Test-retest reliability of auditory brainstem responses to chirp stimuli in newborns

Cobb, Kensi M.; Stuart, Andrew

doi:10.3109/14992027.2014.932023

Cited by 12 publications

(7 citation statements)

References 23 publications

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“…This strongly supports the use of this stimulus in clinical settings and for neurological diagnoses [14]. The reliability analysis of the wave (I, III, V) amplitudes in the ABR to the click and LS CE-Chirp ® stimuli in the present study is somewhat consistent with previous studies [17,20,[27][28][29]. While the consistency of the waves' amplitude at multiple intensity levels within the same session and between sessions agrees with the literature, the higher ICC values (moderate-excellent) are contradictory to past findings.…”

Section: Discussionsupporting

confidence: 92%

“…The test-retest reliability findings for the absolute wave latencies (I, III, and V) in both the ABR to the click and LS CE-Chirp ® stimuli are consistent with the previous literature from the ABR to the click stimulus [17][18][19]23] and the ABR to the CE-Chirp ® stimulus [20]. The present study further suggests the ABR absolute latencies elicited from the LS CE-Chirp ® are as consistent and reliable as the ABR to the click stimulus and the previous version of CE-Chirp.…”

Section: Discussionsupporting

confidence: 90%

“…In the study, the ABR test-retest reliability was assessed at the same clinical session with multiple intensity levels. Cobb and Stuart [20] found significant correlations in the air and bone conduction ABR Wave V amplitudes and latencies from the traditional upward rising chirp stimuli between the repeat ABR waveforms at multiple intensity levels.…”

Section: Introductionmentioning

confidence: 98%

“…There is scant evidence on the test-retest reliability of ABR to the LS CE-Chirp ® stimulus. Contrastingly, the test-retest reliability has been well studied in the ABR recorded to the click stimulus [17][18][19] and has been investigated in a single study using a traditional rising chirp stimulus [20]. Previous studies on test-retest reliability results from ABR to the click stimulus revealed that the ABR results in normal hearing subjects can be consistently recorded within the same session and between different clinical sessions separated by a few days and up to two years [17][18][19][21][22][23].…”

Section: Introductionmentioning

confidence: 99%

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Test-Retest Reliability of Level-Specific CE-Chirp Auditory Brainstem Response in Normal-Hearing Adults

et al. 2021

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Background and Objectives: There is growing interest in the use of the Level-specific (LS) CE-Chirp ® stimulus in auditory brainstem response (ABR) due to its ability to produce prominent ABR waves with robust amplitudes. There are no known studies that investigate the test-retest reliability of the ABR to the LS CE-Chirp ® stimulus. The present study aims to investigate the test-retest reliability of the ABR to the LS CE-Chirp ® stimulus and compare its reliability with the ABR to standard click stimulus at multiple intensity levels in normal-hearing adults. Subjects and Methods: Eleven normal-hearing adults participated. The ABR test was repeated twice in the same clinical session and conducted again in another session. The ABR was acquired using both the click and LS CE-Chirp ® stimuli at 4 presentation levels (80, 60, 40, and 20 dBnHL). Only the right ear was tested using the ipsilateral electrode montage. The reliability of the ABR findings (amplitudes and latencies) to the click and LS CE-Chirp ® stimuli within the same clinical session and between the two clinical sessions was calculated using an intra-class correlation coefficient analysis (ICC). Results: The results showed a significant correlation of the ABR findings (amplitude and latencies) to both stimuli within the same session and between the clinical sessions. The ICC values ranged from moderate to excellent. Conclusions: The ABR results from both the LS CE-Chirp ® and click stimuli were consistent and reliable over the two clinical sessions suggesting that both stimuli can be used for neurological diagnoses with the same reliability.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

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Test-Retest Reliability of Level-Specific CE-Chirp Auditory Brainstem Response in Normal-Hearing Adults

et al. 2021

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“…11 In another study of the same authors, test and re-tests were found to be reliable when CE-Chirp stimulus was used both by airway and bone. 12 In a study, it was shown that when the stimulus rate was increased, the sensitivity perception increased, threshold sensitivity decreased but the threshold was not changed. 13 In clinical use, the preferred rate is 39.1/sec in adults and 11.1/sec in infants.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Ce-Chirp Impulse Latency and Amplitude Values Between High Risk Prematures with Corrected Age of 0-6 Months and Healthy Newborns

