Evidence map›Paper›PMID 42475156›Full record

ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2026

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

Raymond C Wadlow, Tracey Ambrose, Irene Sideris, Claire Buxton, Jamilah Odeh, Hengameh K Behzadpour, Brian K Reilly, Tommie L Robinson, Diego A Preciado

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Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Raymond C WadlowDivision of Otolaryngology, Children's National Hospital, Washington, District of Columbia, USA.
Tracey AmbroseDivision of Hearing and Speech, Children's National Hospital, Washington, District of Columbia, USA.
Irene SiderisDivision of Hearing and Speech, Children's National Hospital, Washington, District of Columbia, USA.
Claire BuxtonDivision of Hearing and Speech, Children's National Hospital, Washington, District of Columbia, USA.
Jamilah OdehDivision of Hearing and Speech, Children's National Hospital, Washington, District of Columbia, USA.
Hengameh K BehzadpourDivision of Otolaryngology, Children's National Hospital, Washington, District of Columbia, USA.ORCID https://orcid.org/0000-0002-0050-8336
Brian K ReillyDivision of Otolaryngology, Children's National Hospital, Washington, District of Columbia, USA.
Tommie L RobinsonDivision of Hearing and Speech, Children's National Hospital, Washington, District of Columbia, USA.
Diego A PreciadoDivision of Otolaryngology, Children's National Hospital, Washington, District of Columbia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveGiven health system limitations, access to timely Auditory Brainstem Response (ABR) testing in infants is often challenging. 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. STUDY

designRetrospective review of variables impacting definitive diagnosis in infants who underwent ABRs from 2019 to 2024.

settingTertiary free-standing children's hospital.

methodsUnivariate and multivariable regression analyses were used to explore potential barriers with delays in time to definitive hearing loss diagnosis and management. All statistical tests were two-sided and performed at the 0.05 level of significance.

results630 patients met inclusion criteria. 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. Time to hearing aid fitting was significantly influenced by time to definitive diagnosis. 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). In the univariate analysis, otolaryngology consultation was associated with definitive hearing diagnosis at >3 months of age (386 vs 193, P = <.001). This association held true when controlling for other variables in multivariable analysis (aHR: 0.46, 95% CI: 0.38-0.55, P = <.001).

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

Indexed as

Delayed DiagnosisEvoked Potentials, Auditory, Brain StemHearing LossFemaleHumansInfantMaleRetrospective StudiesTreatment Delaydefinitive diagnosisdiagnostic ABRhearing losspediatrics

Identifiers

PMID42475156
PMCPMC13525875

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.