Reliability and Accuracy of Chirp Based Multiple Auditory Steady State Response (MSSR) and Auditory Brainstem Response (ABR) in Children.

Q3 Medicine
Teoh Jian Woei, Rafidah Mazlan, Azmi Mohd Tamil, Nur Syuhada Mohd Rosli, Saidah Mohd Hasbi, Noor Dina Hashim, Asma Abdullah
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Abstract

Objective: The purpose of this study was to compare the reliability and accuracy of chirp-based Multiple Auditory Steady State Response (MSSR) and Auditory Brainstem Response (ABR) in children.

Methods: The prospective clinical study was conducted at Selayang Hospital (SH) and Hospital Canselor Tuanku Muhriz (HCTM) within one year. A total of 38 children ranging from 3 to 18 years old underwent hearing evaluation using ABR tests and MSSR under sedation. The duration of both tests were then compared.

Results: The estimated hearing threshold of frequency specific chirp MSSR showed good correlation with ABR especially in higher frequencies such as 2000 Hz and 4000Hz with the value of cronbach alpha of 0.890, 0.933, 0.970 and 0.969 on 500Hz, 1000Hz, 2000Hz and 4000Hz. The sensitivity of MSSR is 0.786, 0.75, 0.957 and 0.889 and specificity is 0.85, 0.882, 0.979 and 0.966 over 500Hz, 1000Hz, 2000Hz and 4000Hz. The duration of MSSR tests were shorter than ABR tests in normal hearing children with an average of 35.3 minutes for MSSR tests and 46.4 minutes for ABR tests. This can also be seen in children with hearing loss where the average duration for MSSR tests is 40.0 minutes and 52.0 minutes for ABR tests.

Conclusion: MSSR showed good correlation and reliability in comparison with ABR especially on higher frequencies. Hence, MSSR is a good clinical test to diagnose children with hearing loss.

基于 Chirp 的儿童多重听觉稳态反应 (MSSR) 和听觉脑干反应 (ABR) 的可靠性和准确性。
研究目的本研究旨在比较儿童基于啁啾的多听觉稳态反应(MSSR)和听觉脑干反应(ABR)的可靠性和准确性:这项前瞻性临床研究在雪兰莪医院(SH)和Canselor Tuanku Muhriz医院(HCTM)进行,为期一年。共有 38 名 3 至 18 岁的儿童在镇静状态下接受了 ABR 测试和 MSSR 听力评估。然后对两种测试的持续时间进行了比较:结果:频率特异性鸣音 MSSR 的听阈估计值与 ABR 的相关性良好,尤其是在 2000 赫兹和 4000 赫兹等较高频率上,500 赫兹、1000 赫兹、2000 赫兹和 4000 赫兹的 cronbach alpha 值分别为 0.890、0.933、0.970 和 0.969。在 500Hz、1000Hz、2000Hz 和 4000Hz 频率上,MSSR 的灵敏度分别为 0.786、0.75、0.957 和 0.889,特异性分别为 0.85、0.882、0.979 和 0.966。听力正常儿童的 MSSR 测试时间比 ABR 测试时间短,MSSR 测试平均为 35.3 分钟,而 ABR 测试平均为 46.4 分钟。听力损失儿童的情况也是如此,MSSR 测试的平均持续时间为 40.0 分钟,而 ABR 测试的平均持续时间为 52.0 分钟:与 ABR 相比,MSSR 显示出良好的相关性和可靠性,尤其是在高频率方面。因此,MSSR 是诊断儿童听力损失的一种很好的临床测试方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Tinnitus Journal
International Tinnitus Journal Medicine-Otorhinolaryngology
CiteScore
0.70
自引率
0.00%
发文量
11
期刊介绍: The International Tinnitus Journal is the first peer review journal to provide a forum for exchange of information of on-going basic and clinical science efforts for understanding tinnitus and its application to patient diagnosis and treatment. Subject areas to be covered range from fundamental theory to clinical applications.
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