Accuracy and Use of the Reflexive Behavioral ("Baah") Test and Risk Factor Questionnaire for Hearing Screening in Infants Six Months Old and Below.

Autor:	Evangelista GF; Philippine National Ear Institute, National Institutes of Health, University of the Philippines Manila., Labra PJP; Philippine National Ear Institute, National Institutes of Health, University of the Philippines Manila., Chiong CM; Philippine National Ear Institute, National Institutes of Health, University of the Philippines Manila.; Department of Otorhinolaryngology - Head and Neck Surgery, College of Medicine and Philippine General Hospital, University of the Philippines Manila., Chiong ANE; Philippine National Ear Institute, National Institutes of Health, University of the Philippines Manila., Grullo PER; Philippine National Ear Institute, National Institutes of Health, University of the Philippines Manila.
Jazyk:	angličtina
Zdroj:	Acta medica Philippina [Acta Med Philipp] 2023 Sep 28; Vol. 57 (9), pp. 21-27. Date of Electronic Publication: 2023 Sep 28 (Print Publication: 2023).
DOI:	10.47895/amp.v57i9.4378
Abstrakt:	Objective: To determine the accuracy, sensitivity, specificity, positive predictive values, and use of the Reflexive Behavioral "Baah" Test and NHSRC Level 1 and Level 2 Questionnaires in detecting hearing impairment in rural health communities. Methods: This was a prospective cross-sectional study conducted at the rural health unit of five municipalities. Infants less than six months old were screened for hearing impairments using the OAE device (standard), the Reflexive Behavioral "Baah" test, and the NHSRC Level 1 and Level 2 Questionnaires. The "Baah" test and the filling out of the NHSRC Level 1 and 2 Questionnaires were done by trained health workers while OAE was done by an audiologist. Results: A total of 103 babies, with a mean age of 41.9 days at the time of testing and a male to female ratio of 1.02:1 (52 males and 51 females) were tested. A hearing impairment prevalence of 4.9% (5 out of 103) was noted. The "Baah" test showed to have a sensitivity of 60%, specificity of 97.96% and an accuracy rate of 96.12%. The NHSRC Level 1 and Level 2 Questionnaires showed sensitivity, specificity, and accuracy rate of 40%, 67.35% and 66.02%, respectively for the former and 40%, 85.71% and 83.50%, respectively for the latter. Analysis of the complimentary use of the NHSRC Level 1 and Level 2 Questionnaires with the "Baah" test also showed no significant improvement to using the "Baah" test as a stand-alone screening tool with sensitivity, specificity, and accuracy of 60%, 67.35% and 66.99%, respectively for the "Baah" test and Level 1 Questionnaire, and 60%, 83.67% and 82.52%, respectively for the "Baah" test and Level 2 Questionnaire. Conclusion: The Reflexive Behavioral "Baah" test is a potentially accurate, sensitive, specific, and acceptable stand-alone hearing screening test to identify infants with higher risk of hearing impairment in the rural health community setting. On the other hand, the use of the NHSRC Questionnaires as a stand-alone or complementary tool for "Baah" is unnecessary as it results to more false positive and false negative results. Competing Interests: All authors declared no conflicts of interest. (© 2023 Acta Medica Philippina.)
Databáze:	MEDLINE
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