A Novel Tablet-Based Approach for Hearing Screening of the Pediatric Population, 516-Patient Study
1ENT Department, Children's Hospital of the Chongqing Medical University, Chongqing, China.
The Laryngoscope
|October 30, 2019
Summary
A tablet hearing game effectively screens pediatric hearing loss in a clinical setting. This reliable tool shows high sensitivity for detecting hearing issues in children aged 4 and up.
Area of Science:
- Audiology
- Pediatric Otolaryngology
Background:
- Pediatric hearing loss is a significant concern requiring effective screening methods.
- Early detection of hearing impairment is crucial for child development.
Purpose of the Study:
- To evaluate a tablet-based hearing game as a screening tool for pediatric hearing loss.
- To determine the accuracy and reliability of the tablet game compared to standard audiological assessments.
Main Methods:
- A tablet hearing game was administered to 516 children (ages 3-13) in an ENT clinic.
- Results were compared against comprehensive audiometry or otoacoustic emission testing.
- Statistical analysis identified the optimal pass threshold and assessed diagnostic accuracy.
Main Results:
- The tablet game's pure tone average (500-4000 Hz) showed the strongest correlation with audiograms.
- A pass level of 20 dB yielded 91% sensitivity and 73.5% specificity for ages 4+.
- Specificity exceeded 90% for children aged 7 and older.
Conclusions:
- Tablet game audiometry demonstrates good performance as a hearing screening tool in a controlled environment.
- It is a reliable method for screening school-aged children and monitoring otitis media resolution.
