Comparison Results of Automated Auditory Brainstem Response and Brainstem Evoked Response Audiometry for Hearing Loss Detection in High-risk Infants

Endang Susanti Warasanti; Nyilo Purnami; Soeprijadi Soeprijadi

doi:10.3889/oamjms.2020.3789

Authors

Endang Susanti Warasanti Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo Teaching Hospital, Surabaya 60131, Indonesia
Nyilo Purnami Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo Teaching Hospital, Surabaya 60131, Indonesia
Soeprijadi Soeprijadi Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo Teaching Hospital, Surabaya 60131, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2020.3789

Keywords:

High-risk Infants, Hearing Loss, Automated Auditory Brainstem Response, Brainstem Evoked Response Audiometry

Abstract

BACKGROUND: Brainstem evoked response audiometry (BERA) is not widely used for hearing screening because it is considered less practical; however, it is often used for diagnostics. Since the founding of automated auditory brainstem response (AABR), it often uses because it is more practical, has a high sensitivity and specificity in early detection of hearing loss (HL) in high-risk infants.

AIM: The objective of the study was to determine the differences results of AABR and BERA for HL detection in high-risk infants at neonatal intensive care unit (NICU).

METHODS: The study was conducted from November 2014 to September 2015 with consecutive sampling. The subjects were high-risk infants treated in the NICU room of the Neonatology Division at Dr. Soetomo General Hospital Surabaya and examined using AABR or BERA to determine the existence of HL.

RESULTS: BERA results obtained normal (negative) as many as 28 ears (73.68%) and not normal (positive) as many as 10 ears (26.32%). AABR results obtained pass (negative) as many as 23 ears (60.53%) and refer (positive) as many as 15 ears (39.47%). Detection of HL in high-risk infants in NICU with AABR obtained 40% of sensitivity and 60.71% of specificity, 26.67% of positive prediction (NPP), 73.91% of negative predictive value (NPN), 55.26% of accuracy, 39.29% of false positive error rate, and 60% of false negative error rate. The comparative test of Wilcoxon signed-rank between the results of AABR and BER obtained p = 0.236.

CONCLUSIONS: There was no difference between AABR and BERA results for HL detection in high-risk infants at NICU.

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