The automated prediction of hearing thresholds in sleeping subjects using auditory steady-state evoked potentials.
OBJECTIVE
To examine the relationship between auditory steady-state evoked potentials (SSEPs) and behavioral thresholds in sleeping subjects.


METHODS
60 adults and children with hearing thresholds ranging from normal to profound were selected on the basis of appropriate audiograms. Behavioral audiograms were determined at the octave frequencies 250-4000 Hz. These behavioral thresholds were then compared with the SSEP thresholds obtained during natural sleep for adults, or natural or sedated sleep for children.


RESULTS
A strong relationship between behavioral and SSEP thresholds was observed. The strength of the relationship increased with increasing frequency and increasing degree of the loss. On the basis of these data, the prediction of behavioral thresholds from SSEP levels was determined. It was found that the standard deviation of the error in this prediction decreased with increasing frequency and increasing degree of the loss. There was no significant age effect in the results obtained at any of the frequencies.


CONCLUSIONS
The results suggest the SSEP technique can be used as a predictor of behavioral threshold in adults and children at the frequencies 250-4000 Hz.
Rance
G
G
Human Communication Research Centre, University of Melbourne, Parkville, Victoria, Australia.
Rickards
F W
FW
Cohen
L T
LT
De Vidi
S
S
Clark
G M
GM
D000328:Adult; D000368:Aged; D001301:Audiometry, Pure-Tone; D001309:Auditory Threshold; D002675:Child, Preschool; D003051:Cochlea / Q000503:physiopathology; D005072:Evoked Potentials, Auditory; D006309:Hearing / Q000502:physiology*; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis* / Q000503:physiopathology; D006801:Humans; D007223:Infant; D008875:Middle Aged; D012720:Severity of Illness Index; D012890:Sleep