The purpose of this study was to identify the referral rate in TEOAE-based newborn hearing screening programsand clinical follow-up data of hearing-impaired infants in prematurity. 1376 neonates were assessed between July 2007 to June 2010, through TEOAE at the neonatal intensive care unit in atertiary hospital. They were grouped by gestational age at birth. Clinical follow-up was done according to Joint Committee on Infant Hearing guidelines. 1376 neonates were screened by TEOAE. 1st OAE results that the lower the gestational age at birth showed a referral rate is higher aspect, this difference was not observed in the 2nd and diagnostic test. Follow-up results for patients with Diagnostic test fail wasthat higher initial hearing loss level is, more a higher risk factor than other NICU hospital day is hearing impairment tended to persist. Among 86 Follow-up loss kids, children with a hearing loss was only one, the rest were normal. Premature infants groups, especially under 29 weeks, showed high referral rate of 1st TEOAE screening. However, most of the babies who failed to pass the TEOAE-based newborn hearing screening have become normal hearing.