Bantock H M, Croxson S
Department of Paediatrics, University College London Medical School, Camden.
Arch Dis Child. 1998 Mar;78(3):249-52. doi: 10.1136/adc.78.3.249.
Since 1993, targeted screening of high risk Camden and Islington babies has been carried out in hospital using the transient otoacoustic emission (TEOAE) technique and auditory brainstem responses (ABR). Because targeted screening is difficult to implement, a community pilot study using TEOAE was started in 1995, covering 7% of the resident population. Although uptake has not been above 80%, client satisfaction has been high and numbers requiring more detailed tertiary assessment have been modest (0.5% of the population screened). A comparison was made between the cost of a universal neonatal screen using TEOAE and distraction testing at 7 months of age. The neonatal screen would be no more expensive to implement universally, even when equipment costs are included. A combination of a universal neonatal screen with distraction testing at 7 months for those not screened is likely to give 96% coverage of hearing screening in the first year of life.
自1993年以来，一直在医院对卡姆登和伊斯灵顿的高危婴儿进行针对性筛查，采用瞬态耳声发射（TEOAE）技术和听觉脑干反应（ABR）。由于难以实施针对性筛查，1995年启动了一项使用TEOAE的社区试点研究，覆盖7%的常住人口。尽管参与率未超过80%，但客户满意度很高，需要更详细三级评估的人数较少（占筛查人群的0.5%）。对使用TEOAE进行普遍新生儿筛查的成本与7个月大时的分散注意力测试成本进行了比较。即使将设备成本计算在内，普遍实施新生儿筛查的成本也不会更高。对未接受筛查的婴儿，将普遍新生儿筛查与7个月时的分散注意力测试相结合，可能会使一岁内听力筛查的覆盖率达到96%。
