检索结果-南通市图书馆

Sensitivity and specificity of hearing tests for screening hearing loss in older adults

在线全文

学校读者我要写书评

暂无评论

Journal of Otology 2023年第1期18卷 1-6页

作者： Hsin-Chen Ting Yung-Yao Huang PSA Charitable Foundation New Taipei CityTaiwanChina Department of Audiology and Speech-Language Pathology MacKay Medical CollegeNew Taipei CityTaiwanChina

Objectives: The study aimed to determine the most appropriate hearing screening test to identify disabling hearing loss for adults aged 65 years or older.Methods: This study included 577 older adults. Four hearing screening tests were considered in the study, including the hearing Handicap Inventory for Elderly screening(HHIE-s), three single question tests, the whisper test, and the finger rub test. The sensitivity and specificity of these tests referenced to the hearing threshold of disabling hearing loss were estimated.Results: Among all tests, only the single self-perception question(0.7064 for sensitivity;0.7225 for specificity) and whisper test(0.7833 for sensitivity;0.7708 for specificity) could obtain both sensitivity and specificity higher than 70% for adults aged ≥65 years.Conclusion: Overall, we suggest using the whisper test to identify disabling hearing loss(>40 dB HL at the better ear) for adults aged 65 years or older. However, if the conditions do not permit, the single selfperception question is also acceptable. Moreover, HHIE-s might not be a good test to detect disabling hearing loss for adults aged 80 years or older.

关键词： Sensitivity and specificity hearing screening Questionnaire Whisper test Finger rub test

screening strategy and time points for newborn hearing re-screening with high risk factors

在线全文

学校读者我要写书评

暂无评论

World Journal of Otorhinolaryngology-Head and Neck Surgery 2022年第3期8卷 257-261页

作者： Qing-Xiang Zeng Ren-Zhong Luo Sheng-Bao Yan Yi-Quan Tang Rui-Jin Wen Wen-Long Liu Department of Otolaryngology Guangzhou Women and Children's Medical CenterGuangzhou Medical CollegeGuangzhouChina

Objective: To compare and analyze the pass rate and screening strategy of hearing rescreening for newborns with high risk factors.Methods: Retrospective chart review of high-risk newborns who failed their initial newborn hearing screen and subsequently underwent secondary hearing tests from June 2011 to June 2018 in Guangzhou Women and Children’’s Medical Center were performed.Results: Eight hundred and sixty-eight newborns with high risk factors were included in the study. The 57-70 days (83.5%) and 71-84 days (83.4%) group had the highest pass rate compared with 42-56 days (75.8%) and screening strategies, the pass rate of OAE(otoacoustic emissions), AABR (auto auditory brainstem response) and OAE + AABR was the highest in 57-70 days group and 71-84 days group, respectively. The OAE + AABR had the lowest pass rate compared to the other two modalities. When the pass rate was compared as different risk factors, the 57-70 days and 71-84 days group also had the highest pass rate compared with 42-56 days and screening time (>57 days) may increase the re-screening pass rate and reduce anxiety of parents, which is of great significance for clinical work.

关键词： Auto auditory brainstem response hearing screening Newborns Otoacoustic emissions

Study of hearing screening for rural school children

在线全文

学校读者我要写书评

暂无评论

Journal of Nanjing Medical University 2006年第4期20卷 242-247页

作者： Xiaolu Li Xingkuan Bu Carlie Driscoll Department of Otorhinolaryngology the First Affiliated Hospital Nanjing Medical University Nanjing 210029 China Division of Audiology School of Health ＆ Rehabilitation Sciences Faculty of Mealth SciencesUniversity of Queensland St. Lucia Q 4072 Australia

Objective： To develop an appropriate mass screening system to evaluate hearing loss for primary school children, especially in rural areas. Methods： In Jiangsu Province, at a rural primary school-Longdu Primary School, 317 of 479 rural students （from Grade 1 to Grade 6, over 50 students for each grade） were screened by, using the Chinese hearing Questionnaire for School Children（CHQS）. Two weeks later, they accepted transiently evoked otoacoustic emissions （TEOAEs） test. At the same time, all participants were given a ＇gold standard＇ audiological assessment that comprised of otoscopy, pure tone, and tympanometry. After eight weeks, 103 out of the 317 students accepted the second TEOAEs and ＇gold standard＇ test to confirm the results. Results： There was no statistical difference in the results of two ＇gold standard＇ test （χ^2 = 0.14, 0.5 〈 P 〈 0.75）. Compared with the ＇gold standard＇ results, the hit rate, sensitivity, specificity of the CHQS was 57%±2.78%, 61% ± 10.18%, 57% ± 2.89% respectively（α= 0.43, β = 0.39）. Youden Index J, LR＋, LR-, PV＋ and PV- was 0.18 ± 0.11, 1.42, 0.68, 0.10, 0.95 （Az 〈 0.54, EF = 0.75-0.95）. While a higher system accuracy was obtained by TEOAEs [HR = 97 ± 0.71%, Sen = 69± 7.8%, Spe = 98 ± 0.52%（α= 0.02,β= 0.31）, Youden Index J = 0.67±0.08, LR＋ = 34.5, LR- = 0.32, PV＋ = 0.71, PV- = 0.99 （Az = 0.85, EF = 0.97）]. Conclusion： TEOAEs got a high efficiency and specificity values with reasonable sensitivity. However, CHQS needs substantial modifications to improve its sensitivity in evaluating heating loss.

