Hammond P D, Gold M S, Wigg N R, Volkmer R E
Child Health Research Institute, Women's and Children's Hospital, North Adelaide, SA, Australia.
J Paediatr Child Health. 1997 Dec;33(6):528-30. doi: 10.1111/j.1440-1754.1997.tb01664.x.
To evaluate the validity of a parental questionnaire used to screen preschool children for persistent hearing impairment.
Six-hundred and eighty-five children aged 4-5 years from a Metropolitan area of Adelaide, Australia, were enrolled. Each parent completed a questionnaire aimed at detecting parental concerns about hearing impairment. Screening audiometry was then performed. Children who failed the initial audiometry screening underwent repeat audiometry screening 6-8 weeks later. The audiometry and questionnaire data were then compared.
Of the 657 children who successfully completed initial audiometry, 544 (83%) passed and 113 (17%) failed. Of the 84 children who had follow-up audiometry, 64 (76%) passed. Parental concerns were identified on questionnaire in 50% of all children. Neither individual questions nor the number of concerns were found to relate to audiometry results. Compared with audiometry results, the hearing screening questionnaire had a sensitivity of 56% and specificity of 52%.
The hearing questionnaire used in this study and in several Australian states is an ineffective screening test for detecting persistent hearing loss.
评估一份用于筛查学龄前儿童持续性听力障碍的家长问卷的有效性。
招募了来自澳大利亚阿德莱德市区的685名4至5岁儿童。每位家长都填写了一份旨在检测家长对听力障碍担忧的问卷。随后进行了听力筛查测听。初次听力筛查测听未通过的儿童在6至8周后接受了重复听力筛查测听。然后将测听数据和问卷数据进行了比较。
在成功完成初次听力筛查测听的657名儿童中，544名（83%）通过，113名（17%）未通过。在接受后续听力筛查测听的84名儿童中，64名（76%）通过。在所有儿童中，50%的儿童家长在问卷中表达了担忧。未发现单个问题或担忧数量与测听结果有关。与测听结果相比，听力筛查问卷的灵敏度为56%，特异度为52%。
本研究以及澳大利亚几个州所使用的听力问卷在检测持续性听力损失方面是一种无效的筛查测试。
