PMID- 29205100
OWN - NLM
STAT- MEDLINE
DCOM- 20190109
LR  - 20190109
IS  - 2331-2165 (Electronic)
IS  - 2331-2165 (Linking)
VI  - 21
DP  - 2017 Jan-Dec
TI  - Role of Cortical Auditory Evoked Potentials in Reducing the Age at Hearing Aid 
      Fitting in Children With Hearing Loss Identified by Newborn Hearing Screening.
PG  - 2331216517744094
LID - 10.1177/2331216517744094 [doi]
LID - 2331216517744094
AB  - Recording of free-field cortical auditory evoked potential (CAEP) responses to 
      speech tokens was introduced into the audiology management for infants with a 
      permanent childhood hearing impairment (PCHI) during 2011-2015 at a U.K. service. 
      Children with bilateral PCHI were studied from two sequential cohorts. 
      Thirty-four children had followed an audiology pathway prior to CAEP 
      introduction, and 44 children followed a pathway after the introduction of CAEP 
      and were tested with unaided and aided CAEP responses. Data analysis explored the 
      age of diagnosis, hearing aid fitting, and referral for cochlear implant (CI) 
      assessment for each of these groups. CAEP offered a novel educative process for 
      the parents and audiologists supporting decision-making for hearing aid fitting 
      and CI referral. Delays in hearing aid fitting and CI referral were categorized 
      as being due to the audiologist's recommendation or parental choice. Results 
      showed that the median age of hearing aid fitting prior to CAEP introduction was 
      9.2 months. After the inclusion of CAEP recording in the infant pathways, it was 
      3.9 months. This reduction was attributable to earlier fitting of hearing aids 
      for children with mild and moderate hearing losses, for which the median age fell 
      from 19 to 5 months. Children with profound hearing loss were referred for CI 
      assessment at a significantly earlier age following the introduction of CAEP. 
      Although there has also been a national trend for earlier hearing aid fitting in 
      children, the current study demonstrates that the inclusion of CAEP recording in 
      the pathway facilitated earlier hearing aid fitting for milder impairments.
FAU - Mehta, Kinjal
AU  - Mehta K
AD  - 1 Ear Institute, 4919 University College London , UK.
AD  - 2 Department of Audiology, 156708 Whipps Cross University Hospital , London, UK.
FAU - Watkin, Peter
AU  - Watkin P
AD  - 2 Department of Audiology, 156708 Whipps Cross University Hospital , London, UK.
FAU - Baldwin, Margaret
AU  - Baldwin M
AD  - 2 Department of Audiology, 156708 Whipps Cross University Hospital , London, UK.
FAU - Marriage, Josephine
AU  - Marriage J
AD  - 3 Chears Ltd, Royston, UK.
FAU - Mahon, Merle
AU  - Mahon M
AD  - 4 Psychology and Language Sciences, 4919 University College London , UK.
FAU - Vickers, Deborah
AU  - Vickers D
AD  - 4 Psychology and Language Sciences, 4919 University College London , UK.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Trends Hear
JT  - Trends in hearing
JID - 101635698
SB  - IM
MH  - Age Factors
MH  - Auditory Cortex/*physiopathology
MH  - Cochlear Implants
MH  - Deafness/physiopathology/rehabilitation
MH  - Evoked Potentials, Auditory/*physiology
MH  - Female
MH  - *Hearing Aids
MH  - Hearing Loss/*physiopathology/*rehabilitation
MH  - Humans
MH  - Infant
MH  - Language
MH  - London
MH  - Male
MH  - Persons With Hearing Impairments/rehabilitation
MH  - *Prosthesis Fitting
MH  - Referral and Consultation
PMC - PMC5721955
OTO - NOTNLM
OT  - Universal Neonatal Hearing Screen
OT  - children
OT  - cochlear implant
OT  - cortical auditory evoked potentials
OT  - hearing aid
EDAT- 2017/12/06 06:00
MHDA- 2019/01/10 06:00
PMCR- 2017/12/05
CRDT- 2017/12/06 06:00
PHST- 2017/12/06 06:00 [entrez]
PHST- 2017/12/06 06:00 [pubmed]
PHST- 2019/01/10 06:00 [medline]
PHST- 2017/12/05 00:00 [pmc-release]
AID - 10.1177_2331216517744094 [pii]
AID - 10.1177/2331216517744094 [doi]
PST - ppublish
SO  - Trends Hear. 2017 Jan-Dec;21:2331216517744094. doi: 10.1177/2331216517744094.