目的:印度尼西亚人在常规功能听力评估方面遇到了几个障碍。听力损失筛查仅由偏远地区的人们无法到达的三级保健医院提供。这项研究旨在开发基于网站的听力筛查应用程序,该应用程序易于访问且价格低廉。主题和。
方法:这项比较研究于2022年7月至8月在MuhammadiyahBandung医院的耳鼻喉科诊所进行,噪音水平低于50dB。听力筛查是使用基于网站的应用程序进行的(www。Screenout.id)和听力图作为黄金标准方法。在ScreenOut上,患者使用耳机听到频率为500、1,000、2,000、4,000和8,000Hz的声音,每个频率的声音强度为35、55和75dB。
结果:共有133名参与者参加了我们的研究。ScreenOut显示出高灵敏度,特异性,准确度,正预测值,和阴性预测值(90.9%,98.9%,93.6%,99.4%,和84.8%,分别)。关于听力阈值,ScreenOut和听力图之间有很强的相关性,范围在r=0.843和r=0.899之间。除此之外,ScreenOut和听力图之间的听力阈值没有显着差异。
结论:发现了ScreenOut的许多优点,包括低成本,可访问性,和易于使用的界面,使其在印度尼西亚等中低收入国家得到广泛应用。
OBJECTIVE: Indonesians encounter several barriers to regular functional hearing assessment. Hearing loss screening is only provided by tertiary-care hospitals that are not reachable by people in remote regions. This study aimed to develop a website-based hearing screening application that is accessible and inexpensive. Subjects and.
METHODS: This comparative study was conducted between July and August 2022 in the Otolaryngology Clinic of Muhammadiyah Bandung Hospital with noise levels below 50 dB. The hearing screening was conducted using a website-based application (www.Screenout.id) and
audiogram as the gold standard method. On ScreenOut, patients heard sounds with frequencies at 500, 1,000, 2,000, 4,000, and 8,000 Hz and sound intensity of each frequency at 35, 55, and 75 dB using earphones.
RESULTS: A total of 133 participants were enrolled in our study. ScreenOut showed high sensitivity, specificity, accuracy, positive predictive value, and negative predictive value (90.9%, 98.9%, 93.6%, 99.4%, and 84.8%, respectively). Regarding hearing threshold, a very strong correlation was found between ScreenOut and
audiogram, ranging between r=0.843 and r=0.899. Aside from that, there was no significant difference in hearing threshold values between ScreenOut and
audiogram.
CONCLUSIONS: Many advantages of the ScreenOut were found, including low-cost, accessibility, and easy-to-use interface, making it favorably used in low-middle-income countries such as Indonesia.