A comparison of screening methods in school-aged children
Autor: | Ladonna Ferguson, Wesley W. O. Krueger |
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Rok vydání: | 2002 |
Předmět: |
Male
medicine.medical_specialty Distortion product Otoacoustic Emissions Spontaneous Audiology Sensitivity and Specificity Hearing screening Normal results Cohort Studies 03 medical and health sciences 0302 clinical medicine Reference Values otorhinolaryngologic diseases Screening method Medicine Humans Mass Screening 030223 otorhinolaryngology Child Hearing Disorders School age child medicine.diagnostic_test business.industry Head neck Tympanometry Otorhinolaryngology Acoustic Impedance Tests 030220 oncology & carcinogenesis Audiometry Pure-Tone Surgery Female Audiometry business |
Zdroj: | Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 127(6) |
ISSN: | 0194-5998 |
Popis: | Objective: We sought to compare the findings of 3 different hearing screening methods in school-aged children. Study Design and Setting: Prospective testing of second- and third-grade students in their schools was carried out. Methods: Three hundred children (599 ears) were screened by using 3 test modalities, pure-tone audiometry, distortion product otoacoustic emissions (DPOAE), and tympanometry. Results: All of the tests were normal in 532 ears (89%), and all were abnormal in 12 ears (2%). Tympanometry yielded the most abnormalities (8.3%), and pure-tone testing demonstrated the fewest (3.3%), with a positive rate of 6.3% for DPOAE testing. False-positive rates were 1.2%, 4.2%, and 6.4% for pure tones, DPOAE, and tympanometry, respectively, when normal results on pure-tones or DPOAE were taken to represent true hearing. Conclusion/Significance: We continue to recommend pure-tone testing as an effective screening method, with follow-up by using otoacoustic emissions in those who fail the pure-tone test. (Otolaryngol Head Neck Surg 2002;127:516-19.) |
Databáze: | OpenAIRE |
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