{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T21:26:00Z","timestamp":1748294760718,"version":"3.37.0"},"reference-count":0,"publisher":"American Academy of Audiology","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["j am acad audiol"],"published-print":{"date-parts":[[2003,10,1]]},"abstract":"<jats:p>This retrospective analysis of existing data was derived from 957 members of a population-based cohort who participated in a prior study of the prevalence of central auditory dysfunction. Word recognition scores (WRS) at three intensity levels were compared to predicted scores based\n on the Articulation Index (AI) and the Thornton-Raffin 95 percent critical differences. In 112 (11.7 percent) participants, one or more word recognition scores were significantly below the predicted score, which we consider a subtle sign of possible auditory neuropathy. In contrast, classic\n signs of retrocochlear dysfunction were found in only three people (0.3 percent) using rollover of the performance-intensity function for phonetically balanced word lists, in two (0.2 percent) people using the guideline of Yellin et al (1989), and in 54 people (5.6%) using a 20-point difference\n between the AI (x 100) and the WRS. Subtle signs of possible auditory neuropathy were more frequent than the classic signs. Comparing WRS at several high presentation levels to the AI is suggested as a method to screen for subtle neuropathy. Elderly listeners whose WRS fall below the Thornton-Raffin\n 95 percent critical difference based on AI should be considered for further testing for age-related auditory neuropathy. Este an\u00e1lisis retrospectivo de datos ya conocidos se deriv\u00f3 de 957 miembros de una cohorte poblacional que particip\u00f3 en un estudio previo de prevalencia\n de disfunci\u00f3n auditiva central. Se compararon los puntajes de reconocimiento de palabras (WRS) en 3 niveles de intensidad con la predicci\u00f3n de puntajes basados en el \u00cdndice de Articulaci\u00f3n (AI) y en las diferencias cr\u00edticas al 95% de Thornton-Raffin. En 112\n participantes (11.7%), uno o m\u00e1s de los puntajes de reconocimiento de palabras fueron significativamente mejores que el puntaje de predicci\u00f3n, lo que nosotros consideramos un signo sutil de posible neuropat\u00eda auditiva. En contraste, se encontraron signos cl\u00e1sicos\n de disfunci\u00f3n retrococlear en s\u00f3lo tres personas (0.3%) utilizando el marcador de regresi\u00f3n fon\u00e9mica (rollover) de la funci\u00f3n rendimiento\/intensidad, con el uso de listas de palabras fon\u00e9ticamente balanceadas; en dos (0.2%) personas utilizando las\n gu\u00edas de Yellin y col (1989) y en 54 personas (5.6%) usando una diferencia de 20 puntos entre el AI (x 100) y el WRS. Los signos sutiles de posible neuropat\u00eda auditiva fueron m\u00e1s frecuentes que los signos cl\u00e1sicos. Se sugiere que la comparaci\u00f3n del WRS a\n varios niveles elevados de presentaci\u00f3n con el AI constituye un m\u00e9todo de tamizaje para neuropat\u00eda leve. Oyentes ancianos cuyo WRS result\u00f3 por debajo de la diferencia cr\u00edtica al 95% de Thornton-Raffin, con base en el AI, deben ser evaluados por neuropat\u00eda\n auditiva relacionada con la edad.<\/jats:p>","DOI":"10.3766\/jaaa.14.10.6","type":"journal-article","created":{"date-parts":[[2008,4,22]],"date-time":"2008-04-22T23:54:28Z","timestamp":1208908468000},"page":"574-581","source":"Crossref","is-referenced-by-count":18,"title":["Word Recognition and the Articulation Index in Older Listeners with Probable Age-Related Auditory Neuropathy"],"prefix":"10.3766","volume":"14","author":[{"given":"George A.","family":"Gates","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick M.","family":"Feeney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger J.","family":"Higdon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2087","container-title":["Journal of the American Academy of Audiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/aaa\/jaaa\/2003\/00000014\/00000010\/art00006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T23:08:26Z","timestamp":1738796906000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.3766\/jaaa.14.10.6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,10,1]]},"references-count":0,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2003,10,1]]}},"alternative-id":["1050-0545(20031001)14:10L.574;1-"],"URL":"https:\/\/doi.org\/10.3766\/jaaa.14.10.6","relation":{},"ISSN":["1050-0545"],"issn-type":[{"type":"print","value":"1050-0545"}],"subject":[],"published":{"date-parts":[[2003,10,1]]}}}