum length sequence auditory brainstem response, chirps and automated signal detection
title_sort	rapid neonatal hearing screening using maximum length sequence auditory brainstem response, chirps and automated signal detection
publisher	The New Zealand Audiological Society
publishDate	2005
url	http://irep.iium.edu.my/41099/ http://irep.iium.edu.my/41099/ http://irep.iium.edu.my/41099/1/NZASBulletinOct2005edit.pdf
first_indexed	2023-09-18T20:58:52Z
last_indexed	2023-09-18T20:58:52Z
_version_	1777410488433377280

Rapid neonatal hearing screening using maximum length sequence auditory brainstem response, chirps and automated signal detection

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