Correction Factor Evaluation and Between-System Comparison of Behavioral Threshold Predictions From Auditory Brainstem Response Measures in Infants

Author:

Bagatto Marlene1ORCID,El-Naji Rana1,Purcell David1,Easwar Vijayalakshmi23ORCID,Pigeon Marie4,Witte Jill5,Malandrino April5,Brown Christine1,Burton Alison6,Tonus Kristen7,Wheeler Kristen7,Campbell Bill8,Scollie Susan1ORCID

Affiliation:

1. National Centre for Audiology, Western University, London, Ontario, Canada

2. National Acoustic Laboratories, Sydney, New South Wales, Australia

3. Western University, London, Ontario, Canada

4. Children's Hospital of Eastern Ontario, Ottawa, Canada

5. Humber River Hospital, North York, Ontario, Canada

6. Ear and Hearing Clinic, Kitchener, Ontario, Canada

7. ErinoakKids, Mississauga, Ontario, Canada

8. Superior Hearing Centre, Thunder Bay, Ontario, Canada

Abstract

Purpose: Auditory brainstem response (ABR) thresholds are corrected to estimate behavioral thresholds in infants. Corrections were validated, and a comparison of behavioral threshold estimates between systems was conducted to inform equipment transition and protocols in Ontario, Canada. Method: In Study 1, a retrospective file review was conducted. ABR threshold estimates from 84 infants with hearing loss were compared to behavioral thresholds to validate the accuracy of the ABR corrections applied in the Ontario Infant Hearing Program since 2016. Study 2 examined the precision of two different ABR systems to estimate thresholds in 37 adult and 105 infant ears. Results: Corrected ABR thresholds predicted behavioral thresholds in infants to within 1.77 dB (range of mean values across frequency: 1.18–2.26 dB) on average. The average differences decreased across frequency to 0.6 dB (range: 0.14 to −1.23) when ear canal acoustics were accounted for. The average between-system difference in ABR threshold estimates was 2.40 dB (range: 1.18–2.26). Conclusions: ABR correction factors used in Ontario's Infant Hearing Program provide accurate predictions of behavioral thresholds in infants with hearing loss. When calibration and collection parameters are similar between different ABR systems, threshold estimates are comparable and no further adjustment to correction factors was required.

Publisher

American Speech Language Hearing Association

Reference44 articles.

1. American Academy of Audiology. (2013). Clinical practice guidelines: Pediatric amplification. https://www.audiology.org/wp-content/uploads/2021/05/PediatricAmplificationGuidelines.pdf [PDF]

2. American National Standards Institute. (1999). Maximum permissible ambient noise levels for audiometric test rooms (ANSI S3.1-1999 R2003).

3. American National Standards Institute. (2010). Specifications for audiometers (ANSI S3.6-2010).

4. Bagatto M. Easwar V. El-Naji R. Hyde M. Malandrino A. Martin V. Pigeon M. Purcell D. Scollie S. & Witte J. (2018). Protocol for auditory brainstem response-based audiological assessment (ABRA) (Version 2018.02). Developed for the Ontario Ministry of Children Community and Social Services' Infant Hearing Program. https://ir.lib.uwo.ca/nca/1/

5. Bagatto M. Easwar V. El-Naji R. Hyde M. Pigeon M. Purcell D. Scollie S. & Witte J. (2018). Protocol for auditory brainstem response-based audiological assessment (ABRA) (Version 2018.01). Developed for the Ontario Ministry of Children Community and Social Services' Infant Hearing Program.

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