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1.
Codas ; 33(3): e20200016, 2021.
Artigo em Português, Inglês | MEDLINE | ID: mdl-34037160

RESUMO

PURPOSE: To verify the applicability of the Tinnitus and Hearing Survey (THS) to measure the different complaints of tinnitus, hearing loss and sound tolerance. METHODS: THS was performed, composed of 4 questions about tinnitus, 4 about hearing loss and one about sound tolerance. Previously, all participants performed a battery of audiological diagnostic tests and were then divided into 4 groups: Bilateral normal audiometry with mean up to 25dB, with and without tinnitus complaint (Groups 1 and 3); diagnosis of mild to moderate neural sensory hearing loss (26dB to 60dB), no previous use of individual hearing aids, complaining of chronic tinnitus (≥6 months) and individuals without tinnitus complaints (Groups 2 and 4); and age ≥18 years old. RESULTS: Seventy subjects were included in the present study. Regarding the analysis of the total between the groups by the Kruskal-Wallis test, significant differences were found in the sections about tinnitus and hearing loss, but there was no significance in the section regarding sound tolerance. Regarding the questions in Section A of the THS, only Groups 3 and 4 scored the highest. Regarding the questions related to Section B about hearing loss, the groups without hearing loss (Groups 1 and 3) scored the lowest. In relation to the question of the THS in Section C, Group 3 scored the highest. CONCLUSIONS: The THS questionnaire proved to be a useful, quick and simple tool to assist the audiologist in the understanding and differentiation of the audiologic complaints.


Assuntos
Perda Auditiva , Zumbido , Adolescente , Audição , Perda Auditiva/diagnóstico , Testes Auditivos , Humanos , Inquéritos e Questionários , Zumbido/diagnóstico
2.
Artigo em Chinês | MEDLINE | ID: mdl-33794615

RESUMO

Objective:To learn the hearing level and analyze the effect factors of hearing loss of the ear with normal hearing in patients with single sided deafness, and provide references for the treatment of single sided deafness. Methods:A retrospective analysis of pure threshold average of 89 patients with single sided deafness, it was divided into six groups,0-6 month group (14 cases), >6-12 month group (17 cases), >12-18 month group (15 cases), >18-24 month group (26 cases), >24-30 Month group (10 cases), >30-36 months group (7 cases) in accordance with the different duration of deafness, and compare the pure threshold average of each group; In accordance with the different ages of onset of deafness, it was divided into four groups, 21-30 years old group(18 cases), >30-40 years old group (24 cases), >40-50 years old group (30 cases), >50-60 years old group (17 cases), and pure threshold average of matching age of normal hearing was compared. Spearman correlation was used to analyze whether gender, side, age of onset of deafness, etiology of deafness, duration of deafness, and pure threshold average hearing were correlated. Results:As the duration of deafness in the affected ear increased, the average pure threshold in patients with single sided deafness increased. As the age of onset of deafness increased, there was a statistically significant difference in age-matched normal hearing. Age of onset of deafness and duration of deafness were the main factors affecting the pure threshold average. Conclusion:In clinical work, the degree of attention to patients with single sided deafness should be increased, hearing of the better hearing ear patients should be protected, and the quality of life will be improved.


Assuntos
Surdez , Qualidade de Vida , Adulto , Audição , Testes Auditivos , Humanos , Pessoa de Meia-Idade , Estudos Retrospectivos , Adulto Jovem
3.
MMW Fortschr Med ; 163(7): 10, 2021 04.
Artigo em Alemão | MEDLINE | ID: mdl-33844200
5.
Vestn Otorinolaringol ; 86(2): 4-9, 2021.
Artigo em Russo | MEDLINE | ID: mdl-33929144

