02661caa a2200241   4500008004100000022001500041100002700056245009300083260000900176270008600185270009600271270003000367300001200397490002100409520172000430653011202150700002202262700002002284773003702304856004602341942001502387999001702402210629s9999    xx            000 0 und d  a 2471-9455  aHemanth Narayan Shetty 0aSensitivity and Specificity of Combined Physiological Tests in Newborn Hearing Screening  c2016  aDepartment of Audiology, All India Institute of Speech and Hearing, Mysore, India  aDepartment of Speech and Hearing, Samvaad Institute of Speech and Hearing, Bangalore, India  mhemanthn.shetty@gmail.com  a1000119  vVolume 2 Issue 2  aIntroduction: Newborn hearing screening has enabled the professionals to successfully detect a hearing loss at earliest. Successful hearing screening protocol involves a battery of tests, which should have high sensitivity and reduced false positive and negative responses. Moreover, protocol should be cost effective and less time consuming. Such protocol calls immediate implementation in screening program to detect hearing loss and certainly benefit beneficiaries to enroll in habilitation and or rehabilitation. Objective: To investigate sensitivity and specificity of individual and combined physiological hearing tests utilized in newborn hearing screening program. Method: A total of 572 ears (286 infants) were screened using high frequency tympanometry, acoustic reflex measure and transient evoked oto-acoustic emission (TEOAE). Despite all screening tests were passed auditory brainstem response (ABR) was measured at 30 dBnHL for confirmation of normal hearing. However, in ear where either acoustic reflex threshold for broadband noise or TEOAE was failed then detailed diagnostic ABR was carried out. Results: Sensitivity, specificity, false negative and false positive responses of individual test and combined physiological tests were determined. Results showed combined physiological measure revealed higher sensitivity (86%) and specificity (96%) and reduced false positive (0.3%) and false negative (1.3%) than each physiological measure. Conclusion: The protocol of combined physiological test in hearing screening accounts reduced false positive response there by decreases number of referrals. This in turn certainly reduces  unnecessary parent tension regarding hearing status of their ward.  aScreening; Hearing; Tympanometry; Acoustic reflex; Sensitivity; Rehabilitation; Auditory brainstem response  aGowri Rajalakshmi  aVishal Kooknoor  aJournal of Phonetics & Audiology  uhttps://doi.org/10.4172/2471-9455.1000119  cFJASyFJAS  c18047d18047