Soares Marina, Nakazawa Misao, Ishikawa Kazuo, Sato Teruyuki, Honda Kohei
Department of Otorhinolaryngology, Head and Neck Surgery, Akita University School of Medicine, Akita, Japan.
Akita Prefectural Center of Rehabilitation and Psychiatric Medicine, Akita, Japan; Nakadori General Hospital, Akita, Japan.
Auris Nasus Larynx. 2014 Feb;41(1):17-21. doi: 10.1016/j.anl.2013.08.001. Epub 2013 Sep 3.
Hearing screening programs in schools are particularly important for children because they can enable early detection of hearing problems and early intervention. However, there has been little research on this topic. The MB11BERAphone(®) is a novel, accurate and efficient Automated Auditory Brainstem Response device for hearing screening in infants. The aim of this study was to investigate the validity of the MB11BERAphone(®) as a hearing screening device for pre-school, school-age and young-adult individuals.
Between January 2010 and March 2012, 163 normal and hearing impaired individuals, corresponding to 321 ears from subjects aged 3-22 years 11 months at Luther Aiji Kindergarten and Nakadori General Hospital in Akita, Japan, underwent primarily conditional play audiometry or conventional audiometry followed by the Automated Auditory Brainstem Response by MB11 BERAphone(®). The statistical analysis was performed with the Predictive Analytics Software (PASW Statistics 18) and presented as the mean, standard deviation (SD) and frequency distribution. The sensitivity, specificity and false-positive and false-negative rates were estimated to analyze the validity of the MB11 BERAphone(®) test over audiometry.
Among the normal and hearing impaired ears, 140 were scored as "REFER" and 181 were scored as "PASS" during the hearing screening examination conducted using the MB11BERAphone(®) device. The specificity was 95.1%, and the sensitivity was 96.3%. The false positive rate was 5%, and the false negative rate was 4%. The overall timing without precise measurement was less than 7min. The individuals were divided into groups: pre-schoolers (3-5 years), school-age (6-17 years) and young-adults (18-22 years). When the audiometry and MB11BERAphone(®) results were compared, no statistically significant differences (p=ns) were detected among general (pre-schoolers+school-age+young-adult), pre-school, school-age, and young-adult groups.
The results suggest that the MB11BERAphone(®) is not only useful for newborn hearing screening but also for hearing screening in older individuals, due to the low cost of the integrated electrodes and the speed with which the examination can be performed.
学校听力筛查项目对儿童尤为重要，因为它能实现听力问题的早期发现和早期干预。然而，关于这一主题的研究很少。MB11BERAphone(®)是一款用于婴儿听力筛查的新型、准确且高效的自动听性脑干反应设备。本研究的目的是调查MB11BERAphone(®)作为学龄前、学龄期和青年个体听力筛查设备的有效性。
在2010年1月至2012年3月期间，日本秋田县路德爱治幼儿园和中取综合医院对163名年龄在3岁至22岁11个月的正常和听力受损个体（共321只耳朵）进行了主要条件性游戏测听或传统测听，随后使用MB11 BERAphone(®)进行自动听性脑干反应测试。使用预测分析软件（PASW Statistics 18）进行统计分析，并以均值、标准差（SD）和频率分布呈现。估计敏感性、特异性以及假阳性和假阴性率，以分析MB11 BERAphone(®)测试相对于测听的有效性。
在正常和听力受损的耳朵中，使用MB11BERAphone(®)设备进行听力筛查检查时，140只耳朵被评为“参考”，181只耳朵被评为“通过”。特异性为95.1%，敏感性为96.3%。假阳性率为5%，假阴性率为4%。整体未精确测量的时间不到7分钟。个体被分为几组：学龄前儿童（3至5岁）、学龄儿童（6至17岁）和青年（18至22岁）。当比较测听和MB11BERAphone(®)的结果时，在总体（学龄前儿童+学龄儿童+青年）、学龄前、学龄和青年组之间未检测到统计学上的显著差异（p=无显著性差异）。
结果表明，由于集成电极成本低且检查执行速度快，MB11BERAphone(®)不仅对新生儿听力筛查有用，对年龄较大个体的听力筛查也有用。