RESUMO

PURPOSE OF THE STUDY: To evaluate the effectiveness of the application of the web application "Automated system of primary hearing assessment" created by us for the diagnosis of hearing impairment in different age groups. MATERIAL AND METHODS: With the help of this web application, 712 patients were examined in 3 age groups: group 1 - patients aged 18 to 44 years, 196 people (average age 25.6±2.7 years), group 2 - patients aged 45 to 59 years, 265 people (mean age 46.3±3.6 years), 3rd group - patients 60 years old and older, 251 people (mean age 75.4±1.1 years). RESULTS: It was revealed that 61.8% of patients had risk factors for the development of hearing loss. In the 1st age group, one risk factor for hearing loss prevailed, in the 2nd and 3rd groups, up to 5-9 factors were simultaneously combined. Clinically significant hearing loss was found in 24.3% of patients. Hearing studies at frequencies of 10 and 12 kHz revealed latent hearing loss in 31.3% of patients, 57% of them had risk factors for the development of hearing loss. Comparative analysis in the groups showed that hearing impairment at high frequencies was found in 47.4% of patients in older age groups and in 15.8% of young people. The possibility of performing otoscopy images made it possible to identify changes in the tympanic membrane in 17.1% of patients, to give a correct conclusion about the state of their hearing and to propose an algorithm for further examination. It was found that the sensitivity of the study in the web application was 98%, the specificity - 99.9%. FINDINGS: The use of the web application allows assessing the risk factors for the development of hearing loss, identifying patients with latent hearing loss, objectifying the study with otoscopy images, and remotely obtaining a conclusion about the state of hearing from a specialist doctor.


Assuntos
Perda Auditiva , Adolescente , Adulto , Idoso , Audição , Perda Auditiva/diagnóstico , Perda Auditiva/epidemiologia , Testes Auditivos , Humanos , Pessoa de Meia-Idade , Otoscopia , Membrana Timpânica , Adulto Jovem
6.
JAMA ; 325(12): 1196-1201, 2021 03 23.
Artigo em Inglês | MEDLINE | ID: mdl-33755083

RESUMO

Importance: Age-related sensorineural hearing loss is a common health problem among adults. Nearly 16% of US adults 18 years or older report difficulty hearing. The prevalence of perceived hearing loss increases with age. Hearing loss can adversely affect an individual's quality of life and ability to function independently and has been associated with increased risk of falls, hospitalizations, social isolation, and cognitive decline. Objective: To update its 2012 recommendation, the US Preventive Services Task Force (USPSTF) commissioned a systematic review on screening for hearing loss in adults 50 years or older. Population: Asymptomatic adults 50 years or older with age-related hearing loss. Evidence Assessment: Because of a lack of evidence, the USPSTF concludes that the benefits and harms of screening for hearing loss in asymptomatic older adults are uncertain and that the balance of benefits and harms cannot be determined. More research is needed. Recommendation: The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for hearing loss in older adults. (I statement).


Assuntos
Perda Auditiva Neurossensorial/diagnóstico , Programas de Rastreamento , Idoso , Auxiliares de Audição , Perda Auditiva/diagnóstico , Perda Auditiva Neurossensorial/reabilitação , Testes Auditivos/efeitos adversos , Humanos , Programas de Rastreamento/efeitos adversos , Pessoa de Meia-Idade , Qualidade de Vida , Medição de Risco , Sensibilidade e Especificidade
9.
JAMA ; 325(12): 1202-1215, 2021 03 23.
Artigo em Inglês | MEDLINE | ID: mdl-33755082

