Sensitivity and specificity of scales ELI, SAL, MODIFIED LARSEN, KLOCKHOFF and NIOSH rating for professional hearing loss, Popayán Colombia

Abstract

Objective: To determine the sensitivity and specificity of five available scales to the qualification of the Tonal Audiometry for the detection of occupationally induced hearing loss. Methods: A descriptive cross-sectional study was conducted. The study population was 92 adult workers. Participants underwent the application of the different formats of registration of the results and qualification of the tonal audiometry. Participants received a hearing evaluation by clinical audiometry. Sixty four cases met the inclusion criteria and were selected for the final analysis.Once the tonal audiometry was complete, evaluation of occupationally induced hearing loss was done by using the ELI, salt, modified LARSEN, KLOCKHOFF and NIOSH classification scales. Results were compared to FREQUENCIAL analysis. Results: The LARSEN scale was noted to detect more cases of occupationally induced hearing loss. The LARSEN modified, represented detection in 54.69% of cases for right ear and 56.25% of cases for left ear. On the other hand, noted the direct relationship of hearing loss with regard to the age. No direct correlation to time of noise exposure was found.. Conclusions: The rating scale that presented greater sensitivity was the LARSEN modified. It was represented by 93.1% and a specificity of 100%.