Audiometric accuracy of the click ABR in infants at risk for hearing loss.
Audiometric accuracy of the click ABR in infants at risk for hearing loss.
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有听力损失风险的婴儿中 Click ABR 的听力测量准确性。
DOI：
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发表时间：
1990
期刊：
影响因子：
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通讯作者：
K. Malizia
中科院分区：
文献类型：
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作者：
M. Hyde;K. Riko;K. Malizia
对喀哒声的听觉脑干反应（ABR）广泛用于早期检测有听力障碍风险的儿童的听力损失，但缺乏对测试准确性的直接、大样本估计。本报告提出了结果和初步分析，将 3 至 12 个月校正年龄时获得的点击 ABR 阈值与 3 至 8 岁时详细的后续行为纯音听力测定联系起来，研究对象为 713 名有听力损失风险的儿童的 1,367 只耳朵。使用听力损失和 ABR 测试结果的二分法（二元）测量，根据传统的 2 x 2 决策矩阵和相关参数对数据进行分析。 ABR 的准确性似乎在很大程度上取决于为定义听力损失和 ABR 结果而选择的精确标准。 ABR 准确度非常适合检测 2 kHz 和 4 kHz 超过 30 dB 的平均感音神经性听力损失，并且可以根据相对操作特征 (ROC) 方便地总结各种听力损失和 ABR 异常标准的总体结果。
The auditory brainstem response (ABR) to clicks is widely used for early detection of hearing loss in the child at risk for hearing dysfunction, but there is a lack of direct, large-sample estimates of test accuracy. In this report, results and preliminary analyses are presented that relate click ABR thresholds obtained at 3 to 12 months corrected age to detailed follow-up behavioral puretone audiometry at 3 to 8 years of age, for 1,367 ears in 713 children at risk for hearing loss. The data are analyzed in terms of conventional 2 x 2 decision matrices and associated parameters, using dichotomous (binary) measures of hearing loss and ABR test outcome. The accuracy of the ABR appears to depend strongly on the precise criteria that are chosen to define both hearing loss and ABR outcome. ABR accuracy is excellent for detecting average sensorineural hearing loss at 2 and 4 kHz in excess of 30 dB, and the overall results for a wide range of hearing loss and ABR abnormality criteria can be conveniently summarized in terms of relative operating characteristics (ROCs).