RESUMO

Importance: Hearing loss is common in older adults and associated with adverse health and social outcomes. Objective: To update the evidence review on screening for hearing loss in adults 50 years or older to inform the US Preventive Services Task Force. Data Sources: MEDLINE, Cochrane Library, EMBASE, and trial registries through January 17, 2020; references; and experts; literature surveillance through October 8, 2020. Study Selection: English-language studies of accuracy, screening, and interventions for screen-detected or newly detected hearing loss. Data Extraction and Synthesis: Dual review of abstracts, full-text articles, and study quality. Meta-analysis of screening test accuracy studies. Main Outcomes and Measures: Quality of life and function, other health and social outcomes, test accuracy, and harms. Results: Forty-one studies (N = 26 386) were included, 18 of which were new since the previous review. One trial enrolling US veterans (n = 2305) assessed the benefits of screening; there was no significant difference in the proportion of participants experiencing a minimum clinically important difference in hearing-related function at 1 year (36%-40% in the screened groups vs 36% in the nonscreened group). Thirty-four studies (n = 23 228) evaluated test accuracy. For detecting mild hearing loss (>20-25 dB), single-question screening had a pooled sensitivity of 66% (95% CI, 58%-73%) and a pooled specificity of 76% (95% CI, 68%-83%) (10 studies, n = 12 637); for detecting moderate hearing loss (>35-40 dB), pooled sensitivity was 80% (95% CI, 68%-88%) and pooled specificity was 74% (95% CI, 59%-85%) (6 studies, n = 8774). In 5 studies (n = 2820) on the Hearing Handicap Inventory for the Elderly-Screening to detect moderate hearing loss (>40 dB), pooled sensitivity was 68% (95% CI, 52%-81%) and pooled specificity was 78% (95% CI, 67%-86%). Six trials (n = 853) evaluated amplification vs control in populations with screen-detected or recently detected hearing loss over 6 weeks to 4 months. Five measured hearing-related function via the Hearing Handicap Inventory for the Elderly; only 3 that enrolled veterans (n = 684) found a significant difference considered to represent a minimal important difference (>18.7 points). Few trials reported on other eligible outcomes, and no studies reported on harms of screening or interventions. Conclusions and Relevance: Several screening tests can adequately detect hearing loss in older adults; no studies reported on the harms of screening or treatment. Evidence showing benefit from hearing aids on hearing-related function among adults with screen-detected or newly detected hearing loss is limited to studies enrolling veterans.


Assuntos
Perda Auditiva/diagnóstico , Programas de Rastreamento , Idoso , Auxiliares de Audição , Perda Auditiva/reabilitação , Perda Auditiva Neurossensorial/diagnóstico , Testes Auditivos , Humanos , Programas de Rastreamento/efeitos adversos , Programas de Rastreamento/métodos , Pessoa de Meia-Idade , Guias de Prática Clínica como Assunto , Qualidade de Vida , Medição de Risco , Sensibilidade e Especificidade
10.
Anticancer Res ; 41(3): 1439-1444, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33788735

RESUMO

BACKGROUND/AIM: Chemopreventative therapeutics may be helpful in familial adenomatous polyposis (FAP) management; however, prospective chemopreventative studies are complicated by potential ototoxicity and pre-existing hearing loss. The aim of this study was to establish and compare baseline hearing status of children and adolescents with FAP and their unaffected siblings. PATIENTS AND METHODS: Twenty FAP pediatric patients with documented mutation of the adenomatous polyposis coli (APC) gene and nine unaffected sibling controls underwent baseline hearing evaluation, including audiometry, speech perception testing, and middle and inner ear physiologic measures. Results of the FAP cohort were compared to the unaffected sibling cohort. RESULTS: Two (5%) children with FAP presented with baseline hearing loss of unknown etiology, likely unrelated to their FAP diagnosis. No significant differences were found in any of the hearing measures between groups. CONCLUSION: Mutation of the APC gene is not necessarily indicative of higher risk for baseline hearing loss in the pediatric population.


Assuntos
Proteína da Polipose Adenomatosa do Colo/genética , Polipose Adenomatosa do Colo/genética , Perda Auditiva/genética , Audição/genética , Mutação , Polipose Adenomatosa do Colo/fisiopatologia , Adolescente , Audiometria/métodos , Criança , Estudos de Coortes , Feminino , Testes Auditivos , Humanos , Masculino , Fatores de Risco , Irmãos
11.
Vestn Otorinolaringol ; 86(1): 6-10, 2021.
Artigo em Russo | MEDLINE | ID: mdl-33720643

RESUMO

Despite the rare incidence of Van der Hoeve syndrome in the population, the problem of treating patients with this type of disease is important for modern science and practical medicine. One of the most difficult tasks in treatment is to improve the quality of hearing. The world scientific community lacks a unified coordinated approach to the methods of auditory rehabilitation of patients with Van der Hoeve syndrome. In recent years, there have been tendencies in the scientific literature to increase the frequency of non-surgical approach due to the low incidence of satisfactory results of surgical treatment. In this regard, we present our experience of complex treatment of patients with Van der Hove syndrome, based on the use of modern surgical technologies and conservative pathogenetically substantiated treatment.


