Roush J, Tait C A
Ear Hear. 1985 Sep-Oct;6(5):245-50. doi: 10.1097/00003446-198509000-00004.
Seventy-five 3- and 4-yr-old children participated in a hearing screening program that included both pure-tone and acoustic immittance measures. ASHA's guidelines for acoustic immittance screening were modified to include a rescreening of all children failing the immittance test. Results were then compared to those projected from the existing ASHA criteria and two other screening protocols. Our findings revealed a higher incidence of otologic abnormalities in preschoolers compared to school-aged children and a higher incidence of false positives, even when immittance rescreening was provided. Pure-tone audiometry was ineffective as a means of identifying otologic abnormalities. A comparison of the immittance screening protocols indicated that the ASHA guidelines are likely to result in an excessive number of false-positive medical referrals. Recommendations are made for procedural modifications aimed at improving the efficiency of this procedure.
75名3至4岁儿童参与了一项听力筛查项目，该项目包括纯音测试和声导抗测试。美国言语、语言和听力协会（ASHA）的声导抗筛查指南进行了修改，将所有声导抗测试未通过的儿童纳入重新筛查。然后将结果与现有ASHA标准及其他两种筛查方案预测的结果进行比较。我们的研究结果显示，与学龄儿童相比，学龄前儿童耳科异常的发生率更高，即使进行了声导抗重新筛查，假阳性率也更高。纯音听力测试作为识别耳科异常的手段无效。对声导抗筛查方案的比较表明，ASHA指南可能会导致过多的假阳性医疗转诊。针对旨在提高该程序效率的程序修改提出了建议。
