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Prediction of frequency-specific hearing threshold using chirp auditory brainstem response in infants with hearing losses

Abstract Objectives To investigate the clinical usefulness of the LS-chirp auditory brainstem response for estimation of behavioral thresholds in young children with mild to severe hearing losses. Methods 68 infants (136 ears) aged 6–12 months (mean age = 9.2 months) with bilateral mild to severe he...

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Published in:International journal of pediatric otorhinolaryngology 2014-05, Vol.78 (5), p.812-816
Main Authors: Xu, Zheng-min, Cheng, Wen-xia, Yao, Zhi-hong
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Cheng, Wen-xia
Yao, Zhi-hong
description Abstract Objectives To investigate the clinical usefulness of the LS-chirp auditory brainstem response for estimation of behavioral thresholds in young children with mild to severe hearing losses. Methods 68 infants (136 ears) aged 6–12 months (mean age = 9.2 months) with bilateral mild to severe hearing losses were studied at Children's Hospital of Fudan University. In all cases, the children were referred for LS-chirp ABR and visual reinforcement audiometric (VRA) measurements. The low-frequency band chirp (LF-chirp) thresholds (frequency band = 0.1–0.85 kHz) were compared to the average VRA thresholds (frequency band = 0.25–0.5 kHz), whereas the high-frequency band chirp (HF-chirp) thresholds (frequency band = 1–10 kHz) were compared to the average VRA thresholds (frequency band = 1–4 kHz) using statistical correlation coefficient values. Results The LS-chirp ABR thresholds are very close to behavioral hearing levels. The mean differences between chirp-ABR and VRA thresholds were within 5 dB HL for all measurements. The smallest mean threshold difference (
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Methods 68 infants (136 ears) aged 6–12 months (mean age = 9.2 months) with bilateral mild to severe hearing losses were studied at Children's Hospital of Fudan University. In all cases, the children were referred for LS-chirp ABR and visual reinforcement audiometric (VRA) measurements. The low-frequency band chirp (LF-chirp) thresholds (frequency band = 0.1–0.85 kHz) were compared to the average VRA thresholds (frequency band = 0.25–0.5 kHz), whereas the high-frequency band chirp (HF-chirp) thresholds (frequency band = 1–10 kHz) were compared to the average VRA thresholds (frequency band = 1–4 kHz) using statistical correlation coefficient values. Results The LS-chirp ABR thresholds are very close to behavioral hearing levels. The mean differences between chirp-ABR and VRA thresholds were within 5 dB HL for all measurements. The smallest mean threshold difference (&lt;3 dB HL) was obtained for the severe hearing loss group. The correlation coefficient values ( r ) were 0.97 at low-frequency and high-frequency bands. For each carrier frequency, the best correlations between chirp-ABR thresholds and VRA thresholds were obtained at VRA frequency of 0.25 kHz/LF-chirp ( r = 0.98) and VRA frequency of 1 kHz/HF-chirp ( r = 0.98). Conclusions This study demonstrates the effectiveness using chirp-ABR predicted frequency-specific thresholds, especially of low and middle frequencies. LS-chirp ABR thresholds determined behavioral thresholds in patients with severe hearing losses were better than for mild hearing losses. The use of a chirp-ABR testing ensures higher sensitivity and accuracy than that of auditory stead-state evoked response (ASSR) for measuring frequency-specific thresholds in young children.</description><identifier>ISSN: 0165-5876</identifier><identifier>EISSN: 1872-8464</identifier><identifier>DOI: 10.1016/j.ijporl.2014.02.020</identifier><identifier>PMID: 24630052</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Acoustic Stimulation - methods ; Age Factors ; Audiometry - methods ; Auditory Threshold - physiology ; China ; Chirp-ABR threshold ; Cohort Studies ; Evoked Potentials, Auditory, Brain Stem - physiology ; Female ; Hearing Loss, Bilateral - diagnosis ; Hospitals, Pediatric ; Humans ; Infant ; Infants ; Male ; Otolaryngology ; Pediatrics ; Predictive Value of Tests ; Referral and Consultation - statistics &amp; numerical data ; Risk Assessment ; Severity of Illness Index ; Visual Perception - physiology ; VRA threshold</subject><ispartof>International journal of pediatric otorhinolaryngology, 2014-05, Vol.78 (5), p.812-816</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2014 Elsevier Ireland