title: The Efficacy of Routine Screening for High-Frequency Hearing Loss in Adults and Children.
abstract: OBJECTIVE
  This study was conducted to investigate the efficacy of routine screening for high-frequency hearing loss (HFHL) including 3000, 6000, and 8000 Hz frequencies with conventional test frequencies (1000, 2000, and 4000 Hz) in adults and children in a university outreach program.
  
  
  METHODS
  Screening outcomes were examined in 2 cohorts of adults (Cohort 1, N = 315, M = 66.2 years; Cohort 2, N = 67, M = 68.3 years) and children (Cohort 1, N = 177, M = 6.5 years; Cohort 2, N = 57, M = 6.9 years) with a high-frequency screen protocol (1000-8000 Hz at 25 dB HL for adults and 20 dB HL for children) using supra-aural headphones. A rescreen was conducted in Cohort 2 with a modified protocol using insert earphones and monitored ambient noise levels.
  
  
  RESULTS
  Average total test time significantly increased (p < .0001) and nearly doubled with inclusion of 3000-, 6000-, and 8000-Hz frequencies, adding approximately 1 min. Rescreen referral rates decreased by approximately 2%-16% at 1000-8000 Hz (approximately 13%-16% at 6000 and 8000 Hz) using the modified protocol in adults and children, supporting false-positive responses using supra-aural headphones.
  
  
  CONCLUSIONS
  Screening for HFHL should include insert earphones in order to prevent potential errors, particularly at 6000 and 8000 Hz.
authors.forename: Yula C
authors.initials: YC
authors.lastname: Serpanos
authors.forename: Deborah
authors.initials: D
authors.lastname: Senzer
authors.forename: Brittany
authors.initials: B
authors.lastname: Renne
authors.forename: Rebecca
authors.initials: R
authors.lastname: Langer
authors.forename: Roxanne
authors.initials: R
authors.lastname: Hoffman
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D006316:Hearing Loss, High-Frequency / Q000175:diagnosis*; D006320:Hearing Tests / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D055815:Young Adult