title: Clinical validation of automated audiometry with continuous noise-monitoring in a clinically heterogeneous population outside a sound-treated environment.
abstract: Examine the accuracy of automated audiometry in a clinically heterogeneous population of adults using the KUDUwave automated audiometer.
  
  
  
  Prospective accuracy study. Manual audiometry was performed in a sound-treated room and automated audiometry was not conducted in a sound-treated environment.
  
  
  
  42 consecutively recruited participants from a tertiary otolaryngology department in Western Australia.
  
  
  
  Absolute mean differences ranged between 5.12-9.68 dB (air-conduction) and 8.26-15 dB (bone-conduction). A total of 86.5% of manual and automated 4FAs were within 10 dB (i.e. ±5 dB); 94.8% were within 15 dB. However, there were significant (p < 0.05) differences between automated and manual audiometry at 250, 500, 1000, and 2000 Hz (air-conduction) and 500 and 1000 Hz (bone-conduction). The effect of age (≥55 years) on accuracy (p = 0.014) was not significant on linear regression (p > 0.05; R(2) =( ) 0.11). The presence of a hearing loss (better ear ≥26 dB) did not significantly affect accuracy (p = 0.604; air-conduction), (p = 0.218; bone-conduction).
  
  
  
  This study provides clinical validation of automated audiometry using the KUDUwave in a clinically heterogeneous population, without the use of a sound-treated environment. Whilst threshold variations were statistically significant, future research is needed to ascertain the clinical significance of such variation.
authors.affiliation: a Ear Science Institute Australia , Subiaco , Perth , Australia .|b Ear Sciences Centre, School of Surgery , The University of Western Australia , Crawley , Australia .
authors.forename: Christopher G
authors.initials: CG
authors.lastname: Brennan-Jones
authors.affiliation: a Ear Science Institute Australia , Subiaco , Perth , Australia .|b Ear Sciences Centre, School of Surgery , The University of Western Australia , Crawley , Australia .|c Department of Speech-Language Pathology and Audiology , University of Pretoria , South Africa .
authors.forename: Robert H
authors.initials: RH
authors.lastname: Eikelboom
authors.affiliation: a Ear Science Institute Australia , Subiaco , Perth , Australia .|b Ear Sciences Centre, School of Surgery , The University of Western Australia , Crawley , Australia .|c Department of Speech-Language Pathology and Audiology , University of Pretoria , South Africa .
authors.forename: De Wet
authors.initials: de W
authors.lastname: Swanepoel
authors.affiliation: a Ear Science Institute Australia , Subiaco , Perth , Australia .|b Ear Sciences Centre, School of Surgery , The University of Western Australia , Crawley , Australia .|d School of Medicine , University of Notre Dame , Fremantle , Australia , and.|e Department of Otolaryngology, Head, Neck and Skull Base Surgery , Sir Charles Gairdner Hospital , Nedlands , Australia.
authors.forename: Peter L
authors.initials: PL
authors.lastname: Friedland
authors.affiliation: a Ear Science Institute Australia , Subiaco , Perth , Australia .|b Ear Sciences Centre, School of Surgery , The University of Western Australia , Crawley , Australia .|e Department of Otolaryngology, Head, Neck and Skull Base Surgery , Sir Charles Gairdner Hospital , Nedlands , Australia.
authors.forename: Marcus D
authors.initials: MD
authors.lastname: Atlas
mesh_terms: D000161:Acoustic Stimulation; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001299:Audiometry / Q000379:methods*; D001309:Auditory Threshold; D001331:Automation; D001844:Bone Conduction; D004784:Environmental Monitoring / Q000379:methods*; D005260:Female; D006309:Hearing; D034381:Hearing Loss / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011446:Prospective Studies; D015203:Reproducibility of Results; D012307:Risk Factors; D014904:Western Australia; D055815:Young Adult
keywords: Automated audiometry; KUDUwave; audiometry; hearing loss; teleaudiology