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

2015 ◽  
Vol 24 (2) ◽  
pp. 250-267 ◽  
Author(s):  
Beth A. Prieve ◽  
Tracy Schooling ◽  
Rebecca Venediktov ◽  
Nicole Franceschini
Keyword(s):  
Systematic Review ◽  
Hearing Loss ◽  
Selection Criteria ◽  
Pure Tone ◽  
Negative Likelihood Ratio ◽  
Response Criteria ◽  
School Age Children ◽  
Future Research ◽  
Evidence Based ◽  
School Age

Purpose The purpose of this article is to conduct an evidence-based systematic review on the accuracy of pure-tone or otoacoustic emission (OAE) screening for identifying hearing loss in preschool- and school-age children. Method 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 in at least a subset of children passing the screen. Sensitivity and specificity were used to calculate positive and negative likelihood ratios that could be compared between instruments. Results 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 positive and negative likelihood ratio pairs for OAEs (52%) and pure-tone screening (45%) were considered suggestive or informative for identifying hearing loss. Conclusions 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 tool. Future research should incorporate standard stimulus levels, response criteria, and definitions of hearing loss.

scholarly journals An Evidence-Based Systematic Review of Frequency Lowering in Hearing Aids for School-Age Children With Hearing Loss

2012 ◽  
Vol 21 (2) ◽  
pp. 313-328 ◽  
Author(s):  
Ryan W. McCreery ◽  
Rebecca A. Venediktov ◽  
Jaumeiko J. Coleman ◽  
Hillary M. Leech
Keyword(s):  
Systematic Review ◽  
Hearing Loss ◽  
Hearing Aids ◽  
School Age Children ◽  
Evidence Based ◽  
School Age ◽  
Children With Hearing Loss

Listening Effort and Fatigue in School-Age Children With and Without Hearing Loss

2002 ◽  
Vol 45 (3) ◽  
pp. 573-584 ◽  
Author(s):  
Candace Bourland Hicks ◽  
Anne Marie Tharpe
Keyword(s):  
Hearing Loss ◽  
Normal Hearing ◽  
School Age Children ◽  
Future Research ◽  
School Age ◽  
Listening Effort ◽  
Hearing Results ◽  
Dual Task Paradigm ◽  
Children With Hearing Loss ◽  
Acoustic Conditions

Parents, audiologists, and educators have long speculated that children with hearing loss must expend more effort and, therefore, fatigue more easily than their peers with normal hearing when listening in adverse acoustic conditions. Until now, however, very few studies have been conducted to substantiate these speculations. Two experiments were conducted with school-age children with mild-to-moderate hearing loss and with normal hearing. In the first experiment, salivary cortisol levels and a self-rating measure were used to measure fatigue. Neither cortisol measurements nor self-rated measures of fatigue revealed significant differences between children with hearing loss and their normalhearing peers. In the second experiment, however, a dual-task paradigm used to study listening effort indicated that children with hearing loss expend more effort in listening than children with normal hearing. Results are discussed in terms of clinical application and future research needs.

Auditory Brainstem Responses in Children with Otitis Media with Effusion

1980 ◽  
Vol 89 (3_suppl) ◽  
pp. 200-206 ◽  
Author(s):  
Thomas J. Fria ◽  
Diane L. Sabo
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Pure Tone ◽  
Conductive Hearing Loss ◽  
Otitis Media With Effusion ◽  
Auditory Brainstem ◽  
Auditory Brainstem Responses ◽  
School Age Children ◽  
School Age ◽  
Conductive Hearing

Auditory brainstem responses (ABR) were recorded in 14 infants and toddlers and 12 school-age children with a previous history of recurrent otitis media with effusion (OME), or otoscopic and tympanometric evidence of persistent OME, or both. ABR tests were performed immediately before and after myringotomy and tympanostomy tube insertion in the younger subjects. For the school-age children, ABR tests were performed following otoscopy, tympanometry, and pure tone audiometry. The results demonstrate that the latency of both wave I and wave V of the ABR was sensitive (82% and 100%, respectively) to the presence of OME. Wave I also identified the absence of OME (specificity = 100%) whereas wave V did not (specificity = 25%). ABR latency was significantly decreased postoperatively in ears found to have OME, but not in ears found to have no OME. In the school-age subjects the ABR was used to predict the conductive hearing loss at 4000 Hz with less than a 20 dB error in virtually all subjects. The ABR latency delay was also found to be related to conductive hearing impairment at lower pure tone frequencies and to the average conductive loss at a variety of pure tone frequencies. Predictions of the presence of a conductive hearing loss from these relationships promise to be impressively accurate. The results suggest that the ABR can be a valuable tool for detecting the presence of conductive hearing impairment in infants and young children suspected to have OME and perhaps as an estimate of the degree of impairment.

