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Crib‐o‐gram vs. auditory brain stem response for infant hearing screening.
Author(s) -
Shimizu Hiroshi,
Walters Roger J.,
Allen Marilee C.,
Kennedy David W.,
Markowitz Ricka K.,
Luebkert Frances R.
Publication year - 1985
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198507000-00012
Subject(s) - cog , audiology , medicine , hearing loss , population , audiometry , pediatrics , environmental health , artificial intelligence , computer science
As a part of the longitudinal evaluation of a cluster of neonatal hearing screening procedures in a single high risk population, Crib‐O‐Gram (COG) and auditory brain stem response (ABR) screening have been administered to 190 infants in the NICU. Multiple COG screening showed inconsistent results in 25% of the infants. The COG failure rate was 27.9% with 2 out of 3 pass criterion. In the two‐intensity ABR screening (70 dB and 30 dB), 17.9% failed at 30 dB bilaterally and 30.0% failed unilaterally. The repeated ABR screening and behavioral observation audiometry at age 6 months indentified one infant with a significant hearing loss in 78 infants. Two thirds of the COG failures and a little more than half of the ABR failures had a problem mainly with the middle ear. Advantages and disadvantages of each procedure are presented.