Impact of OSHA final rule - Recording hearing loss: An analysis of an industrial audiometric dataset
Impact of OSHA final rule - Recording hearing loss: An analysis of an industrial audiometric dataset
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DOI：
10.1097/01.jom.0000100040.45929.42
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发表时间：
2003-12-01
影响因子：
3.2
通讯作者：
Cullen, M
中科院分区：
文献类型：
--
作者：
Rabinowitz, PM;Slade, M;Cullen, M
2003年职业安全与健康管理局（OSHA）的职业伤害和疾病记录和报告最终规则改变了可记录的工作相关听力损失的定义。我们对美国铝业公司进行了一项研究。听力数据库，以评估这一新规则的影响。2003年的规则将潜在可记录听力损失事件的发生率从每年0.2%提高到1.6%。共有68.6%的潜在可记录病例在可记录时患有美国听力学会/美国医学会（AAO/AA/LA）听力损伤。平均而言，可记录的损失发生在发病后的损害，而非年龄校正的10分贝标准阈值偏移（STS）通常之前的损害。OSHA最终规则将显著增加可记录的职业性听力损失病例。新的病例定义通常伴有AAO/AMA听力障碍。因此，其他更敏感的指标应用于早期检测和预防听力损失。
The 2003 Occupational Safety and Health Administration (OSHA) Occupational Injury and Illness Recording and Reporting Final Rule changed the definition of recordable work-related hearing loss. We Performed a study of the Alcoa Inc. audiometric database to evaluate the impact of this new rule. The 2003 rule increased the rate of potentially recordable hearing loss events from 0.2% to 1.6% per year. A total of 68.6% of potentially recordable cases had American Academy Of Audiology/American Medical Association (AAO/AA/LA) hearing impairment at the time of recordability. On average, recordable loss occurred after onset of impairment, whereas the non-age-corrected 10-dB standard threshold shift (STS) usually preceded impairment. The OSHA Final Rule will significantly increase recordable cases of occupational hearing loss. The new case definition is usually accompanied by AAO/AMA hearing impairment. Other, more sensitive metrics should therefore be used for early detection and prevention of hearing loss.