Accurate tympanometric criteria for Chinese schoolchildren

Driscoll, C., Li, X., Walmsley, T., Le Dilly, J., Hanley, N., Bannah, W. and Adelaide, C. (2008) Accurate tympanometric criteria for Chinese schoolchildren. International Journal of Pediatric Otorhinolaryngology, 72 11: 1619-1626. doi:10.1016/j.ijporl.2008.07.011

Author Driscoll, C.
Li, X.
Walmsley, T.
Le Dilly, J.
Hanley, N.
Bannah, W.
Adelaide, C.
Title Accurate tympanometric criteria for Chinese schoolchildren
Journal name International Journal of Pediatric Otorhinolaryngology   Check publisher's open access policy
ISSN 0165-5876
Publication date 2008-11
Sub-type Article (original research)
DOI 10.1016/j.ijporl.2008.07.011
Volume 72
Issue 11
Start page 1619
End page 1626
Total pages 8
Place of publication United Kingdom
Publisher Elsevier
Collection year 2009
Language eng
Subject 111403 Paediatrics
920107 Hearing, Vision, Speech and Their Disorders
110315 Otorhinolaryngology
Abstract Methods: A total of 154 Chinese children were recruited from a school in Nanjing, China. Participants ranged between 6 and 13 years of age with both genders equivalently represented. Participants with a history of hearing loss, otological problems, or previous referral to an otolaryngologist, and those with abnormal pneumatic otoscopy or pure tone audiometry results on the day of testing, were excluded from the normal database (N = 125). Tympanometry was performed using a Madsen Zodiac 901 Middle Ear Analyzer. The 90% range of the tympanometry results was used to produce two sets of tympanometric pass/fail criteria (OURPASS and OURPASS2). The test performance of OURPASS, OURPASS2, and two previously established criteria; ASHA [ASHA, Guidelines for audiologic screening, ASHA, Rockville, MD, 1997] and Shahnaz and Davies [N. Shahnaz, D. Davies, Standard and multifrequency tympanometric norms for Caucasian and Chinese young adults, Ear Hear. 27 (2006) 75–90], was determined against the gold standard of pneumatic otoscopy, using signal detection theory. Results: The newly developed OURPASS tympanometric criteria, presented in the current study, possessed superior test performance in the prediction of otitis media with effusion than previously suggested Caucasian pediatric and Chinese adult criteria. An overall accuracy value of 0.68 and a hit rate of 0.79 were obtained. Conclusions: The present study provides strong support for the use of a population-specific criterion for tympanometry testing in Chinese schoolchildren. Changes to the standard pass/fail criterion may be necessary following replication and expansion of the investigation.
Keyword Chinese
Otitis media
Pass/fail criteria
Q-Index Code C1
Q-Index Status Confirmed Code

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2009 Higher Education Research Data Collection
School of Health and Rehabilitation Sciences Publications
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Citation counts: TR Web of Science Citation Count  Cited 2 times in Thomson Reuters Web of Science Article | Citations
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Created: Tue, 04 Nov 2008, 15:28:59 EST