用于西班牙语成年人群的耳植入物推标准
Molly R Smeal1, Jennifer Coto, Sandra Prentiss
1Department of Otolaryngology, University of Miami, Miami, FL.
概括
"60/60指南"有效地识别了英语发言者的耳植入物 (CI) 候选人,但对西班牙语发言者的有效性较低. 讲西班牙语的成年人需要转诊CI评估,如果他们的更好的耳朵纯音平均超过60dB HL,无论无助词识别得分.
科学领域:
- 听力学和听力科学 听力学和听力科学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗器械 医疗器械
背景情况:
- "60/60指南"是为了澄清英语患者的耳植入器 (CI) 转诊标准而制定的.
- 评估指南在不同语言群体中的有效性对于公平获得CI技术至关重要.
研究的目的:
- 评估"60/60指南"作为用于耳植入物评估 (CIE) 的转诊工具在多样化的患者队列中的有效性.
- 具体来说,要确定它在西班牙语人口中的有效性,与英语人口相比.
主要方法:
- 在2016年1月至2021年3月期间,在第三级转诊中心接受耳植入物评估 (CIE) 的成年患者 (≥18岁) 的回顾性审查.
- 分析传统的CI候选标准 (无助和辅助词识别分数) 和"60/60指南"标准.
- 英语和西班牙语患者群体之间的指南表现的比较.
主要成果:
- "60/60指南"在符合传统CI标准的患者中显示了84.7%的灵敏度和50.3%的特异性.
- 无助文字识别分数 (WRS) 被确定为"60/60指南"中更具限制性的组成部分.
- 虽然该指南对英语发言者有效,但在西班牙语发言者中识别合适的CI候选人方面效果不佳.
结论:
- "60/60指导方针"是英语交流区候选人的有效工具,但需要对西班牙语人口进行修改.
- 讲西班牙语的成年人具有更好的耳朵纯音调平均值> 60dB HL应转介给CIE,无论无助WRS.
- 这些发现强调了需要包括CI转介标准的需要,包括非语言措施,以减少非英语发言者的访问障碍.
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