Interpreting OAE screening

Don Lobelle Lobelle at ANDREWS.EDU
Wed Oct 22 21:32:34 EST 1997


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I have recently been entrusted with a newborn hearing screening program =
within a hospital setting.  OAE testing is performed here by trained =
technicians and results are interpreted by audiologists.=20
My concern pertains to the way in which these results are reported.=20

My understanding is that OAE screenings are typically done with stimulus =
levels of 60 to 70 dB,   At these levels, the literature informs us that =
OAE's may be obtained even in the presence of hearing loss not exceeding =
30 to 40 dB.  If this is true, then a "pass" report seems somewhat =
misleading to me.  One might easily assume that pass meant "normal" =
hearing. =20

My questions, for anyone willing to assist,  are these: How are such =
reports being handled in other clinics?  When reporting a "pass" for OAE =
screening, is it prudent to qualify the results for the reader? =20

Any suggestions regarding this subject would also be welcomed.    Thank =
you in advance for your help.



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<DIV><FONT color=3D#000000 size=3D2>I have recently been entrusted with =
a newborn=20
hearing screening program within a hospital setting.&nbsp; OAE testing =
is=20
performed here by trained technicians and results are interpreted by=20
audiologists.&nbsp;</FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2>My concern pertains to the way in =
which these=20
results are reported.&nbsp;</FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>My <FONT color=3D#000000>understanding </FONT>is =
that OAE=20
screenings are typically done with stimulus levels of 60 to 70 =
dB,&nbsp;&nbsp;=20
At these levels, the literature informs us that OAE's may be obtained =
even in=20
the presence of hearing loss not exceeding 30 to 40 dB.&nbsp; If this is =
true,=20
then a &quot;pass&quot; report seems somewhat misleading to me.&nbsp; =
One might=20
easily assume that pass meant &quot;normal&quot; hearing.&nbsp; =
</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>My questions, for anyone willing to assist,&nbsp; =
are these:=20
How are such reports being handled in other clinics?&nbsp; When =
reporting a=20
&quot;pass&quot; for OAE screening, is it prudent to qualify the results =
for the=20
reader?&nbsp;&nbsp;</FONT></DIV>
<DIV><FONT size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT size=3D2>Any suggestions regarding this subject would also be =

welcomed.&nbsp;&nbsp;&nbsp; Thank you in advance for your =
help.</FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT color=3D#000000 size=3D2></FONT>&nbsp;</DIV></BODY></HTML>

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