Assuntos
Surdez , Osteogênese Imperfeita , Audição , Testes Auditivos , Humanos , Síndrome
12.
Vestn Otorinolaringol ; 86(1): 82-89, 2021.
Artigo em Russo | MEDLINE | ID: mdl-33720658

RESUMO

Hearing impairment is the most common sensory impairment that is seen among adults and children. The frequency of congenital hearing loss is well-known due to implementation of newborn hearing screening. Hearing may change throughout a lifetime due to different factors and, therefore, the number of hearing impaired children increases with age. Introduction of universal newborn hearing screening has enabled earlier detection of hearing loss including unilateral and minimal disorders. Nevertheless, despite significant progress made in this field, there is still a group of hearing impairments that stay undiagnosed timely. Auditory neuropathy spectrum disorders, late-onset hearing loss, low-frequency and minimal hearing impairment are sometimes missed in newborn hearing screening or they manifest later. These types of hearing disorders are covered in detail in this review as well as possible ways of increasing the effectiveness of early diagnosis.


Assuntos
Perda Auditiva Neurossensorial , Triagem Neonatal , Criança , Audição , Transtornos da Audição , Testes Auditivos , Humanos , Recém-Nascido
13.
Trends Hear ; 25: 2331216520986303, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33663298

RESUMO

Residual inhibition, that is, the temporary suppression of tinnitus loudness after acoustic stimulation, is a frequently observed phenomenon that may have prognostic value for clinical applications. However, it is unclear in which subjects residual inhibition is more likely and how stable the effect of inhibition is over multiple repetitions. The primary aim of this work was to evaluate the effect of hearing loss and tinnitus chronicity on residual inhibition susceptibility. The secondary aim was to investigate the short-term repeatability of residual inhibition. Residual inhibition was assessed in 74 tinnitus subjects with 60-second narrow-band noise stimuli in 10 consecutive trials. The subjects were assigned to groups according to their depth of suppression (substantial residual inhibition vs. comparator group). In addition, a categorization in normal hearing and hearing loss groups, related to the degree of hearing loss at the frequency corresponding to the tinnitus pitch, was made. Logistic regression was used to identify factors associated with susceptibility to residual inhibition. Repeatability of residual inhibition was assessed using mixed-effects ordinal regression including poststimulus time and repetitions as factors. Tinnitus chronicity was not associated with residual inhibition for subjects with hearing loss, while a statistically significant negative association between tinnitus chronicity and residual inhibition susceptibility was observed in normal hearing subjects (odds ratio: 0.63; p = .0076). Moreover, repeated states of suppression can be stably induced, reinforcing the use of residual inhibition for within-subject comparison studies.


Assuntos
Perda Auditiva , Zumbido , Estimulação Acústica , Perda Auditiva/diagnóstico , Testes Auditivos , Humanos , Ruído , Zumbido/diagnóstico , Zumbido/terapia
14.
Trends Hear ; 25: 2331216521990288, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33787404

