Abstract：
:Purpose Longitudinal population-based cohort data were used to develop a standardized classification system for age-related hearing impairment using thresholds for frequencies (0.5-8 kHz) typically measured in cohort studies. Method Audiometric testing data collected in the Epidemiology of Hearing Loss Study from participants (n = 1,369) with four visits (1993-1995, 1998-2000, 2003-2005, and 2009-2010) were included (10,952 audiograms). Cluster analyses (Wald's method) were used to identify audiometric patterns. Maximum allowable threshold values were defined for each cluster to create an ordered scale. Progression was defined as a two-step change. Results An eight-step scale was developed to capture audiogram shape and severity of hearing impairment. Of the 1,094 participants classified as having normal hearing based on a pure-tone average, only 25% (n = 277) were classified as Level 1 (all thresholds ≤ 20 dB HL) on the new scale, whereas 17% (n = 182) were Levels 4-6. During the 16-year follow-up, 64.9% of those at Level 1 progressed. There was little regression using this scale. Conclusions This is the first scale developed from population-based longitudinal cohort data to capture audiogram shape across time. This simple, standardized scale is easy to apply, reduces misclassification of normal hearing, and may be a useful method for identifying risk factors for early, preclinical, age-related changes in hearing.
journal_name
Am J Audioljournal_title
American journal of audiologyauthors
Cruickshanks KJ,Nondahl DM,Fischer ME,Schubert CR,Tweed TSdoi
10.1044/2019_AJA-19-00021subject
Has Abstractpub_date
2020-03-05 00:00:00pages
59-67issue
1eissn
1059-0889issn
1558-9137journal_volume
29pub_type
杂志文章abstract：Purpose:The aim of the study was to evaluate the evidence of clinical utility for dichotic speech tests of binaural integration used to assess auditory processing in English-speaking children 6-14 years old. Method:Dichotic speech test recordings and pertinent research studies were identified from iterative searches o...
journal_title：American journal of audiology
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journal_title：American journal of audiology
pub_type： 杂志文章
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journal_title：American journal of audiology
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更新日期：2019-09-13 00:00:00
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pub_type： 杂志文章
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更新日期：2003-12-01 00:00:00
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journal_title：American journal of audiology
pub_type： 杂志文章
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journal_title：American journal of audiology
pub_type： 评论,杂志文章
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journal_title：American journal of audiology
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journal_title：American journal of audiology
pub_type： 杂志文章
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更新日期：2017-06-13 00:00:00
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pub_type： 杂志文章
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journal_title：American journal of audiology
pub_type： 杂志文章
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更新日期：2015-09-01 00:00:00
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pub_type： 杂志文章
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更新日期：2020-09-03 00:00:00
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journal_title：American journal of audiology
pub_type： 杂志文章
doi：10.1044/2015_AJA-15-0011
更新日期：2015-09-01 00:00:00
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journal_title：American journal of audiology
pub_type： 杂志文章
doi：10.1044/1059-0889(2006/019)
更新日期：2006-12-01 00:00:00
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pub_type： 杂志文章
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更新日期：2020-06-08 00:00:00
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abstract：:[Figure: see text]. ...
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journal_title：American journal of audiology
pub_type： 杂志文章,随机对照试验
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更新日期：2017-03-01 00:00:00
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journal_title：American journal of audiology
pub_type： 杂志文章,评审
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更新日期：2012-12-01 00:00:00
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journal_title：American journal of audiology
pub_type： 杂志文章
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更新日期：2016-03-01 00:00:00
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更新日期：2020-09-03 00:00:00
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journal_title：American journal of audiology
pub_type： 杂志文章
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更新日期：2017-09-18 00:00:00
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更新日期：2009-06-01 00:00:00
abstract：:[Figure: see text]. ...
journal_title：American journal of audiology
pub_type： 杂志文章,已发布勘误
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更新日期：2020-06-08 00:00:00
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journal_title：American journal of audiology
pub_type： 杂志文章
doi：10.1044/2020_AJA-19-00083
更新日期：2020-09-18 00:00:00