Effect of Hearing Loss on Peer Victimization in School-Age Children

2018 ◽  
Vol 84 (3) ◽  
pp. 280-297 ◽  
Author(s):  
Andrea D. Warner-Czyz ◽  
Betty Loy ◽  
Hannah Pourchot ◽  
Trissan White ◽  
Elika Cokely
Keyword(s):  
Hearing Loss ◽  
General Population ◽  
Peer Victimization ◽  
Hearing Aids ◽  
School Age Children ◽  
Future Research ◽  
School Age ◽  
Crime Victimization ◽  
Increased Risk ◽  
Children With Hearing Loss

Nearly one third of school-age children report being bullied, primarily enduring teasing or rumors. Children with hearing loss (HL) are at increased risk of victimization due to being “different” from the general population. This project assesses effects of auditory status on bullying by comparing incidence and type of bullying in 87 youth and adolescents with HL (7–18 years) to published national data from peers in the general population. All participants wore auditory technology (i.e., hearing aids or cochlear implants), communicated orally, and participated in mainstream education. Each participant completed the 2009 National Crime Victimization Survey’s School Crime Supplement. Adolescents with HL endured significantly higher incidence of bullying versus the general population (50.0% vs. 28.0%), particularly for exclusion (26.3% vs. 4.7%) and coercion (17.5% vs. 3.6%). Children younger than 12 years with HL report lower rates of bullying (38.7%) than adolescents with HL, but rates did not differ significantly. Future research should explore risk and protective factors for peer victimization in youth and adolescents with HL to reduce long-term consequences on quality of life.

scholarly journals Results of hearing screening of school-age children in Bishkek, Kyrgyzstan

2020 ◽  
Vol 21 ◽  
Author(s):  
Piotr Henryk Skarżyński ◽  
Weronika Świerniak ◽  
Elżbieta Gos ◽  
Irina Pierzyńska ◽  
Adam Walkowiak ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Social Services ◽  
Pure Tone ◽  
Diagnostic Testing ◽  
Adult Life ◽  
Hearing Screening ◽  
School Age Children ◽  
School Age ◽  
Hearing Thresholds

Abstract Aim: To gauge the prevalence of hearing loss in school children in Bishkek, Kyrgyzstan, and refer pupils with positive results for further diagnostic testing. Background: According to WHO data, hearing disorders are common in school-age children. Screening for hearing loss is an important preventative tool, helping to avoid further complications. Expenditure that supports early child development can reduce future outlay on health care and social services; it can eliminate disability problems, education deficits, and social maladaptation in later adult life. Methods: Pure-tone air-conduction hearing thresholds were obtained at 0.5–8 kHz. The results of the hearing screening examination were regarded as positive if pure-tone thresholds were higher than 20 dB HL in one or both ears at one or more of the test frequencies. Data were also obtained from follow-up visits of children who failed the initial screening. Findings: This study included 452 children aged 7–13 years old. Based on audiograms, screening showed that 123 (27.2%) of the children had hearing impairment. The study has important implications for clinical practice and health policy. There is a need for systematic monitoring of hearing status among children of this age, and parents and educators need to be made aware of the significance of hearing loss.

A Comparison of Audiometry and Audiometry With Tympanometry to Determine Middle Ear Status in School-Age Children

2002 ◽  
Vol 18 (5) ◽  
pp. 287-292 ◽  
Author(s):  
Norma J. Yockel
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Middle Ear ◽  
Pure Tone ◽  
Otitis Media With Effusion ◽  
Pure Tone Audiometry ◽  
School Age Children ◽  
Elementary Children ◽  
School Age ◽  
Fluctuating Hearing Loss

Otitis media with effusion is the most common cause of fluctuating hearing loss in children. Pure-tone audiometry is the current mandated standard to determine hearing loss in public-school children in most states. Students who fail pure tone audiometry are at risk for otitis media with effusion because it is asymptomatic. Tympanometry, which assesses middle ear status, is used to detect hidden otitis media with effusion. This longitudinal study evaluated pure tone audiometry and tympanometry in preschool and elementary children ( n = 141). Results found 12 children (23 ears) who failed either a second threshold or tympanometry. The study also showed that a greater number of ears were identified with otitis media with effusion ( n = 19) by using pure tone audiometry and tympanometry than by using pure tone audiometry alone ( n = 4).

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