RESUMO

Ecological momentary assessment (EMA) was used in 24 adults with mild-to-moderate hearing loss who were seeking first hearing-aid (HA) fitting or HA renewal. At two stages in the aural rehabilitation process, just before HA fitting and after an average 3-month HA adjustment period, the participants used a smartphone-based EMA system for 3 to 4 days. A questionnaire app allowed for the description of the environmental context as well as assessments of various hearing-related dimensions and of well-being. In total, 2,042 surveys were collected. The main objectives of the analysis were threefold: First, describing the "auditory reality" of future and experienced HA users; second, examining the effects of HA fitting for individual participants, as well as for the subgroup of first-time HA-users; and third, reviewing whether the EMA data collected in the unaided condition predicted who ultimately decided for or against permanent HA use. The participants reported hearing-related disabilities across the full range of daily listening tasks, but communication events took the largest share. The effect of the HA intervention was small in experienced HA users. Generally, much larger changes and larger interindividual differences were observed in first-time compared with experienced HA users in all hearing-related dimensions. Changes were not correlated with hearing loss or with the duration of the HA adjustment period. EMA data collected in the unaided condition did not predict the cancelation of HA fitting. The study showed that EMA is feasible in a general population of HA candidates for establishing individual and multidimensional profiles of real-life hearing experiences.


Assuntos
Correção de Deficiência Auditiva , Auxiliares de Audição , Perda Auditiva , Adulto , Avaliação Momentânea Ecológica , Perda Auditiva/diagnóstico , Testes Auditivos , Humanos
15.
ORL J Otorhinolaryngol Relat Spec ; 83(3): 172-180, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33626533

RESUMO

HYPOTHESIS: The endolymphatic hydrops (EH) does not affect hearing loss significantly at low frequencies, whereas the hydrops affects the diplacusis. BACKGROUND: There have been many arguments whether the EH cause the Meniere disease. Despite a lot of experimental studies to investigate the Meniere disease, there have been little modeling studies, which are helpful to understand the mechanism. METHODS: A 3D finite element model of the human cochlea and the middle ear was used for investigation of the relationship between EH and hearing loss at low frequencies and diplacusis (2 specific symptoms of Meniere disease). While the cochlear geometry was simplified as a tapered box shape, the middle ear was based on the real geometry obtained from µCT images. EH is implemented by prestress on the basilar membrane surface in the simulation. RESULTS: The EH did not cause significant hearing loss at low frequencies in both air- and bone-conducted hearing. Rather, this disorder caused a shift in best frequency (BF) position to the base at low frequencies below about 250 Hz. The BF shift can explain the diplacusis because a low-frequency sound can be perceived as a slightly higher frequency so that Meniere patients can perceive 2 different frequency sounds corresponding to a given single-frequency sound. CONCLUSION: The EH cannot be a sufficient condition for Meniere disease, whereas the hydrops can cause the diplacusis.


Assuntos
Hidropisia Endolinfática , Doença de Meniere , Acústica , Hidropisia Endolinfática/diagnóstico , Hidropisia Endolinfática/diagnóstico por imagem , Audição , Testes Auditivos , Humanos , Imagem por Ressonância Magnética , Doença de Meniere/complicações , Doença de Meniere/diagnóstico
16.
Otol Neurotol ; 42(3): 351-362, 2021 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-33555742

RESUMO

OBJECTIVE: To perform a systematic review and meta-analysis summarizing the current evidence on the management of intracanalicular vestibular schwannoma. DATA SOURCES: Embase (1947-), Medline (1946-), Cochrane library (1947-), Scopus (2010-), and CINAHL (1961-) were searched from 1969 to October 5, 2019 (50 years). STUDY SELECTION: A search strategy was performed to identify patients with vestibular schwannoma confined to the internal auditory canal without extension to the cerebellopontine angle. Studies with patients aged less than 18, Neurofibromatosis type 2, revision cases, and non-English language were excluded. DATA EXTRACTION: A standardized collection sheet was used for the extracted data and a quality assessment was performed using the Newcastle-Ottawa Scale with the comparability criterion omitted. DATA SYNTHESIS: Seventy-one studies were included with 24 on observation, 14 on radiotherapy, and 34 on surgery. The primary outcome was serviceable hearing preservation. Secondary outcomes were preservation of facial nerve function, growth, involution, and dizziness. Sub-analysis on the type of surgery and type of radiotherapy were performed. Excel 2016 with MIX 2.0 Pro add-on package was used to analyze the data and create forest plots. Data were presented in proportion with a 95% confidence interval. CONCLUSIONS: Serviceable hearing was observed in 31% of patients after observation, 56% after radiotherapy, and 51% after surgical treatment with mean follow-up time of 4.04 years, 4.92 years, and 2.23 years, respectively. Facial nerve function was found to be best preserved in both observation and radiotherapy groups. Vestibular schwannoma growth occurred in 33% of patients under observation. Involution occurred in 2% of patients under observation and in 38% after radiotherapy.


