Evidencia y recomendación¿Cuál es la mejor técnica para el cribado auditivo neonatal?

  1. BENITO-OREJAS, José Ignacio 1
  2. PARDAL-REFOYO, José Luis
  1. 1 SACYL, Hospital Clínico Universitario de Valladolid, España
Journal:
Revista ORL

ISSN: 2444-7986,  2444-7986

Year of publication: 2016

Volume: 7

Volume: 2

Pages: 97-102

Type: Article

DOI: 10.14201/ORL201672.14680 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: Revista ORL

Abstract

The otoacoustic emissions (OAE) and automated auditory evoked potentials brainstem response (ABR-A) are acceptable and used in neonatal hearing screening. PICO question: In a newborn [patient], does technique ABR-A against AEE [compared], provide superior detection [result], for neonatal screening hearing loss [intervention]?. Material and Methods: Literature search in PubMed and Cochrane data meta-analysis, clinical trials and general articles, including descriptors "hearing loss", "neonatal screening", "infant, newborn," "evoked potentials, auditory", "otoacoustic emissions". Selected studies in Spanish or English directly comparing one technique over another. Results: The evidence is high for ABR-A because they are more effective (with higher levels of sensitivity and specificity) than the OAE, especially in neonatal intensive care unit and in children at risk of auditory neuropathy. Conclusions: Recommendation: The recommendation is strongly in favor of using ABR-A versus OAS as an initial test in neonatal screening for hearing loss.

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