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Background <p>Auditory Steady-State Response (ASSR) allows the identification of infants with hearing loss and consequently early intervention. Therefore, it is important to assess the accuracy of ASSR for determining hearing thresholds in infants. This study aimed to systematically review the threshold differences between air-conducted ASSR and behavioural audiometry (BA) in infants.</p> Methods <p>The population was infants younger than 2&#xa0;years; the intervention was ASSR thresholds; the comparator was BA thresholds; and the outcome was the ASSR-BA threshold, i.e., the correction value in dB. PubMed, Web of Science, The Cochrane Central Register of Controlled Trials, and Embase were searched. The risk of bias was evaluated using the Evidence Project risk of bias tool and the Newcastle–Ottawa Quality Assessment Scale. The mean and 95% confidence intervals (CI) were calculated for the threshold differences at four frequencies (0.5, 1, 2, and 4&#xa0;kHz).</p> Results <p>Of 503 articles identified, 10 were eligible for a narrative summary, and seven were included in the meta-analysis, which had a total of 2845 ASSR-BA thresholds. The articles were of moderate quality and showed substantial heterogeneity (I<sup>2</sup> between 89 and 96%, <i>p</i> &lt; 0.01). The mean differences (± 95% CI) between ASSR thresholds and BA hearing thresholds were 9.24&#xa0;dB (± 6.45), 7.19&#xa0;dB (± 4.02), 6.35&#xa0;dB (± 4.51), and 7.42&#xa0;dB (± 5.40) at 0.5, 1, 2, and 4&#xa0;kHz, respectively.</p> Conclusions <p>ASSR provides a reasonably accurate prediction of BA thresholds. Given the heterogeneity of the included studies, further research with larger infant populations is needed.</p> Systematic review registration <p>The study was pre-registered in PROSPERO and followed PRISMA-P 2015 statement.</p>

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The relationship between auditory steady-state response and behavioural audiometry in hearing estimation for infants: a meta-analysis

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月3日

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  • Xin Huang,
  • Karolina Kluk,
  • Emanuele Perugia

摘要

Background

Auditory Steady-State Response (ASSR) allows the identification of infants with hearing loss and consequently early intervention. Therefore, it is important to assess the accuracy of ASSR for determining hearing thresholds in infants. This study aimed to systematically review the threshold differences between air-conducted ASSR and behavioural audiometry (BA) in infants.

Methods

The population was infants younger than 2 years; the intervention was ASSR thresholds; the comparator was BA thresholds; and the outcome was the ASSR-BA threshold, i.e., the correction value in dB. PubMed, Web of Science, The Cochrane Central Register of Controlled Trials, and Embase were searched. The risk of bias was evaluated using the Evidence Project risk of bias tool and the Newcastle–Ottawa Quality Assessment Scale. The mean and 95% confidence intervals (CI) were calculated for the threshold differences at four frequencies (0.5, 1, 2, and 4 kHz).

Results

Of 503 articles identified, 10 were eligible for a narrative summary, and seven were included in the meta-analysis, which had a total of 2845 ASSR-BA thresholds. The articles were of moderate quality and showed substantial heterogeneity (I2 between 89 and 96%, p < 0.01). The mean differences (± 95% CI) between ASSR thresholds and BA hearing thresholds were 9.24 dB (± 6.45), 7.19 dB (± 4.02), 6.35 dB (± 4.51), and 7.42 dB (± 5.40) at 0.5, 1, 2, and 4 kHz, respectively.

Conclusions

ASSR provides a reasonably accurate prediction of BA thresholds. Given the heterogeneity of the included studies, further research with larger infant populations is needed.

Systematic review registration

The study was pre-registered in PROSPERO and followed PRISMA-P 2015 statement.