关键词： CHQS TEOAEs hearing screening

A Case-control Study on High-risk Factors for Newborn hearing Loss in Seven Cities of Shandong Province

在线全文

学校读者我要写书评

暂无评论

Journal of Huazhong University of Science and Technology(Medical Sciences) 2007年第2期27卷 217-220页

作者：聂文英吴汉荣戚以胜林倩相丽丽李惠李应会 Departement of Child and Adolescent Health & Maternal and Child Health Care School of Public Health Tongji Medical College Huazhong University of Science and Technology Beijing Otorhinolaryngology Research Institute Jinan Maternal and Child Care Hospital Jinan Newborn Hearing Screening and Rehabilitation Center

To investigate the high-risk factors for newborn hearing loss and to provide information for preventing the development of hearing loss and delaying its progression, from May 2003 to June 2006, neonates who failed to pass the universal newborn hearing screening （UNHS） were referred to Jinan Newborn hearing screening and Rehabilitation Center from 7 newborn hearing screening centers in seven cities of Shandong province. One-to-one pair-matched case-control method was employed for statistical analysis of the basic features of definitely identified cases. High-risk factors relating to the bilateral hearing loss were evaluated by univariate and multivariate Logistic regression analysis. Our results revealed that 721 transferred newborns who didn＇t pass the heating screening received audiological and medical evaluation and 367 were confirmed to have hearing loss. Of them, 177 neonates with hearing loss who met the matching requirements were included in the study as subjects. Univariate analysis showed that high-risk factors related to hearing loss incuded age of father, education backgrounds of parents, parity, birth weight, gestational weeks, craniofacial deformity, history of receiving treatment in neonatal intensive care unit （NICU）, neonatal disease, family history of otopathy and family history of congenital hearing loss. Multivariate Logistic regression analysis revealed that 4 independent risk factors were related to bilateral hearing loss, including parity （OR=16.285, 95% CI 3.379--78,481）, neonatal disease （OR=34;968, 95% CI 2.720 449.534）, family history of congenital hearing loss （OR=69.488, 95% CI 4.417--1093.300） and birth weight （OR=0.241, 95% CI 0.090--0.648）. It is concluded that parity, neonatal disease and family history of heating loss are the promoting factors of bilateral hearing loss in neonates and appropriate intervention measures should be taken to deal with the risk factors.

关键词： neonate hearing screening high-risk factors bilateral ears case control study

Neurophysiological characteristics in infants and young children with auditory neuropathy

在线全文

学校读者我要写书评

暂无评论

Journal of Nanjing Medical University 2005年第1期19卷 25-29页

作者： GuangqianXing XingkuanBu DengyuanWang LingLu DepartmentofOtorhinolaryngology theFirstAffiliatedHospitalofNanjingMedicalUniversityNaning210029China

Objective:To analyze neurophysiological characteristics in infants and young children with auditory neuropathy(AN) and explore their clinical significance.Methods: Audiological measurements(acoustic immittance, EOAEs, ABR, CM, MLR and ERPs) and peripheral neurological tests were conducted and evaluated in 13 infants and young children with AN. Six of them received high-resolution temporal bone CT scans and/or cerebral MRI examinations.Results: All of the children showed type “A” tympanograms with abseatation of stapedial reflexes. EOAEs were normal in 12 of 13 subjects. In one child who had a history of anoxia during the birth,the EOAEs were not elicited. Click-evoked ABRs were absent in 12 of 13 subjects when maximum output of the instrument was reached. The CM potentials were presented bilaterally in all individuals,which were independent of the EOAEs and ABR. Of eight cases tested,all had clear MLR and six showed normal ERPs(P300 and MMN). Peripheral neurological tests and radiological findings were within the normal ranges. Conclusion: The diagnosis of AN in infants and young children should focus on analyzing their neurophysiological characteristics,especially on CM,MLR and ERPs. Combined use of EOAEs, ABR and CM was recommended for hearing screening on newborns with high risk factors.

关键词： auditory neuropathy auditory brainstem response otoacoustic emissions hearing screening