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New research · Otolaryngology (ENT)
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 1d
Cohort studyOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026

Barriers to Timely Infant Hearing Loss Diagnosis Utilizing Auditory Brainstem Response.

Raymond C Wadlow, Tracey Ambrose, Irene Sideris … Diego A Preciado
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Otolaryngology (ENT)Cohort study

Otolaryngology consultation is associated with a lower hazard of late infant hearing loss diagnosis.

Barriers to Timely Infant Hearing Loss Diagnosis Utilizing Auditory Brainstem Response.

Raymond C Wadlow et al. · Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
Purpose

The purpose of this study is to identify common barriers that may affect the number of ABRs needed to establish a definitive diagnosis of hearing loss in infants.

Methods

Tertiary free-standing children's hospital.

n = 630 patients
Results

Otolaryngology consultation is associated with a 54% lower hazard of diagnosis after 3 months.

AHR 0.46 (95% CI 0.38 to 0.55)
null 1
0.38
0.55
CI excludes the null - significant
More results

Of these, 579 (92%) had received a definitive diagnosis through ABR, 322 (55.6%) of which required only one ABR.

172 (29.7%) required two ABRs and 85 (14.7%) needed three or more.

Patients diagnosed after 3 months of age were fit with a hearing aid at a significantly older age than those diagnosed by 3 months (11.2 vs 5.9 months, P = <.001).

More results

In the univariate analysis, otolaryngology consultation was associated with definitive hearing diagnosis at >3 months of age (386 vs 193, P = <.001).

“
Conclusion

Primary common barriers impacting appropriate and timely EHDI guidelines: Infant sleep state, coordination with other providers, middle ear dysfunction, distance to facility, and scheduling constraints.

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