The abstract is read at the publisher; the summary is JClub's.
eHF pure-tone average (10–16 kHz) is the most age-sensitive auditory metric and best predicts speech-in-noise performance in 263 Swedish adults’ ears.
- Why it matters: Conventional audiometric thresholds at standard frequencies often fail to explain speech-in-noise deficits, leaving uncertainty about whether high-frequency loss or ABR-inferred synaptopathy better predicts real-world hearing.
- What they did: In a cross-sectional analysis of 526 ears from tinnitus-free adults, air-conduction audiometry (0.5–16 kHz), click-evoked ABR, otoacoustic emissions, and speech-in-noise/word recognition were modeled with multivariable regression.
- The result: eHF PTA explained 64% of age-related variance versus 16% for PTA4, and eHF thresholds predicted speech-in-noise better than PTA4, otoacoustic emissions, or ABR; ABR wave I amplitude added nothing, while longer wave I latency predicted poorer word recognition, with a ~27-percentage-point drop in older adults for ~1.0 to 1.8 ms.
The findingWhy it mattersWhat they didThe result
AI summary of the abstract · may contain errors · not medical advice · read the paper.