Ltd</rights><rights>Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-7fc4987bde77e3b5d902629ddd21810e55516bb42c7ca6e560def13bef7e0dda3</citedby><cites>FETCH-LOGICAL-c417t-7fc4987bde77e3b5d902629ddd21810e55516bb42c7ca6e560def13bef7e0dda3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24630052$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xu, Zheng-min</creatorcontrib><creatorcontrib>Cheng, Wen-xia</creatorcontrib><creatorcontrib>Yao, Zhi-hong</creatorcontrib><title>Prediction of frequency-specific hearing threshold using chirp auditory brainstem response in infants with hearing losses</title><title>International journal of pediatric otorhinolaryngology</title><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><description>Abstract Objectives To investigate the clinical usefulness of the LS-chirp auditory brainstem response for estimation of behavioral thresholds in young children with mild to severe hearing losses. Methods 68 infants (136 ears) aged 6–12 months (mean age = 9.2 months) with bilateral mild to severe hearing losses were studied at Children's Hospital of Fudan University. In all cases, the children were referred for LS-chirp ABR and visual reinforcement audiometric (VRA) measurements. The low-frequency band chirp (LF-chirp) thresholds (frequency band = 0.1–0.85 kHz) were compared to the average VRA thresholds (frequency band = 0.25–0.5 kHz), whereas the high-frequency band chirp (HF-chirp) thresholds (frequency band = 1–10 kHz) were compared to the average VRA thresholds (frequency band = 1–4 kHz) using statistical correlation coefficient values. Results The LS-chirp ABR thresholds are very close to behavioral hearing levels. The mean differences between chirp-ABR and VRA thresholds were within 5 dB HL for all measurements. The smallest mean threshold difference (&lt;3 dB HL) was obtained for the severe hearing loss group. The correlation coefficient values ( r ) were 0.97 at low-frequency and high-frequency bands. For each carrier frequency, the best correlations between chirp-ABR thresholds and VRA thresholds were obtained at VRA frequency of 0.25 kHz/LF-chirp ( r = 0.98) and VRA frequency of 1 kHz/HF-chirp ( r = 0.98). Conclusions This study demonstrates the effectiveness using chirp-ABR predicted frequency-specific thresholds, especially of low and middle frequencies. LS-chirp ABR thresholds determined behavioral thresholds in patients with severe hearing losses were better than for mild hearing losses. The use of a chirp-ABR testing ensures higher sensitivity and accuracy than that of auditory stead-state evoked response (ASSR) for measuring frequency-specific thresholds in young children.</description><subject>Acoustic Stimulation - methods</subject><subject>Age Factors</subject><subject>Audiometry - methods</subject><subject>Auditory Threshold - physiology</subject><subject>China</subject><subject>Chirp-ABR threshold</subject><subject>Cohort Studies</subject><subject>Evoked Potentials, Auditory, Brain Stem - physiology</subject><subject>Female</subject><subject>Hearing Loss, Bilateral - diagnosis</subject><subject>Hospitals, Pediatric</subject><subject>Humans</subject><subject>Infant</subject><subject>Infants</subject><subject>Male</subject><subject>Otolaryngology</subject><subject>Pediatrics</subject><subject>Predictive Value of Tests</subject><subject>Referral and Consultation - statistics &amp; numerical data</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>Visual Perception - physiology</subject><subject>VRA threshold</subject><issn>0165-5876</issn><issn>1872-8464</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNqFkU2L1TAUhoMoznX0H4hk6abXJE2adiPI4BcMKMzMOqTJqU3tTWqSKv33k3LHWbgRDoTA-56P50XoNSVHSmjzbjq6aQlxPjJC-ZGwUuQJOtBWsqrlDX-KDkUmKtHK5gK9SGkihEoixHN0wXhTEyLYAW3fI1hnsgsehwEPEX6t4M1WpQWMG5zBI-jo_A-cxwhpDLPFa9r_ZnRxwXq1Loe44T5q51OGEy6yJfgE2PlSg_Y54T8uj4-d5pASpJfo2aDnBK8e3kt09-nj7dWX6vrb569XH64rw6nMlRwM71rZW5AS6l7YjrCGddZaRltKQAhBm77nzEijGxANsTDQuodBArFW15fo7bnvEkO5LWV1csnAPGsPYU2KFn_dia4lRcrPUhPLihEGtUR30nFTlKgduprUGbraoSvCSu22Nw8T1v4E9tH0l3IRvD8LoNz520FUybhCuZCPYLKywf1vwr8NzOy8M3r-CRukKazRF4aKqlQM6mYPfs-d8pI56dr6HvNprWA</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>Xu, Zheng-min</creator><creator>Cheng, Wen-xia</creator><creator>Yao, Zhi-hong</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140501</creationdate><title>Prediction of frequency-specific hearing threshold using chirp auditory brainstem response in infants with hearing losses</title><author>Xu, Zheng-min ; Cheng, Wen-xia ; Yao, Zhi-hong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-7fc4987bde77e3b5d902629ddd21810e55516bb42c7ca6e560def13bef7e0dda3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Acoustic Stimulation - methods</topic><topic>Age Factors</topic><topic>Audiometry - methods</topic><topic>Auditory Threshold - physiology</topic><topic>China</topic><topic>Chirp-ABR threshold</topic><topic>Cohort Studies</topic><topic>Evoked Potentials, Auditory, Brain Stem - physiology</topic><topic>Female</topic><topic>Hearing Loss, Bilateral - diagnosis</topic><topic>Hospitals, Pediatric</topic><topic>Humans</topic><topic>Infant</topic><topic>Infants</topic><topic>Male</topic><topic>Otolaryngology</topic><topic>Pediatrics</topic><topic>Predictive Value of Tests</topic><topic>Referral and Consultation - statistics &amp; numerical data</topic><topic>Risk Assessment</topic><topic>Severity of Illness Index</topic><topic>Visual Perception - physiology</topic><topic>VRA threshold</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xu, Zheng-min</creatorcontrib><creatorcontrib>Cheng, Wen-xia</creatorcontrib><creatorcontrib>Yao, Zhi-hong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of pediatric otorhinolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xu, Zheng-min</au><au>Cheng, Wen-xia</au><au>Yao, Zhi-hong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prediction of frequency-specific hearing threshold using chirp auditory brainstem response in infants with hearing losses</atitle><jtitle>International journal of pediatric otorhinolaryngology</jtitle><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>78</volume><issue>5</issue><spage>812</spage><epage>816</epage><pages>812-816</pages><issn>0165-5876</issn><eissn>1872-8464</eissn><abstract>Abstract Objectives To investigate the clinical usefulness of the LS-chirp auditory brainstem response for estimation of behavioral thresholds in young children with mild to severe hearing losses. Methods 68 infants (136 ears) aged 6–12 months (mean age = 9.2 months) with bilateral mild to severe hearing losses were studied at Children's Hospital of Fudan University. In all cases, the children were referred for LS-chirp ABR and visual reinforcement audiometric (VRA) measurements. The low-frequency band chirp (LF-chirp) thresholds (frequency band = 0.1–0.85 kHz) were compared to the average VRA thresholds (frequency band = 0.25–0.5 kHz), whereas the high-frequency band chirp (HF-chirp) thresholds (frequency band = 1–10 kHz) were compared to the average VRA thresholds (frequency band = 1–4 kHz) using statistical correlation coefficient values. Results The LS-chirp ABR thresholds are very close to behavioral hearing levels. The mean differences between chirp-ABR and VRA thresholds were within 5 dB HL for all measurements. The smallest mean threshold difference (&lt;3 dB HL) was obtained for the severe hearing loss group. The correlation coefficient values ( r ) were 0.97 at low-frequency and high-frequency bands. For each carrier frequency, the best correlations between chirp-ABR thresholds and VRA thresholds were obtained at VRA frequency of 0.25 kHz/LF-chirp ( r = 0.98) and VRA frequency of 1 kHz/HF-chirp ( r = 0.98). Conclusions This study demonstrates the effectiveness using chirp-ABR predicted frequency-specific thresholds, especially of low and middle frequencies. LS-chirp ABR thresholds determined behavioral thresholds in patients with severe hearing losses were better than for mild hearing losses. The use of a chirp-ABR testing ensures higher sensitivity and accuracy than that of auditory stead-state evoked response (ASSR) for measuring frequency-specific thresholds in young children.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>24630052</pmid><doi>10.1016/j.ijporl.2014.02.020</doi><tpages>5</tpages></addata></record>
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1872-8464
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subjects Acoustic Stimulation - methods
Age Factors
Audiometry - methods
Auditory Threshold - physiology
China
Chirp-ABR threshold
Cohort Studies
Evoked Potentials, Auditory, Brain Stem - physiology
Female
Hearing Loss, Bilateral - diagnosis
Hospitals, Pediatric
Humans
Infant
Infants
Male
Otolaryngology
Pediatrics
Predictive Value of Tests
Referral and Consultation - statistics & numerical data
Risk Assessment
Severity of Illness Index
Visual Perception - physiology
VRA threshold
title Prediction of frequency-specific hearing threshold using chirp auditory brainstem response in infants with hearing losses
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