Comparison of screening methods for conductive hearing loss identification in children: low-cost proposal

Journal of Medical Screening
A G SamelliI F Neves-Lobo

Abstract

To evaluate the effectiveness of two screening methods (imitanciometry screening and questionnaire) to identify children at risk for conductive hearing loss, comparing this data with complete audiologic evaluation. Of 507 children aged between three and six, 111 completed all procedures. The observational methods used were: imitanciometry screening, a questionnaire to identify risk factors for hearing loss and complete audiologic evaluation. Results obtained in the first two instruments were compared with results from complete audiologic evaluation (gold standard). From these comparisons, sensitivity and specificity, accuracy, positive and negative predictive values, and odds ratio were determined for the two screening methods and for the combination of both methods. The two methods applied in series (questionnaire and after imitanciometry screening) showed a greater odds ratio and better correlation between sensitivity and proportion of false-positives (ROC curve). Combining the two tests in series improved screening accuracy. This combination was the best tool for identifying children at risk for conductive hearing loss.

References

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Citations

Dec 1, 2014·International Journal of Pediatric Otorhinolaryngology·Marília Barbieri PereiraAlessandra Giannella Samelli
Sep 25, 2017·International Journal of Audiology·Marya Sheikh RashidJan A P M de Laat
Dec 8, 2017·The Australian Journal of Rural Health·Farzaneh GolboniHassan Mahmoodi
Mar 22, 2019·Journal of Paediatrics and Child Health·Nayera E HassanOmar H Dwidar
Oct 3, 2018·Journal of Telemedicine and Telecare·Alessandra G SamelliCarla G Matas
Apr 2, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Michael YongSusan D Emmett

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SPSS
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