正常听力或听力受损受试者自动听力测定的敏感性和特异性

Sensitivity and Specificity of Automated Audiometry in Subjects with Normal Hearing or Hearing Impairment.

作者信息

Skjonsberg Åsa, Heggen Catrine, Jamil Meisere, Muhr Per, Rosenhall Ulf

机构信息

Unit of Audiology, Department of Clinical Science, Intervention and Technology, Karolinska Institutet; Center for Hearing and communication research, Karolinska Institutet; Department of Audiology and Neurotology, Karolinska University Hospital, Huddinge, Sweden.

Unit of Audiology, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Sweden.

出版信息

Noise Health. 2019 Jan-Feb;21(98):1-6. doi: 10.4103/1463-1741.278701.

DOI:10.4103/1463-1741.278701

PMID:32098925

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7050234/

Abstract

OBJECTIVE

To investigate the sensitivity and specificity in an automatic computer-controlled audiometric set-up, used for screening purposes.

DESIGN

Comparison between standardized audiometry and automated audiometry performed in the same participants.

STUDY SAMPLE

In total, 100 participants (51 females and 49 males) were recruited to take part of this study the same day they visited the hearing clinic for clinical audiometry. Ages varied between 18 and 84 years (mean 45.9 in females, 52.3 in males).

RESULTS

The participants were divided into groups, dependent of type of hearing. A total of 23 had normal hearing, 40 had sensorineural hearing loss, 19 had conductive hearing loss and 18 showed asymmetric hearing loss. The sensitivity for the automated audiometry was 86%-100% and the specificity 56%-100%. The group with conductive hearing loss showed the poorest sensitivity (86 %) and specificity (56 %). The group with sensorineural hearing loss showed the smallest variation in difference between the two methods.

CONCLUSIONS

The results show that automated audiometry is a method suitable to screen for hearing loss. Screening levels need to be selected with respect to cause of screening and environmental factors. For patients with asymmetric hearing thresholds it is necessary to consider the effect of transcranial routing of signals.

摘要

目的

研究用于筛查目的的自动计算机控制听力测定装置的敏感性和特异性。

设计

对同一参与者进行的标准化听力测定与自动听力测定之间的比较。

研究样本

总共招募了100名参与者（51名女性和49名男性），他们在前往听力诊所进行临床听力测定的同一天参与了本研究。年龄在18岁至84岁之间（女性平均45.9岁，男性平均52.3岁）。

结果

参与者根据听力类型分组。共有23人听力正常，40人有感音神经性听力损失，19人有传导性听力损失，18人有不对称听力损失。自动听力测定的敏感性为86% - 100%，特异性为56% - 100%。传导性听力损失组的敏感性（86%）和特异性（56%）最差。感音神经性听力损失组在两种方法之间的差异变化最小。