Bao XiaoLin, Ding YiLi, Wang Yuan, Liu XiaoWen, Xu BaiCheng, Guo YuFen
Department of Otolaryngology-Head and Neck Surgery, Lanzhou University Second Hospital, Lanzhou, China.
Department of Otorhinolaryngology-Head and Neck, Tianjin Economic and Technological Development Area Hospital of Tianjin University, Tianjin, China.
Ear Nose Throat J. 2024 Mar 1:1455613241235501. doi: 10.1177/01455613241235501.
To investigate the consistency between the hearing handicap inventory (HHI) and pure-tone audiometry (PTA) scores in assessing hearing status to provide valuable insights for clinical application. Retrospective analysis of clinical data and the HHI reporting status of 6540 patients admitted between April 2020 and July 2022 for self-reported unilateral hearing loss who met the study inclusion and exclusion criteria. The kappa coefficient was used to evaluate the consistency of HHI and PTA in assessing the hearing status of the participants. The PTA results showed that among the 6540 participants, 3895 exhibited normal hearing, 1434 showed mild hearing loss, 809 presented with moderate hearing loss, and 402 showed severe hearing loss. The mean hearing thresholds from 0.5 to 4 kHz in healthy ears ranged from 3.65 to 18.45 dB HL, with a mean of 10.83 ± 5.29 dB HL; in ears affected by hearing loss, this ranged from 35 to 125 dB HL, with a mean of 69.63 ± 28.45 dB HL. The HHI scores showed that 4820 people had normal hearing, 1245 had mild-to-moderate hearing loss, and 475 had severe hearing loss. The kappa coefficients of normal, mild-to-moderate, and severe hearing loss were 0.312, 0.223, and 0.716, respectively ( = .001). The consistency between the 2 groups was particularly significant in the assessment of severe hearing loss. Using the PTA results as a benchmark, the sensitivity, specificity, positive predictive value, and negative predictive value of the HHI were found to be 73.08%, 87.83%, 95.60%, and 70.98%, respectively. The HHI and PTA results were consistent in the assessment of hearing status, particularly in the assessment of severe hearing loss, and the level of consistency between the 2 methods was high. The combined use of these tools can facilitate a comprehensive assessment of the auditory status of patients with hearing loss.
为研究听力障碍量表（HHI）与纯音听力测试（PTA）分数在评估听力状况方面的一致性，为临床应用提供有价值的见解。回顾性分析2020年4月至2022年7月期间收治的6540例自述单侧听力损失且符合研究纳入和排除标准患者的临床资料及HHI报告情况。采用kappa系数评估HHI和PTA在评估参与者听力状况方面的一致性。PTA结果显示，在6540名参与者中，3895人听力正常，1434人有轻度听力损失，809人有中度听力损失，402人有重度听力损失。健康耳朵0.5至4kHz的平均听力阈值为3.65至18.45dB HL，平均为10.83±5.29dB HL；听力损失耳朵的平均听力阈值为35至125dB HL，平均为69.63±28.45dB HL。HHI分数显示，4820人听力正常，1245人有轻度至中度听力损失，475人有重度听力损失。正常、轻度至中度和重度听力损失的kappa系数分别为0.312、0.223和0.716（P = 0.001）。两组之间在重度听力损失评估方面的一致性尤为显著。以PTA结果为基准，HHI的灵敏度、特异度、阳性预测值和阴性预测值分别为73.08%、87.83%、95.60%和70.98%。HHI和PTA结果在听力状况评估中一致，尤其是在重度听力损失评估中，两种方法的一致性水平较高。联合使用这些工具可有助于全面评估听力损失患者的听觉状况。
