Analiza czułości i swoistości ogólnopolskiego „Programu przesiewowych badań słuchu u noworodków”

Abstract

Universal newborn hearing screening program permit early diagnosis and intervention in neonates and infants before 6th month of age. High rate of specificity and sensitivity characterizes the Polish Program. Low rate of specificity detected in our outpatient clinic indicates the necessity to effect and cost analysis in neonatal units. Comparison of two groups with bilateral and unilateral referral rating in screening shows that higher number of patients follow diagnostic process from the group with bilateral incorrect results, more diagnoses of hearing loss was established in this group as well.

The Impact of Pass/Refer Criteria in the Use of Otoacoustic Emission Technology for Newborn Hearing Screening

“…Contrary to current study findings, DPOAE had a slightly higher specificity (95.39%) than TEOAE (90.6%). Results from a polish universal newborn hearing screening programme revealed a higher DPOAE specificity rate than TEOAE, but with much lower percentages of 36.9% and 79.7% respectively (Iwanicka-Pronicka et al, 2008).…”

“…Specificity is calculated by dividing the number of true negative results by the sum total of false positive and true negative results in individuals suspected to not have the condition (Parikh et al, 2008). Various specificity rates have been reported for OAEs, with some literature indicating a higher specificity for TEOAEs (Shetty et al, 2016;Tzanakakis et al, 2016) and others indicating s higher specificity for DPOAEs (Iwanicka-Pronicka et al, 2008;Maung et al, 2016). Specificity rates have been reported to be between 79.7% and 99% for TEOAE and 37% to 95% for DPOAE (Iwanicka-Pronicka et al, 2008;Maung et al, 2016;Shetty et al, 2016).…”

“…Various specificity rates have been reported for OAEs, with some literature indicating a higher specificity for TEOAEs (Shetty et al, 2016;Tzanakakis et al, 2016) and others indicating s higher specificity for DPOAEs (Iwanicka-Pronicka et al, 2008;Maung et al, 2016). Specificity rates have been reported to be between 79.7% and 99% for TEOAE and 37% to 95% for DPOAE (Iwanicka-Pronicka et al, 2008;Maung et al, 2016;Shetty et al, 2016). Apart from screening procedure and population being screened, manufacturer specifications may also contribute to the sensitivity and specificity as a result of varying algorithms and test settings or parameters.…”