Assuntos
Perda Auditiva , Neuroma Acústico , Radiocirurgia , Idoso , Audição , Perda Auditiva/etiologia , Testes Auditivos , Humanos , Neuroma Acústico/radioterapia , Neuroma Acústico/cirurgia , Resultado do Tratamento
17.
Clinics (Sao Paulo) ; 76: e1830, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33567043

RESUMO

OBJECTIVES: This study aimed to describe and compare the performance of older adults with normal hearing and hearing impairments in mismatch negativity (MMN), correlate MMN with cognitive tasks and central auditory processing (CAP), and identify normal values for MMN in older adults. METHODS: This study had 54 participants. The Montreal Cognitive Assessment (MoCA) was used to assess cognition and the random gap detection test (RGDT), dichotic digit test (DDT), and speech to noise (SN) test were used to evaluate CAP. MMN was elicited with the verbal stimulus /da/ (frequent) and /ta/ (rare), and the latency, amplitude, duration, and area were analyzed. RESULTS: When comparing the normal-hearing group to those with hearing loss, there was no significant difference in MMN. When correlating MMN with MoCA, RGDT, DDT, and the SN test, there was a weak correlation between the MMN amplitude and the RGDT and DDT. When comparing the MMN of participants with normal and altered cognitive aspects and those with normal and altered DDT, the MMN duration was found to be affected by the DDT. The mean latency value of the MMN in the normal-hearing group was 199.8 ms, the amplitude was -2.2 µV, area was 116.1 µV/ms, and duration was 81.2 ms. CONCLUSION: Mild hearing loss did not influence MMN. There was no correlation between MMN and cognitive aspects, and there were weak correlations with CAP. Alterations in CAP led to longer durations in MMN. Normal values for MMN in adults aged between 60 and 77 years were generated.


Assuntos
Percepção Auditiva , Fala , Estimulação Acústica , Idoso , Cognição , Potenciais Evocados Auditivos , Testes Auditivos , Humanos , Pessoa de Meia-Idade , Ruído
18.
Eur Arch Otorhinolaryngol ; 278(5): 1699-1703, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33598729

RESUMO

BACKGROUND: Conventional technique for transcutaneous bone-anchored hearing implants surgery requires the elevation of a large retroauricular skin flap to expose the site of implantation, that may cause a large scar and the interruption of retroauricular vasculature. METHODS: A less invasive, endoscopic-assisted modification of the surgical technique is described, which provides access to the implant site through two small skin incisions and the creation of a pocket in the retroauricular area. CONCLUSION: Endoscopic-assisted bone-anchored hearing implant surgery could be a viable option for transcutaneous bone-anchored hearing implant surgery, especially for pediatric patients.


Assuntos
Prótese Ancorada no Osso , Auxiliares de Audição , Condução Óssea , Criança , Audição , Testes Auditivos , Humanos , Âncoras de Sutura
19.
Acta otorrinolaringol. esp ; 72(1): 37-50, ene.-feb. 2021. tab
Artigo em Espanhol | IBECS | ID: ibc-200347

