Giotakis Aris I, Mariolis Lambros, Koulentis Ioannis, Mpoutris Christos, Giotakis Evangelos I, Apostolopoulou Aikaterini, Papaefstathiou Efstathios
First Department of Otorhinolaryngology Head and Neck Surgery, Metropolitan General, 15562 Athens, Greece.
First Department of Otorhinolaryngology, Hippocrateion General Hospital, 11527 Athens, Greece.
Diagnostics (Basel). 2023 Dec 28;14(1):79. doi: 10.3390/diagnostics14010079.
Hearing loss is commonly encountered by general practitioners. We aimed to evaluate the screening benefit of air conduction pure-tone audiometry over visual analogue scale (VAS) scores for hearing loss. Moreover, we intended to perform the first cross-sectional study in Greece to assess hearing loss with pure-tone audiometry in young adults of the general population. We evaluated Greeks between 15 and 40 years old in a high school in Karditsa, Greece, and a primary health care unit in a nearby community. Subjects filled out a VAS score sheet and underwent pure-tone audiometry in a room without sound isolation, with air conduction only. We named the latter procedure modified pure-tone audiometry (mPTA). Subjects with pathologic results were examined via otoscopy and standardized pure-tone audiometry (sPTA). Of the 286 subjects evaluated, the VAS score revealed 5 subjects (1.7%) with hearing loss. mPTA (100 s duration) doubled this percentage (in total 3.8%; Pearson Chi-Square test; < 0.001). Based on sPTA, the sensitivity and positive predictive value of the VAS score were 40% and 13%, respectively. For mPTA, they were 100% and 37%, respectively. mPTA filtered out pathologic cases in a proper, rapid, cheap and simple way and may be considered a proper screening method for hearing loss in primary health care.
听力损失在全科医生中很常见。我们旨在评估气导纯音听力测定法相对于听力损失视觉模拟评分（VAS）的筛查益处。此外，我们打算在希腊进行第一项横断面研究，以通过纯音听力测定法评估普通人群中年轻成年人的听力损失情况。我们在希腊卡尔季察的一所高中和附近社区的一个初级卫生保健单位对15至40岁的希腊人进行了评估。受试者填写了VAS评分表，并在一个没有隔音的房间里仅进行气导纯音听力测定。我们将后一种程序称为改良纯音听力测定法（mPTA）。对病理结果异常的受试者通过耳镜检查和标准化纯音听力测定法（sPTA）进行检查。在评估的286名受试者中，VAS评分显示有5名受试者（1.7%）存在听力损失。mPTA（持续100秒）使这一比例翻倍（总计3.8%；Pearson卡方检验；<0.001）。基于sPTA，VAS评分的敏感性和阳性预测值分别为40%和13%。对于mPTA，它们分别为100%和37%。mPTA以适当、快速、廉价且简单的方式筛选出了病理病例，可被视为初级卫生保健中听力损失的一种合适筛查方法。
