Andressa Pelaquim, Milaine Dominici Sanfins, Marco Aurélio Fornazieri
{"title":"听觉诱发电位的变化增加了成年人患上中枢性听觉加工障碍的机会","authors":"Andressa Pelaquim, Milaine Dominici Sanfins, Marco Aurélio Fornazieri","doi":"10.1055/s-0042-1759747","DOIUrl":null,"url":null,"abstract":"Abstract Introduction Auditory evoked potentials are widely used in clinical practice to complement the assessment of central auditory processing. However, it is necessary to understand whether these potentials are highly accurate, to assist in the diagnosis of auditory processing disorder. Objective To measure the accuracy of middle and long latency auditory evoked potentials in the diagnosis of auditory processing disorder in adults. Methods This is a case-control study, formed by a control group of 30 individuals with normal auditory processing assessment, and a case group composed of 43 individuals with altered auditory processing assessment. Their sensitivities, specificities, accuracies, positive and negative predictive values for the diagnosis of alterations were measured and compared between the potentials. Results The accuracies of the middle and long latency potentials were 51% and 67%, respectively. The P1-N1-P2 and N2-P300 complexes had an accuracy of 57.5% and 58.9%, respectively. The cognitive potential P300 showed an accuracy of 55%. There was no significant result for the middle-latency potential (OR = 1.8; 95% CI: 0.6–5.4, p > 0.42) and for P300 (OR = 2.63, 95% CI: 0.85–8.43, p > 0.11). However, the result was significant for the long-latency potential (OR = 6.3; 95% CI: 2–19.6, p < 0.01). There was a significant result for the P1-N1-P2 complexes (OR = 6.76, 95% CI:1.4–32.5, p = < 0.010) and N2-P300 (OR = 3.60; 95% CI: 10.16–11.20, p < 0.039). Conclusion Individuals with altered long-latency auditory evoked potential are more likely to have auditory processing disorder and, as such, this test can be used as a complementary tool to confirm the diagnosis.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"26 1","pages":"0"},"PeriodicalIF":1.0000,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Changes in Auditory Evoked Potentials Increase the Chances of Adults Having Central Auditory Processing Disorder\",\"authors\":\"Andressa Pelaquim, Milaine Dominici Sanfins, Marco Aurélio Fornazieri\",\"doi\":\"10.1055/s-0042-1759747\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Abstract Introduction Auditory evoked potentials are widely used in clinical practice to complement the assessment of central auditory processing. However, it is necessary to understand whether these potentials are highly accurate, to assist in the diagnosis of auditory processing disorder. Objective To measure the accuracy of middle and long latency auditory evoked potentials in the diagnosis of auditory processing disorder in adults. Methods This is a case-control study, formed by a control group of 30 individuals with normal auditory processing assessment, and a case group composed of 43 individuals with altered auditory processing assessment. Their sensitivities, specificities, accuracies, positive and negative predictive values for the diagnosis of alterations were measured and compared between the potentials. Results The accuracies of the middle and long latency potentials were 51% and 67%, respectively. The P1-N1-P2 and N2-P300 complexes had an accuracy of 57.5% and 58.9%, respectively. The cognitive potential P300 showed an accuracy of 55%. There was no significant result for the middle-latency potential (OR = 1.8; 95% CI: 0.6–5.4, p > 0.42) and for P300 (OR = 2.63, 95% CI: 0.85–8.43, p > 0.11). However, the result was significant for the long-latency potential (OR = 6.3; 95% CI: 2–19.6, p < 0.01). There was a significant result for the P1-N1-P2 complexes (OR = 6.76, 95% CI:1.4–32.5, p = < 0.010) and N2-P300 (OR = 3.60; 95% CI: 10.16–11.20, p < 0.039). Conclusion Individuals with altered long-latency auditory evoked potential are more likely to have auditory processing disorder and, as such, this test can be used as a complementary tool to confirm the diagnosis.\",\"PeriodicalId\":13731,\"journal\":{\"name\":\"International Archives of Otorhinolaryngology\",\"volume\":\"26 1\",\"pages\":\"0\"},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2023-10-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Archives of Otorhinolaryngology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1055/s-0042-1759747\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"OTORHINOLARYNGOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Archives of Otorhinolaryngology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1055/s-0042-1759747","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
听觉诱发电位被广泛应用于临床,以补充中枢听觉加工的评估。然而,有必要了解这些电位是否高度准确,以协助诊断听觉加工障碍。目的探讨中长潜伏期听觉诱发电位诊断成人听觉加工障碍的准确性。方法采用病例-对照研究方法,将30例正常听觉加工评估者作为对照组,43例听觉加工评估者作为病例组。他们的敏感性,特异性,准确性,阳性和阴性预测值诊断的改变进行测量和电位之间的比较。结果中潜伏期和长潜伏期电位的准确度分别为51%和67%。P1-N1-P2和N2-P300复合物的准确率分别为57.5%和58.9%。认知电位P300的准确率为55%。中潜伏期电位无显著性差异(OR = 1.8;95% CI: 0.6-5.4, p >0.42)和P300 (OR = 2.63, 95% CI: 0.85-8.43, p >0.11)。然而,长潜伏期电位的结果是显著的(OR = 6.3;95% CI: 2-19.6, p <0.01)。P1-N1-P2复合物的结果显著(OR = 6.76, 95% CI: 1.4-32.5, p = <0.010)和N2-P300 (OR = 3.60;95% CI: 10.16-11.20, p <0.039)。结论长潜伏期听觉诱发电位改变的个体更容易出现听觉加工障碍,因此该测试可作为辅助诊断的工具。
Changes in Auditory Evoked Potentials Increase the Chances of Adults Having Central Auditory Processing Disorder
Abstract Introduction Auditory evoked potentials are widely used in clinical practice to complement the assessment of central auditory processing. However, it is necessary to understand whether these potentials are highly accurate, to assist in the diagnosis of auditory processing disorder. Objective To measure the accuracy of middle and long latency auditory evoked potentials in the diagnosis of auditory processing disorder in adults. Methods This is a case-control study, formed by a control group of 30 individuals with normal auditory processing assessment, and a case group composed of 43 individuals with altered auditory processing assessment. Their sensitivities, specificities, accuracies, positive and negative predictive values for the diagnosis of alterations were measured and compared between the potentials. Results The accuracies of the middle and long latency potentials were 51% and 67%, respectively. The P1-N1-P2 and N2-P300 complexes had an accuracy of 57.5% and 58.9%, respectively. The cognitive potential P300 showed an accuracy of 55%. There was no significant result for the middle-latency potential (OR = 1.8; 95% CI: 0.6–5.4, p > 0.42) and for P300 (OR = 2.63, 95% CI: 0.85–8.43, p > 0.11). However, the result was significant for the long-latency potential (OR = 6.3; 95% CI: 2–19.6, p < 0.01). There was a significant result for the P1-N1-P2 complexes (OR = 6.76, 95% CI:1.4–32.5, p = < 0.010) and N2-P300 (OR = 3.60; 95% CI: 10.16–11.20, p < 0.039). Conclusion Individuals with altered long-latency auditory evoked potential are more likely to have auditory processing disorder and, as such, this test can be used as a complementary tool to confirm the diagnosis.