2단계 자동화 청성 뇌간 반응 검사를 이용한 신생아청력선별검사의 결과：서울아산병원의 경험
The Validity Using Two-stage Automated Auditory Brainstem Response as a UniversalNewborn Hearing Screening Protocol：Experiences in Asan Medical Center
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Abstract
Background and Objectives：Universal newborn hearing screening is widely accepted due to socioeconomic harm of congenital (AABR) is accept-able method for newborn hearing screning and to check the presence of potential false negative cases by using another criterion considering sweep number. Subjects and Method：Among 3761 neonates who were born from March 2004 to December 2005, 3053 healthy neonates (81.18%) whose parents agred to hearing screning protocol were screned with AABR. Failed neonates (refer) at first stage test and neonates showing high sweep number (>4000) on repeated test were received second stage retest tested with conventional ABR as a confirmative study within 3 months. Results：94 neonates (3.08%) were failed and 180 neonates (5.89%) showed high swep number on first stage ABR test. On second stage ABR test, neonates with final refer result were 46 (1.51%) and neonates with final high sweep number result were 44 (1.44%). Neonates with threshold of over 30 dB at ABR were 14 among final refer group and 5 among final high swep number group. Thre bilateral profound hearing showed moderate hearing loss. There is no clear relationship between predicting false negative case and sweep number. Conclusion：Our current two stage AABR test is useful tol for newborn hearing screening with acceptable referral rate and positive predictive value. False negative cases detected through our protocol have no clear relationship with high swep number. (Korean J Otolaryngol 2007 ;50 :108-14)
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