Sungur¹,

Beyazpinar²,

Erbek³

2019

KBB ve BBC Dergisi

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he neurological auditory pathway starts from the spinal ganglion in the cochlea and extends to the auditory cortex in the temporal lobe. A stimulus given as sound energy to the external ear canal is converted into the electrical stimulus by the cochlea and reaches the auditory cortex approximately in one-third of a second. 89 89 89 Comparison of Ce-Chirp Impulse Latency and Amplitude Values Between High Risk Prematures with Corrected Age of 0-6 Months and Healthy Newborns A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The obtained mean latency and amplitude values will help us for clinical interpretation of high risk prematüre infants and newborns' ABR tests by using ce chirp impulse. M Ma a-t te er ri ia al l a an nd d M Me et th ho od ds s: : In this study, 35 high-risk premature and 35 healthy newborns with a corrected age range of 0-6 months were included. The wave latency and amplitude values in the auditory brainstem response (ABR) test of 500, 1000, 2000 and 4000 Hz using the narrow-band chirp stimulus were compared in these two groups. R Re es su ul lt ts s: : V-wave values obtained from all infants were obtained at the highest amplitude (0.58 µV) at 90 dB at 1000 Hz and the shortest latency (3.73 ms) at 90 Hz at 2000 Hz in healthy newborn. There was no significant difference between V wave latencies with regard to gender. In our study, as a result of V wave latency and amplitude measurements obtained in comparison of high-risk premature and healthy newborns, a statistically significant difference was found between all frequencies (500, 1000, 2000 and 4000 Hz) and narrowband chirp stimulus between the two groups. C Co on nc cl lu us si io on n: : Considering that auditory neural maturation persisted up to 18 months, we obtained mean values that will help clinical interpretation of high-risk premature infants and newborns by using the V wave latency and amplitude values. K Ke ey yw wo or rd ds s: : Newborn; auditory brainstem response; premature Ö ÖZ ZE ET T A Am ma aç ç: : Belirlenen latans ve amplitüd değerleri, yüksek riskli prematürlerde ve yenidoğanlarda yapılacak ce chirp uyaranlı ABR ölçümlerinin değerlendirilmesinde yardımcı olacaktır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Bu çalışmada işitme kaybı şikayeti olmayan ve otoskopik muayenesi normal olan, düzeltilmiş yaşı 0-6 ay arası 35 yüksek riskli prematüre, 35 sağlıklı yenidoğan olmak üzere iki grupta bulunan toplam 70 bebeğin 500, 1000, 2000 ve 4000 Hz'deki ve dar bant chirp uyaran kullanılarak yapılan işitsel beyin sapı cevabı (İBC) testindeki dalga latans ve amplitüd değerleri karşılaştırılmıştır. B Bu ul lg gu ul la ar r: : Tüm bebeklerden elde edilen V. dalga değerlerinde en yüksek amplitüd (0,58 µV) 1000 Hz'de 90 dB şiddetinde, en kısa latans (3,73 msn) 2000 Hz'de 90 dB şiddetinde sağlıklı yenidoğanda elde edilmiştir. Cinsiyetlere göre yapılan değerlendirmede V. dalga latansları arasında anlamlı fark bulunmamıştır. Çalışmamızda yüksek riskli prematüre ve sağlıklı yenidoğanların karşılaştırılmasında elde edilen V. dal...

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Confirmatory Auditory Brainstem Responses Testing Results in Discordant Outcomes: Implications for Timely Care

et al. 2023

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ObjectivesThe purpose of this study is to evaluate for discrepancies in diagnostic auditory brainstem responses (ABR) between Children's National Hospital (CNH), a pediatric medical center, and outside facilities (OSF) that referred patients to CNH for confirmatory evaluation. Such discrepancies impact early hearing detection and intervention (EHDI) timelines.MethodsA retrospective chart review was conducted from an internal database of patients who underwent diagnostic ABR from 2017 to 2021. Only patients with ABR results from both CNH and OSF were analyzed. Demographic data, external and internal test results, and intervention data were obtained. Hearing loss (HL) severity was graded on a scale of 0 to 8, where 0 indicated normal hearing and 8 indicated profound. Each ear was analyzed separately.ResultsForty‐nine patients met the inclusion criteria, and each ear was evaluated separately. Median HL severity was 1.0 [0.0, 4.3] at CNH compared to 3.0 [1.8, 6] at OSF (p = 0.004). Forty‐seven ears (48.0%) showed lower severity at CNH. Twenty‐seven patients (55%) received hearing amplification devices. The median age at time of hearing intervention was 220 days.ConclusionOur results showed statistical significance in the median severity of HL between CNH and OSF. A substantial proportion (70%) of children in our dataset who received amplification via cochlear implant or hearing aids were shown to have discrepancies in ABR findings from CNH and OSF. These findings have implications with regards to the appropriate usage of health care resources and maintaining EDHI timelines.Level of Evidence4 (Retrospective Cohort Study) Laryngoscope, 2023

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Test-retest reliability of auditory brainstem responses to chirp stimuli in newborns

Abstract: These results suggest that ABRs to air- and bone-conducted CE-Chirps can be reliably repeated in newborns with different testers. The CE-Chirp may be valuable for both screening and diagnostic audiologic assessments of newborns.

Cited by 12 publications

References 23 publications

Test-Retest Reliability of Level-Specific CE-Chirp Auditory Brainstem Response in Normal-Hearing Adults

Test-Retest Reliability of Level-Specific CE-Chirp Auditory Brainstem Response in Normal-Hearing Adults

Comparison of Ce-Chirp Impulse Latency and Amplitude Values Between High Risk Prematures with Corrected Age of 0-6 Months and Healthy Newborns

Confirmatory Auditory Brainstem Responses Testing Results in Discordant Outcomes: Implications for Timely Care

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