Hearing screening in schoolchildren: accuracy of different criteria used to analyze transient evoked otoacoustic emissions

Purpose: to compare the accuracy of different criteria used to analyze transient evoked otoacoustic emissions in schoolchildren. Methods: an accuracy study, where an audiological assessment (audiometry, logoaudiometry, tympanometry) and transient emissions were performed with 70 schoolchildren, from...

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Principais autores: Balen, Sheila Andreoli, Araújo, Aryelly Dayane da Silva Nunes, Pereira Junior, Antonio, Barbosa, Isabelle Ribeiro
Outros Autores: https://orcid.org/0000-0003-1353-4362
Formato: article
Idioma:English
Publicado em: Revista Cefac
Assuntos:
data accuracy
school
child
mass screening
hearing tests
Endereço do item:https://repositorio.ufrn.br/handle/123456789/52991
https://doi.org/10.1590/1982-0216/20212362021
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spelling ri-123456789-529912023-07-03T21:53:25Z Hearing screening in schoolchildren: accuracy of different criteria used to analyze transient evoked otoacoustic emissions Balen, Sheila Andreoli Araújo, Aryelly Dayane da Silva Nunes Pereira Junior, Antonio Barbosa, Isabelle Ribeiro https://orcid.org/0000-0003-1353-4362 data accuracy school child mass screening hearing tests Purpose: to compare the accuracy of different criteria used to analyze transient evoked otoacoustic emissions in schoolchildren. Methods: an accuracy study, where an audiological assessment (audiometry, logoaudiometry, tympanometry) and transient emissions were performed with 70 schoolchildren, from the first to the fifth grade of a municipal school, in Northeastern Brazil (6-14 years, 9.9 ± 2 years), with four criteria, all with signal-to-noise ratio ≥ 3 dB, being: criterion A, in all frequency bands; B, in three consecutive frequency bands; C, in three of the five non-consecutive frequency bands; D, in 2, 3 and 4 kHz. Sensitivity, specificity, accuracy and predictive values with their respective confidence intervals of 95% were analyzed. Results: criterion A showed higher sensitivity (92.31%, 95% CI: 67-98%) and lower specificity (17.35%, 95% CI: 10-29%); criterion C higher specificity (84.21%, 95% CI: 72-91%) and higher positive predictive value (52.63%; 95% CI: 51.63-54.63). Accuracy was 82.85% (95% CI 78.23-87.47) in criterion C and 70% (95% CI: 65.38-74.62) in criterion B. Conclusion: criterion C, signal-to-noise ratio ≥ 3dB in three non-consecutive frequency bands, showed the best accuracy, being considered the best choice as a criterion for the isolated use of transient emissions as a hearing screening procedure, in schoolchildren. Objetivo: comparar a acurácia de diferentes critérios de análise das emissões otoacústicas evocadas transientes na triagem auditiva em escolares. Métodos:: estudo de acurácia no qual foi realizada avaliação audiológica (audiometria, logoaudiometria, timpanometria) e emissões transientes de 70 escolares do primeiro ao quinto ano de escola municipal do nordeste do Brasil (6-14 anos, 9,9 ± 2 anos), com quatro critérios, todos com relação sinal/ruído ≥ 3 dB, sendo no critério A em todas as bandas de frequência; B em três bandas de frequências consecutivas; C em três das cinco bandas de frequência não consecutivas; D em 2, 3 e 4 kHz. Foram analisadas a sensibilidade, especificidade, acurácia e valores preditivos com seus respectivos intervalos de confiança de 95%. Resultados:: o critério A apresentou maior sensibilidade (92,31%, IC95%: 67-98%) e menor especificidade (17,35%, IC95%: 10-29%); o critério C maior especificidade (84,21%, IC95%: 72-91%) e maior valor preditivo positivo (52,63%; IC95%: 51,63-54,63). A acurácia foi 82,85% (IC95% 78,23-87,47) no critério C e 70% (IC95%: 65,38-74,62) no critério B. Conclusão:: o critério C (relação sinal/ruído ≥ 3dB em três bandas de frequência não consecutivas) apresentou a melhor acurácia, sendo considerado a melhor opção como critério para o uso isolado das emissões transientes como procedimento de triagem auditiva em escolares. 