ENT Department, Children's Hospital of the Chongqing Medical University, Chongqing, China.
Department of Head and Neck Surgery, The Permanente Med. Group, Oakland, California, U.S.A.
Laryngoscope. 2020 Sep;130(9):2245-2251. doi: 10.1002/lary.28329. Epub 2019 Oct 29.
Assess a tablet hearing game as a screening instrument for pediatric hearing loss.
All children age 3 to 13 presenting to the ENT clinic of a tertiary hospital clinic over a 3-month period were eligible for study. Five hundred sixteen were entered by completing the tablet screen with calibrated tablet/headphones. All had full standard audiometry or otoacoustic emission testing to assess hearing status. Tablet game data was analyzed to find the best correlation to the air conduction audiogram. The appropriate pass threshold of the tablet game was established and the statistical accuracy of the tablet game versus the air conduction audio was assessed.
The overall rate of hearing loss was 29.7% (153 subjects). Conductive hearing loss predominated and was present in 128 children. The tablet game pure tone average from 500- 4000 Hz correlated best with the air conduction audiogram, and was most predictive of hearing loss. Setting the pass level at 20 dB for the tablet screen prioritized detection of hearing loss, yielding a sensitivity of 91% and corresponding specificity of 73.5% for ages 4 and older. Specificity progressively improved with increasing age and was over 90% for all ages 7 and older.
Tablet game audiometry as a screening tool performs well in a controlled setting. Based on these results, it can be considered as a reliable screening method for school-age children and to monitor resolution of otitis media.
4, case series Laryngoscope, 130:2245-2251, 2020.
评估平板电脑听力游戏作为儿童听力损失的筛查工具。
在三个月的时间内，所有 3 至 13 岁的儿童在耳鼻喉科诊所就诊，都有资格参加研究。通过使用校准的平板电脑/耳机完成平板电脑筛查，有 516 名儿童入组。所有儿童均进行全面的标准听力测试或耳声发射测试，以评估听力状况。分析平板电脑游戏数据以找到与气导听力图的最佳相关性。确定平板电脑游戏的适当通过阈值，并评估平板电脑游戏与气导听力的统计准确性。
听力损失的总发生率为 29.7%（153 名儿童）。传导性听力损失为主，128 名儿童存在传导性听力损失。从 500 到 4000 Hz 的平板电脑游戏纯音平均值与气导听力图相关性最好，最能预测听力损失。将平板电脑屏幕的通过水平设置为 20 dB 可优先检测听力损失，灵敏度为 91%，年龄在 4 岁及以上的儿童的相应特异性为 73.5%。特异性随年龄增加而逐渐提高，所有 7 岁及以上儿童的特异性均超过 90%。
在受控环境中，平板电脑听力测试作为筛查工具表现良好。基于这些结果，可以考虑将其作为学龄儿童的可靠筛查方法，以及监测中耳炎的解决情况。
4，病例系列研究，喉镜，130：2245-2251，2020 年。
