Clinical validation of automated audiometry with continuous noise-monitoring in a clinically heterogeneous population outside a sound-treated environment
Clinical validation of automated audiometry with continuous noise-monitoring in a clinically heterogeneous population outside a sound-treated environment
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DOI：
10.1080/14992027.2016.1178858
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发表时间：
2016-01-01
影响因子：
2.7
通讯作者：
Atlas, Marcus D.
中科院分区：
文献类型：
--
作者：
Brennan-Jones, Christopher G.;Eikelboom, Robert H.;Atlas, Marcus D.
目的：使用KUDUWAGE自动测听仪在临床不同类型的成人人群中检验自动测听的准确性。设计：前瞻性准确性研究。人工测听是在经过声音处理的房间中进行的，而自动测听不是在经过声音处理的环境中进行的。研究样本：从西澳大利亚的一个三级耳鼻咽喉科连续招募了42名参与者。结果：气导组和骨导组的绝对差值分别为5.12~9.68db和8.26~15db。86.5%的手动和自动4FAs在10db以内(即+/-5db)，94.8%在15db以内。两组间差异有统计学意义(p0.05；R2=0.11)。听力损失(较好的26分贝)对准确度没有显著影响(p=0.604；气导)，(p=0.218；骨传导)。结论：这项研究提供了在不使用声音治疗环境的临床异质性人群中使用KUDU波进行自动测听的临床验证。虽然阈值变化在统计学上有显著意义，但需要进一步的研究来确定这种变化的临床意义。
Objective: Examine the accuracy of automated audiometry in a clinically heterogeneous population of adults using the KUDUwave automated audiometer. Design: Prospective accuracy study. Manual audiometry was performed in a sound-treated room and automated audiometry was not conducted in a sound-treated environment. Study sample: 42 consecutively recruited participants from a tertiary otolaryngology department in Western Australia. Results: Absolute mean differences ranged between 5.12-9.68dB (air-conduction) and 8.26-15dB (bone-conduction). A total of 86.5% of manual and automated 4FAs were within 10dB (i.e.+/- 5dB); 94.8% were within 15dB. However, there were significant (p0.05; R-2=0.11). The presence of a hearing loss (better ear26dB) did not significantly affect accuracy (p=0.604; air-conduction), (p=0.218; bone-conduction). Conclusions: This study provides clinical validation of automated audiometry using the KUDUwave in a clinically heterogeneous population, without the use of a sound-treated environment. Whilst threshold variations were statistically significant, future research is needed to ascertain the clinical significance of such variation.