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一项关于IOS应用程序“uHear”作为曼谷听力损失筛查工具的研究。

A study on the IOS application "uHear" as a screening tool for hearing loss in Bangkok.

作者信息

Bunnag Kanokrat, Kaewsalubsri Wikallaya, Junthong Sirinan, Kulthaveesup Anan

机构信息

Department of Otolaryngology, Faculty of Medicine Vajira Hospital Navamindradhiraj University Bangkok Thailand.

出版信息

Laryngoscope Investig Otolaryngol. 2022 Dec 12;8(1):253-261. doi: 10.1002/lio2.996. eCollection 2023 Feb.

DOI:10.1002/lio2.996
PMID:36846435
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9948572/
Abstract

OBJECTIVE: This study was designed to compare the results of hearing tests performed using the uHear application with those of standard audiometry in Thai people in Bangkok. METHODS: From December 2018 to November 2019, a prospective observational study was conducted involving Thai participants aged between 18 and 80 years. All participants were tested using standard audiometry and the uHear application in a soundproof booth and in a typical hearing environment. RESULTS: This study included 52 participants (12 males and 40 females). The Bland-Altman plot with the Minimal Clinical Meaningful Difference of 10 dB between standard audiometry and the uHear in a soundproof booth found agreement at 2000 Hz. The uHear in a soundproof booth showed high sensitivity at all frequencies (82.5%-98.9%) and high specificity at 500 and 1000 Hz (85.7%-100%). uHear in a typical hearing environment showed high sensitivity at 4000 and 6000 Hz (97.6%) and high specificity at 500 and 1000 Hz (100%). When considering the pure-tone average, uHear in a soundproof booth showed high sensitivity (94.7%) and specificity (90.7%), whereas, in a typical hearing environment, uHear showed poor sensitivity (34%) and high specificity (100%). CONCLUSION: uHear was accurate for hearing loss screening at 2000 Hz in a soundproof booth. However, uHear in a typical hearing environment lacked accuracy. The uHear application in a soundproof booth can be used to screen hearing loss in some situations where standard audiometry is impossible. LEVEL OF EVIDENCE: II.

摘要

目的：本研究旨在比较在曼谷的泰国人群中，使用uHear应用程序进行听力测试的结果与标准听力测定的结果。 方法：2018年12月至2019年11月，进行了一项前瞻性观察性研究，纳入年龄在18至80岁之间的泰国参与者。所有参与者均在隔音室和典型听力环境中使用标准听力测定和uHear应用程序进行测试。 结果：本研究包括52名参与者（12名男性和40名女性）。在隔音室中，标准听力测定与uHear之间最小临床有意义差异为10 dB的Bland-Altman图显示，在2000 Hz时具有一致性。隔音室中的uHear在所有频率下均显示出高灵敏度（82.5%-98.9%），在500和1000 Hz时具有高特异性（85.7%-100%）。在典型听力环境中的uHear在4000和6000 Hz时显示出高灵敏度（97.6%），在500和1000 Hz时具有高特异性（100%）。在考虑纯音平均值时，隔音室中的uHear显示出高灵敏度（94.7%）和特异性（90.7%），而在典型听力环境中，uHear显示出低灵敏度（34%）和高特异性（100%）。 结论：在隔音室中，uHear在2000 Hz时对听力损失筛查准确。然而，在典型听力环境中的uHear缺乏准确性。在一些无法进行标准听力测定的情况下，隔音室中的uHear应用程序可用于筛查听力损失。 证据级别：II级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73b4/9948572/34eee2a03d4a/LIO2-8-253-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73b4/9948572/72ba56af1b2e/LIO2-8-253-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73b4/9948572/cf284a06ff77/LIO2-8-253-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73b4/9948572/3ca4a8be6892/LIO2-8-253-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73b4/9948572/262041ee5753/LIO2-8-253-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73b4/9948572/2954cd6d96ec/LIO2-8-253-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73b4/9948572/9fdffffc578c/LIO2-8-253-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73b4/9948572/f5bb514d64fc/LIO2-8-253-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73b4/9948572/34eee2a03d4a/LIO2-8-253-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73b4/9948572/72ba56af1b2e/LIO2-8-253-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73b4/9948572/cf284a06ff77/LIO2-8-253-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73b4/9948572/0c480cb9eb45/LIO2-8-253-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73b4/9948572/3b3af93aba81/LIO2-8-253-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73b4/9948572/3ca4a8be6892/LIO2-8-253-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73b4/9948572/262041ee5753/LIO2-8-253-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73b4/9948572/2954cd6d96ec/LIO2-8-253-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73b4/9948572/9fdffffc578c/LIO2-8-253-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73b4/9948572/f5bb514d64fc/LIO2-8-253-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73b4/9948572/34eee2a03d4a/LIO2-8-253-g006.jpg

相似文献

[1]
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Laryngoscope Investig Otolaryngol. 2022-12-12

[2]
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[3]
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[7]
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[8]
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[9]
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本文引用的文献

[1]
Accuracy of Smartphone Self-Hearing Test Applications Across Frequencies and Earphone Styles in Adults.

Am J Audiol. 2018-12-6

[2]
World Health Organization and Its Initiative for Ear and Hearing Care.

Otolaryngol Clin North Am. 2018-6

[3]
Validated Smartphone-Based Apps for Ear and Hearing Assessments: A Review.

JMIR Rehabil Assist Technol. 2016-12-23

[4]
Application-Based Hearing Screening in the Elderly Population.

Ann Otol Rhinol Laryngol. 2017-1

[5]
The Accuracy of IOS Device-based uHear as a Screening Tool for Hearing Loss: A Preliminary Study From the Middle East.

Oman Med J. 2016-3

[6]
Community-Based Hearing Screening of Disabled Elders Using the Thai-FMHT: Clinical Implications and Cost-Effectiveness.

J Med Assoc Thai. 2015-8

[7]
Smartphone-based audiometric test for screening hearing loss in the elderly.

Eur Arch Otorhinolaryngol. 2016-2

[8]
Smartphone-based hearing screening in noisy environments.

Sensors (Basel). 2014-6-12

[9]
Sample size estimation in diagnostic test studies of biomedical informatics.

J Biomed Inform. 2014-2-26

[10]
Validation of the Thai five-minute hearing test to screen hearing loss in the community.

Audiol Neurootol. 2014

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