RESUMO

ANTECEDENTES Y OBJETIVO: En 2003, el Ministerio de Sanidad y Consumo, junto con las comunidades autónomas (CCAA), aprobaron el documento sobre los contenidos básicos y mínimos para el establecimiento de Programas de detección precoz de la sordera, y desde entonces la Comisión para la detección precoz de la hipoacusia (CODEPEH) ha llevado a cabo varias actualizaciones y recomendaciones de mejora de estos programas. El objetivo de este trabajo es realizar un estudio comparativo de cómo han plasmado las CCAA, en sus Programas de detección precoz de la sordera, las recomendaciones realizadas por la CODEPEH hasta 2017. MATERIAL Y MÉTODO: Se han revisado los programas (o documentos afines) de 16 CCAA disponibles en línea o en papel. RESULTADOS: Las 16 estrategias de detección precoz analizadas son diferentes, ya sea en el número de pruebas a realizar, ya sea en los tiempos en los que se llevan a cabo o las técnicas empleadas. Más de un tercio de estos programas fueron editados antes del 2010 y no han sido actualizados. Las otoemisiones acústicas es la técnica elegida como primera prueba de cribado en 9 de las 16 CCAA. Solo una comunidad incorpora la realización de la prueba de reacción en cadena de la polimerasa en saliva para citomegalovirus en niños con prueba de cribado alterada. CONCLUSIONES: Todas las CCAA realizan cribado auditivo, pero la gran diversidad entre programas dificulta sacar conclusiones fiables sobre el resultado final del mismo y sería necesario tender a una unificación con la elaboración de un programa nacional y una base de datos común


INTRODUCTION AND OBJECTIVE: In 2003, The Ministry of Health and Consumption, together with the Autonomous Communities (CCAA), approved a minimum and basic document concerning the establishment of Early Hearing Detection and Intervention State Programmes. Since then, the Commission for the early detection of hearing loss (CODEPEH) has made several updates and recommendations to improve these programmes. The objective of this study is to carry out a comparative analysis of how the CCAA established their Early Hearing Detection and Intervention programs and if they integrate the recommendations made by CODEPEH until 2017. MATERIAL AND METHOD: The programmes (or related documents) of 16 CCAA available on line or paper are reviewed. RESULTS: The 16 Early Hearing Detection and Intervention strategies analyzed are different, either in the number of test to be performed, the time in which they are performed or the techniques used. More than a third of these programmes were published before 2010 and have not been updated. Otoacoustic emissions is the chosen technique as the first screening test in nine of the 16 CCAA. Only one CCAA incorporates the salivary polymerase chain reaction test for cytomegalovirus in children with altered screening test. CONCLUSION: All CCAA perform Early Hearing Detection and Intervention programmes but the heterogeneity does not allow drawing reliable conclusions about the result of the screening process and it would be necessary to aim for unification with the elaboration of a national programme and an integrated general database


Assuntos
Humanos , Pré-Escolar , Criança , Avaliação de Programas e Projetos de Saúde , Diagnóstico Precoce , Perda Auditiva/diagnóstico , Testes Auditivos/métodos , Perda Auditiva/economia , Perda Auditiva/etiologia , Perda Auditiva/reabilitação , Saliva , Reação em Cadeia da Polimerase , Estudos Transversais , Epidemiologia Descritiva , Fatores de Risco
20.
J Acoust Soc Am ; 149(1): 62, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33514161

RESUMO

Moore [(2020). J. Acoust. Soc. Am. 148, 884-894] proposed a method for the diagnosis of hearing loss produced by noise exposure during military service (denoted M-NIHL) based on the audiogram. This letter characterizes the sensitivity and specificity of the method, based on 116 ears of men claiming compensation for M-NIHL and 244 ears of an age-matched non-noise-exposed control group of men screened to match the noise-exposed group in age, absence of conductive hearing loss, no history of ear diseases, and asymmetry across ears ≤10 dB. The sensitivity was 0.97 and the specificity was 0.67, giving a discriminability index d' of 2.3.


Assuntos
Perda Auditiva Provocada por Ruído , Militares , Ruído Ocupacional , Perda Auditiva Provocada por Ruído/diagnóstico , Perda Auditiva Provocada por Ruído/etiologia , Testes Auditivos , Humanos , Masculino , Ruído/efeitos adversos , Sensibilidade e Especificidade
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