An Evidence-Based Systematic Review on the Diagnostic Accuracy of Hearing Screening Instruments for Preschool and School-age Children

American Journal of Audiology
Beth A PrieveNicole Franceschini

Abstract

To conduct an evidence-based systematic review (EBSR) on the accuracy of pure-tone or otoacoustic emission (OAE) screening for identifying hearing loss in preschool and school-age children. A systematic search of the literature published between 1975 and 2013 was conducted. Articles meeting the selection criteria were critically appraised for quality. Selection criteria required that behavioral thresholds be measured in children failing the screen and at least a subset of those passing the screen. Sensitivity and specificity were used to calculate positive and negative likelihood ratios (LR+, LR-) that could be compared between instruments. Eighteen studies were included in the final analysis. There was considerable variability among studies on stimulus levels, response criteria, and definition of hearing loss. Approximately half of LR+ and LR- pairs for OAEs (52%) and pure-tone screening (45%) were considered suggestive or informative for identifying hearing loss. Both pure-tone and OAE screening can identify hearing loss in preschool and school-age children. Studies that compared both tools in the same population concluded that pure-tone screening had higher sensitivity than OAE screening and thus was considered the preferred...Continue Reading

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Citations

Apr 24, 2016·Medical & Biological Engineering & Computing·Christopher L BennettÖzcan Özdamar
Mar 23, 2017·Nursing·Janice Sampson, Heather Thompson
May 5, 2017·International Journal of Audiology·Erik Harry HøydalNiels Christian Stenklev
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Jun 2, 2021·Language, Speech, and Hearing Services in Schools·Susan EksteenDe Wet Swanepoel

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