The Efficacy of Routine Screening for High-Frequency Hearing Loss in Adults and Children Purpose This study was conducted to investigate the efficacy of routine screening for high-frequency hearing loss (HFHL) including 3000, 6000, and 8000 Hz frequencies with conventional test frequencies (1000, 2000, and 4000 Hz) in adults and children in a university outreach program. Method Screening outcomes were examined in ... Research Article
Research Article  |   September 01, 2015
The Efficacy of Routine Screening for High-Frequency Hearing Loss in Adults and Children
 
Author Affiliations & Notes
  • Yula C. Serpanos
    Adelphi University, Garden City, New York
    Long Island Doctor of Audiology Consortium, New York
  • Deborah Senzer
    Adelphi University, Garden City, New York
    Long Island Doctor of Audiology Consortium, New York
  • Brittany Renne
    Adelphi University, Garden City, New York
    Long Island Doctor of Audiology Consortium, New York
  • Rebecca Langer
    Adelphi University, Garden City, New York
    Long Island Doctor of Audiology Consortium, New York
  • Roxanne Hoffman
    Adelphi University, Garden City, New York
    Long Island Doctor of Audiology Consortium, New York
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to Yula C. Serpanos: serpanos@adelphi.edu
  • Editor and Associate Editor: Larry Humes
    Editor and Associate Editor: Larry Humes×
Article Information
Hearing Disorders / Professional Issues & Training / Research Articles
Research Article   |   September 01, 2015
The Efficacy of Routine Screening for High-Frequency Hearing Loss in Adults and Children
American Journal of Audiology, September 2015, Vol. 24, 377-383. doi:10.1044/2015_AJA-15-0014
History: Received January 29, 2015 , Revised April 3, 2015 , Accepted April 10, 2015
 
American Journal of Audiology, September 2015, Vol. 24, 377-383. doi:10.1044/2015_AJA-15-0014
History: Received January 29, 2015; Revised April 3, 2015; Accepted April 10, 2015

Purpose This study was conducted to investigate the efficacy of routine screening for high-frequency hearing loss (HFHL) including 3000, 6000, and 8000 Hz frequencies with conventional test frequencies (1000, 2000, and 4000 Hz) in adults and children in a university outreach program.

Method Screening outcomes were examined in 2 cohorts of adults (Cohort 1, N = 315, M = 66.2 years; Cohort 2, N = 67, M = 68.3 years) and children (Cohort 1, N = 177, M = 6.5 years; Cohort 2, N = 57, M = 6.9 years) with a high-frequency screen protocol (1000–8000 Hz at 25 dB HL for adults and 20 dB HL for children) using supra-aural headphones. A rescreen was conducted in Cohort 2 with a modified protocol using insert earphones and monitored ambient noise levels.

Results Average total test time significantly increased (p < .0001) and nearly doubled with inclusion of 3000-, 6000-, and 8000-Hz frequencies, adding approximately 1 min. Rescreen referral rates decreased by approximately 2%–16% at 1000–8000 Hz (approximately 13%–16% at 6000 and 8000 Hz) using the modified protocol in adults and children, supporting false-positive responses using supra-aural headphones.

Conclusion Screening for HFHL should include insert earphones in order to prevent potential errors, particularly at 6000 and 8000 Hz.

Acknowledgment
We thank Alyssa Dossopoulos, doctoral student, Long Island AuD Consortium, for her assistance with data collection and entry.
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