Serpanos Yula C, Senzer Deborah, Renne Brittany, Langer Rebecca, Hoffman Roxanne
Am J Audiol. 2015 Sep;24(3):377-83. doi: 10.1044/2015_AJA-15-0014.
This study was conducted to investigate the efficacy of routine screening for high-frequency hearing loss (HFHL) including 3000, 6000, and 8000 Hz frequencies with conventional test frequencies (1000, 2000, and 4000 Hz) in adults and children in a university outreach program.
Screening outcomes were examined in 2 cohorts of adults (Cohort 1, N = 315, M = 66.2 years; Cohort 2, N = 67, M = 68.3 years) and children (Cohort 1, N = 177, M = 6.5 years; Cohort 2, N = 57, M = 6.9 years) with a high-frequency screen protocol (1000-8000 Hz at 25 dB HL for adults and 20 dB HL for children) using supra-aural headphones. A rescreen was conducted in Cohort 2 with a modified protocol using insert earphones and monitored ambient noise levels.
Average total test time significantly increased (p < .0001) and nearly doubled with inclusion of 3000-, 6000-, and 8000-Hz frequencies, adding approximately 1 min. Rescreen referral rates decreased by approximately 2%-16% at 1000-8000 Hz (approximately 13%-16% at 6000 and 8000 Hz) using the modified protocol in adults and children, supporting false-positive responses using supra-aural headphones.
Screening for HFHL should include insert earphones in order to prevent potential errors, particularly at 6000 and 8000 Hz.
本研究旨在调查在大学外展项目中，对成人和儿童进行常规高频听力损失（HFHL）筛查（包括3000、6000和8000赫兹频率）与传统测试频率（1000、2000和4000赫兹）的效果。
对两组成人（队列1，N = 315，平均年龄66.2岁；队列2，N = 67，平均年龄68.3岁）和儿童（队列1，N = 177，平均年龄6.5岁；队列2，N = 57，平均年龄6.9岁）进行筛查，采用高频筛查方案（成人25分贝听力级下1000 - 8000赫兹，儿童20分贝听力级下1000 - 8000赫兹），使用头戴式耳机。队列2采用改良方案使用插入式耳机并监测环境噪声水平进行重新筛查。
平均总测试时间显著增加（p <.0001），纳入3000、6000和8000赫兹频率后几乎翻倍，增加了约1分钟。在成人和儿童中，使用改良方案后，1000 - 8000赫兹的重新筛查转诊率下降了约2% - 16%（6000和8000赫兹时约为13% - 16%），这支持了使用头戴式耳机时存在假阳性反应。
HFHL筛查应包括插入式耳机，以防止潜在错误，特别是在6000和8000赫兹时。
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