Evaluation of the Natus ALGO 3 Newborn Hearing Screener

Authors

  • Gail Murray,

    Corresponding author
    1. Gail Murray, PhD, MEd, is an assistant professor, Department of Otolaryngology, Head & Neck Surgery, Case Western Reserve University School of Medicine, Cleveland, OH, and manager of audiology and adult speech pathology, University Hospitals of Cleveland, Cleveland, OH.
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  • Mary C. Ormson,

    1. Mary C. Ormson, CCC-A, is newborn hearing screening program coordinator and a staff audiologist, St. Joseph's Hospital and Medical Center, Phoenix, AZ.
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  • Michelle H. L. Loh,

    1. Michelle H. L. Loh, MD, is an assistant professor of pediatrics, Loma Linda University School of Medicine, and medical director, Newborn Nursery, Loma Linda University Medical Center, Loma Linda, CA.
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  • Barbara Ninan,

    1. Barbara Ninan, RN, MN, is clinical director, TotalCare Birth Center, Loma Linda University Medical Center, Loma Linda, CA.
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  • Daniel Ninan,

    1. Daniel Ninan, BS, Loma Linda University Medical Center, Loma Linda, CA.
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  • Linda Dockery,

    1. Linda Dockery, RN, is a charge nurse, Newborn Nursery, Loma Linda University Medical Center, Loma Linda, CA.
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  • Avroy A. Fanaroff

    1. Avroy A. Fanaroff, MD, is Eliza Henry Barnes Chair of Neonatology, and codirector of neonatology, Rainbow Babies & Children's Hospital, Cleveland, OH. He is also a consultant to Natus Medical Inc.
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Address for correspondence: Gail Murray, PhD, MEd, Department of Audiology, Rainbow Babies & Children's Hospital, 11100 Euclid Avenue, Cleveland, OH 44106-5008. E-mail: Gail.Murray@uhhs.com.

Abstract

Objective: To compare the ALGO 3 Newborn Hearing Screener (Natus Medical Inc.) to the ALGO 2e Newborn Hearing Screener (Natus Medical Inc.).

Design: A prospective evaluation.

Setting: Three maternity hospitals.

Patients/Participants: 199 newborns enrolled; 194 completed the study.

Interventions: Patients were tested using either the ALGO 3 screener or the ALGO 2e screener first, and then screened with the alternate device. Initial screens resulting in REFER outcomes were repeated using the same device. An ALGO 2e PASS result was accepted as adequate evidence of hearing. Two sequential ALGO 2e REFER results required further diagnostic testing to determine hearing status.

Main Outcome Measures: Average screening times and referral rates of both hearing screeners.

Results: The ALGO 3 screener averaged 70.8 seconds (95% confidence interval = 34.5–107.1 seconds), or was 23% faster than the ALGO 2e screener (p = .0002). There were 48% fewer REFER results after initial screening with the ALGO 3 screener (5.7%) than with the ALGO 2e screener (10.9%) (p = .06). Faster screen times and fewer referrals were noted at each hospital.

Conclusion: The ALGO 3 screener can increase caregiver efficiency by accurately screening hearing in newborns faster and with fewer REFER results than the ALGO 2e screener.

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