期刊名称：Annals of Agricultural and Environmental Medicine
印刷版ISSN：1232-1966
电子版ISSN：1898-2263
出版年度：2015
卷号：22
期号：1
页码：90-95
DOI：10.5604/12321966.1141375
出版社：Institute of Agricultural Medicine in Lublin
摘要：Introduction and objective. Hearing disorders among school-age children are a current concern. Continuing studies havebeen performed in Poland since 2008, and on 2 December 2011 the EU Council adopted Conclusions on the Early Detectionand Treatment of Communication Disorders in Children, Including the Use of e-Health Tools and innovative Solutions. Thediscussion now focuses not only on the efficacy of hearing screening programmes in schoolchildren, but what should beits general aim and what tests it should include? This paper makes the case that it is important to include central auditoryprocessing disorder (CAPD) tests. One such test is the dichotic digits test (DDT). The aim of the presented study was toevaluate the usefulness of the DDT in detecting central hearing disorders in school-age children.Materials and methods. During hearing screening programmes conducted in Poland in 2008–2010, exactly 235,664children (7–12-years-old) were screened in 9,325 schools. Of this number, 7,642 were examined using the DDT test for CAPD.Screening programmes were conducted using the Sense Examination Platform.Results. With the cut-off criterion set at the 5th percentile, results for the DDT applied in a divided attention mode were11.4% positive for 7-year-olds and 11.3% for 12-year-olds. In the focused attention mode, the comparable result for 12-yearoldswas 9.7%. There was a clear right ear advantage. In children with positive DDT results, a higher incidence of otherdisorders, such as dyslexia, was observed.Conclusions. A test for CAPD should be included in the hearing screening of school-age children. The results of this studyform the basis for developing Polish standards in this area.
