Refining the audiological assessment in children using narrow-band CE-Chirp-evoked auditory steady state responses

Abstract : OBJECTIVE: To demonstrate the feasibility and reliability of simultaneous binaural recording of auditory steady-state responses (ASSR) in young children using narrow-band CE-Chirps as stimuli. DESIGN: Prospective cohort study comparing ASSR thresholds to four frequency stimuli (0.5, 1, 2, and 4 kHz), with click-evoked auditory brainstem responses (ABR) and behavioral response audiometry. STUDY SAMPLE: Thirty-two young children (mean age 7.4 ± 5.2 months) referred for auditory assessment were evaluated. RESULTS: The mean duration for ABR recordings was 13.3 ± 7.2 min versus 22.9 ± 15.8 min for ASSR (p < 0.01). ASSR (means of 2 and 4 kHz thresholds) were highly correlated with ABR thresholds (R2 = 0.935, p < 0.001), though significantly different (3 ± 10.7 dB, p = 0.02). ASSR (means of 0.5, 1, 2, and 4 kHz thresholds) were highly correlated with mean behavioral response audiometry thresholds (R2 = 0.968, p < 0.001). ASSRs were highly and significantly correlated with behavioral response audiometry at 0.5, 1, 2, and 4 kHz (R2 = 0.845, 0.907, 0.929, and 0.859 respectively, p < 0.001). 87.5% and 90.7% ASSR thresholds were within a ± 10 dB range around their corresponding ABR and mean behavioral response audiometry thresholds. CONCLUSIONS: Narrow-band CE-Chirps allow a fast and reliable assessment of auditory thresholds in children, especially in the low-frequency range, by comparison with other stimuli.
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https://hal.umontpellier.fr/hal-02278730
Contributeur : Anthony Herrada <>
Soumis le : mercredi 4 septembre 2019 - 15:30:40
Dernière modification le : jeudi 5 septembre 2019 - 01:17:25

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Frederic Venail, Jean Pierre Artaud, Catherine Blanchet, Alain Uziel, Michel Mondain. Refining the audiological assessment in children using narrow-band CE-Chirp-evoked auditory steady state responses. International Journal of Audiology, Taylor & Francis, 2015, 54 (2), pp.106-113. ⟨10.3109/14992027.2014.935496⟩. ⟨hal-02278730⟩

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