2023-07-03T21:53:24Z 2023-07-03T21:53:24Z 2021 article ARAÚJO, Aryelly Dayane da Silva Nunes; BALEN, Sheila Andreoli; PEREIRA JUNIOR, Antonio; BARBOSA, Isabelle Ribeiro. Hearing screening in schoolchildren: accuracy of different criteria used to analyze transient evoked otoacoustic emissions. Revista Cefac, [S.L.], v. 23, n. 6, p. 1, 2021. FapUNIFESP (SciELO). http://dx.doi.org/10.1590/1982-0216/20212362021. Disponível em: https://www.scielo.br/j/rcefac/a/zsYJFNXV7DCHrMYRKrxKFHj/?lang=en. Acesso em: 29 jun. 2023. https://repositorio.ufrn.br/handle/123456789/52991 https://doi.org/10.1590/1982-0216/20212362021 en Attribution 3.0 Brazil http://creativecommons.org/licenses/by/3.0/br/ application/pdf Revista Cefac
institution Repositório Institucional
collection RI - UFRN
language English
topic data accuracy
school
child
mass screening
hearing tests
spellingShingle data accuracy
school
child
mass screening
hearing tests
Balen, Sheila Andreoli
Araújo, Aryelly Dayane da Silva Nunes
Pereira Junior, Antonio
Barbosa, Isabelle Ribeiro
Hearing screening in schoolchildren: accuracy of different criteria used to analyze transient evoked otoacoustic emissions
description Purpose: to compare the accuracy of different criteria used to analyze transient evoked otoacoustic emissions in schoolchildren. Methods: an accuracy study, where an audiological assessment (audiometry, logoaudiometry, tympanometry) and transient emissions were performed with 70 schoolchildren, from the first to the fifth grade of a municipal school, in Northeastern Brazil (6-14 years, 9.9 ± 2 years), with four criteria, all with signal-to-noise ratio ≥ 3 dB, being: criterion A, in all frequency bands; B, in three consecutive frequency bands; C, in three of the five non-consecutive frequency bands; D, in 2, 3 and 4 kHz. Sensitivity, specificity, accuracy and predictive values with their respective confidence intervals of 95% were analyzed. Results: criterion A showed higher sensitivity (92.31%, 95% CI: 67-98%) and lower specificity (17.35%, 95% CI: 10-29%); criterion C higher specificity (84.21%, 95% CI: 72-91%) and higher positive predictive value (52.63%; 95% CI: 51.63-54.63). Accuracy was 82.85% (95% CI 78.23-87.47) in criterion C and 70% (95% CI: 65.38-74.62) in criterion B. Conclusion: criterion C, signal-to-noise ratio ≥ 3dB in three non-consecutive frequency bands, showed the best accuracy, being considered the best choice as a criterion for the isolated use of transient emissions as a hearing screening procedure, in schoolchildren.
author2 https://orcid.org/0000-0003-1353-4362
author_facet https://orcid.org/0000-0003-1353-4362
Balen, Sheila Andreoli
Araújo, Aryelly Dayane da Silva Nunes
Pereira Junior, Antonio
Barbosa, Isabelle Ribeiro
format article
author Balen, Sheila Andreoli
Araújo, Aryelly Dayane da Silva Nunes
Pereira Junior, Antonio
Barbosa, Isabelle Ribeiro
author_sort Balen, Sheila Andreoli
title Hearing screening in schoolchildren: accuracy of different criteria used to analyze transient evoked otoacoustic emissions
title_short Hearing screening in schoolchildren: accuracy of different criteria used to analyze transient evoked otoacoustic emissions
title_full Hearing screening in schoolchildren: accuracy of different criteria used to analyze transient evoked otoacoustic emissions
title_fullStr Hearing screening in schoolchildren: accuracy of different criteria used to analyze transient evoked otoacoustic emissions
title_full_unstemmed Hearing screening in schoolchildren: accuracy of different criteria used to analyze transient evoked otoacoustic emissions
title_sort hearing screening in schoolchildren: accuracy of different criteria used to analyze transient evoked otoacoustic emissions
publisher Revista Cefac
publishDate 2023
url https://repositorio.ufrn.br/handle/123456789/52991
https://doi.org/10.1590/1982-0216/20212362021
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