Central auditory processing disorder (CAPD) tests in a school-age hearing screening programme – analysis of 76,429 children

Introduction and objective Hearing disorders among school-age children are a current concern. Continuing studies have been performed in Poland since 2008, and on 2 December 2011 the EU Council adopted Conclusions on the Early Detection and Treatment of Communication Disorders in Children, Including...

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Main Authors: Piotr H. Skarzynski, Andrzej W. Wlodarczyk, Krzysztof Kochanek, Adam Pilka, Wiktor W Jedrzejczak, Lukasz Olszewski, Lukasz Bruski, Artur Niedzielski, Henryk Skarzynski
Format: Article
Language:English
Published: Institute of Rural Health 2015-02-01
Series:Annals of Agricultural and Environmental Medicine
Subjects:
Online Access:http://www.journalssystem.com/aaem/Central-auditory-processing-disorder-CAPD-tests-in-a-school-age-hearing-screening-programme-analysis-of-76-429-children,72238,0,2.html
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author Piotr H. Skarzynski
Andrzej W. Wlodarczyk
Krzysztof Kochanek
Adam Pilka
Wiktor W Jedrzejczak
Lukasz Olszewski
Lukasz Bruski
Artur Niedzielski
Henryk Skarzynski
author_facet Piotr H. Skarzynski
Andrzej W. Wlodarczyk
Krzysztof Kochanek
Adam Pilka
Wiktor W Jedrzejczak
Lukasz Olszewski
Lukasz Bruski
Artur Niedzielski
Henryk Skarzynski
author_sort Piotr H. Skarzynski
collection DOAJ
description Introduction and objective Hearing disorders among school-age children are a current concern. Continuing studies have been performed in Poland since 2008, and on 2 December 2011 the EU Council adopted Conclusions on the Early Detection and Treatment of Communication Disorders in Children, Including the Use of e-Health Tools and innovative Solutions. The discussion now focuses not only on the efficacy of hearing screening programmes in schoolchildren, but what should be its general aim and what tests it should include? This paper makes the case that it is important to include central auditory processing disorder (CAPD) tests. One such test is the dichotic digits test (DDT). The aim of the presented study was to evaluate the usefulness of the DDT in detecting central hearing disorders in school-age children. Material and Methods During hearing screening programmes conducted in Poland in 2008–2010, exactly 235,664 children (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 were 11.4% positive for 7-year-olds and 11.3% for 12-year-olds. In the focused attention mode, the comparable result for 12-year-olds was 9.7%. There was a clear right ear advantage. In children with positive DDT results, a higher incidence of other disorders, 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 study form the basis for developing Polish standards in this area
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spelling doaj.art-463dc322d44b48e188aeac78b4f6f9552022-12-21T19:03:08ZengInstitute of Rural HealthAnnals of Agricultural and Environmental Medicine1232-19661898-22632015-02-01221909510.5604/12321966.114137572238Central auditory processing disorder (CAPD) tests in a school-age hearing screening programme – analysis of 76,429 childrenPiotr H. Skarzynski0Andrzej W. Wlodarczyk1Krzysztof Kochanek2Adam Pilka3Wiktor W Jedrzejczak4Lukasz Olszewski5Lukasz Bruski6Artur Niedzielski7Henryk Skarzynski8Institute of Physiology and Pathology of Hearing, Warsaw, PolandInstitute of Physiology and Pathology of Hearing, Warsaw, PolandInstitute of Physiology and Pathology of Hearing, Warsaw, PolandInstitute of Physiology and Pathology of Hearing, Warsaw, PolandInstitute of Physiology and Pathology of Hearing, Warsaw, PolandInstitute of Physiology and Pathology of Hearing, Warsaw, PolandInstitute of Sensory Organs, Kajetany, PolandOtoneurology Lab, Medical University of Lublin, PolandInstitute of Physiology and Pathology of Hearing, Warsaw, PolandIntroduction and objective Hearing disorders among school-age children are a current concern. Continuing studies have been performed in Poland since 2008, and on 2 December 2011 the EU Council adopted Conclusions on the Early Detection and Treatment of Communication Disorders in Children, Including the Use of e-Health Tools and innovative Solutions. The discussion now focuses not only on the efficacy of hearing screening programmes in schoolchildren, but what should be its general aim and what tests it should include? This paper makes the case that it is important to include central auditory processing disorder (CAPD) tests. One such test is the dichotic digits test (DDT). The aim of the presented study was to evaluate the usefulness of the DDT in detecting central hearing disorders in school-age children. Material and Methods During hearing screening programmes conducted in Poland in 2008–2010, exactly 235,664 children (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 were 11.4% positive for 7-year-olds and 11.3% for 12-year-olds. In the focused attention mode, the comparable result for 12-year-olds was 9.7%. There was a clear right ear advantage. In children with positive DDT results, a higher incidence of other disorders, 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 study form the basis for developing Polish standards in this areahttp://www.journalssystem.com/aaem/Central-auditory-processing-disorder-CAPD-tests-in-a-school-age-hearing-screening-programme-analysis-of-76-429-children,72238,0,2.htmlcentral auditory processing disordersCAPDhearing screeninghearing lossSchool age childrenpartial deafness
spellingShingle Piotr H. Skarzynski
Andrzej W. Wlodarczyk
Krzysztof Kochanek
Adam Pilka
Wiktor W Jedrzejczak
Lukasz Olszewski
Lukasz Bruski
Artur Niedzielski
Henryk Skarzynski
Central auditory processing disorder (CAPD) tests in a school-age hearing screening programme – analysis of 76,429 children
Annals of Agricultural and Environmental Medicine
central auditory processing disorders
CAPD
hearing screening
hearing loss
School age children
partial deafness
title Central auditory processing disorder (CAPD) tests in a school-age hearing screening programme – analysis of 76,429 children
title_full Central auditory processing disorder (CAPD) tests in a school-age hearing screening programme – analysis of 76,429 children
title_fullStr Central auditory processing disorder (CAPD) tests in a school-age hearing screening programme – analysis of 76,429 children
title_full_unstemmed Central auditory processing disorder (CAPD) tests in a school-age hearing screening programme – analysis of 76,429 children
title_short Central auditory processing disorder (CAPD) tests in a school-age hearing screening programme – analysis of 76,429 children
title_sort central auditory processing disorder capd tests in a school age hearing screening programme analysis of 76 429 children
topic central auditory processing disorders
CAPD
hearing screening
hearing loss
School age children
partial deafness
url http://www.journalssystem.com/aaem/Central-auditory-processing-disorder-CAPD-tests-in-a-school-age-hearing-screening-programme-analysis-of-76-429-children,72238,0,2.html
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