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Otologic referral in industrial hearing conservation programs

R A Dobie, R J Archer

    Journal of Occupational Medicine. : Official Publication of the Industrial Medical Association
    |November 1, 1981
    PubMed
    Summary
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    Audiometry screening for noise-exposed workers identified a 2.76% referral rate. Over half of referrals had conditions beyond noise-induced hearing loss, supporting stringent screening criteria.

    Area of Science:

    • Occupational Health
    • Audiology
    • Industrial Hygiene

    Background:

    • Occupational noise exposure is a significant risk factor for hearing impairment.
    • Effective hearing conservation programs require accurate identification of hearing changes.

    Purpose of the Study:

    • To evaluate the effectiveness of audiometric screening criteria in identifying workers needing otologic evaluation.
    • To determine the prevalence of non-noise-induced hearing issues among referred workers.

    Main Methods:

    • Baseline and periodic audiometry were conducted on workers in 21 industrial plants.
    • Referral criteria included moderate hearing loss, asymmetry, or significant threshold shifts.
    • Referred workers underwent otologic evaluation.

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    Main Results:

    • The overall referral rate was 2.76%.
    • Of 107 referred workers, 53% had diagnoses other than noise-induced hearing loss or required specific intervention.
    • This suggests a substantial proportion of referrals were for conditions unrelated to occupational noise.

    Conclusions:

    • The study supports the use of stringent audiometric screening criteria for noise-exposed workers.
    • Current referral criteria effectively identify workers with potential hearing issues, including those unrelated to noise exposure.
    • Regular audiometric surveillance is crucial for comprehensive occupational hearing health management.