{"doi":"10.1016/j.otohns.2005.11.039","title":"Incidence of Spontaneous Hearing Threshold Shifts during Modern Concert Performances","abstract":"<jats:sec><jats:title>OBJECTIVES</jats:title><jats:p>Concerts have long periods of intense sound with short break intervals. Hearing concerns are well known to performers; concertgoers largely ignore them. Preperformance and postperformance audiograms were compared to assess hearing threshold shifts with and without earplugs.</jats:p></jats:sec><jats:sec><jats:title>METHODS</jats:title><jats:p>A prospective, randomized study in which 29 volunteers attended 3 concerts, encompassing 3 music genres. Audiograms, seating location, sound intensity, and earplug‐use data were collected. Data were analyzed to determine frequency test‐retest variability.</jats:p></jats:sec><jats:sec><jats:title>RESULTS</jats:title><jats:p>Sound levels averaged 99.8 dBA, and the maximum was 125.6 dBA. Sixty‐four percent (9/14) of participants without earplugs showed significant threshold shifts compared with 27% (4/15) of those using earplugs. No significant differences existed between music genres or seating location.</jats:p></jats:sec><jats:sec><jats:title>CONCLUSIONS</jats:title><jats:p>This study showed a high incidence of threshold shifts in unprotected concertgoers. Sound levels exceeded all Occupational Safety and Health Act rules despite standardized sound systems. A significant reduction in threshold shifts was seen with the use of earplugs.</jats:p></jats:sec>","journal":"Otolaryngology–Head and Neck Surgery","year":2006,"id":673069,"datarank":0.6284482113039639,"base_score":4.189654742026425,"endowment":4.189654742026425,"self_citation_contribution":0.6284482113039639,"citation_network_contribution":0.0,"self_endowment_contribution":0.6284482113039639,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":65,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":4,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1758569,"name":"William Reifman","orcid":null,"position":1,"is_corresponding":false},{"id":1758570,"name":"Robert Schlauch","orcid":null,"position":2,"is_corresponding":false},{"id":1758571,"name":"Samuel Levine","orcid":null,"position":3,"is_corresponding":false},{"id":1758567,"name":"David A. Opperman","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Incidence of Spontaneous Hearing Threshold Shifts during Modern Concert Performances","abstract":"<jats:sec><jats:title>OBJECTIVES</jats:title><jats:p>Concerts have long periods of intense sound with short break intervals. Hearing concerns are well known to performers; concertgoers largely ignore them. Preperformance and postperformance audiograms were compared to assess hearing threshold shifts with and without earplugs.</jats:p></jats:sec><jats:sec><jats:title>METHODS</jats:title><jats:p>A prospective, randomized study in which 29 volunteers attended 3 concerts, encompassing 3 music genres. Audiograms, seating location, sound intensity, and earplug‐use data were collected. Data were analyzed to determine frequency test‐retest variability.</jats:p></jats:sec><jats:sec><jats:title>RESULTS</jats:title><jats:p>Sound levels averaged 99.8 dBA, and the maximum was 125.6 dBA. Sixty‐four percent (9/14) of participants without earplugs showed significant threshold shifts compared with 27% (4/15) of those using earplugs. No significant differences existed between music genres or seating location.</jats:p></jats:sec><jats:sec><jats:title>CONCLUSIONS</jats:title><jats:p>This study showed a high incidence of threshold shifts in unprotected concertgoers. Sound levels exceeded all Occupational Safety and Health Act rules despite standardized sound systems. A significant reduction in threshold shifts was seen with the use of earplugs.</jats:p></jats:sec>","is_dataset_classified":null,"base_score":4.189654742026425,"endowment":4.189654742026425,"datacite_reuse_total":4,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"16564394","pmcid":null,"openalex_id":"https://openalex.org/W2151126416","authors":[],"funders":[],"total_grants":0,"fwci":1.3383,"citation_percentile":0.81057198,"influential_citations":0,"citation_trend":[{"year":2012,"count":1},{"year":2013,"count":3},{"year":2014,"count":2},{"year":2015,"count":7},{"year":2016,"count":8},{"year":2017,"count":6},{"year":2018,"count":4},{"year":2019,"count":3},{"year":2020,"count":9},{"year":2021,"count":6},{"year":2023,"count":2},{"year":2024,"count":3},{"year":2025,"count":3},{"year":2026,"count":2}],"oa_status":"closed","license":"http://onlinelibrary.wiley.com/termsAndConditions#vor","oa_locations":[{"url":"https://onlinelibrary.wiley.com/doi/pdf/10.1016/j.otohns.2005.11.039","host_type":"publisher"},{"url":"https://onlinelibrary.wiley.com/doi/full-xml/10.1016/j.otohns.2005.11.039","host_type":"publisher"},{"url":"https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/pdf/10.1016/j.otohns.2005.11.039","host_type":"publisher"},{"url":"https://doi.org/10.1016/j.otohns.2005.11.039","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/16564394","host_type":"repository"}],"fields_of_study":["Musicians’ Health and Performance","Hearing Loss and Rehabilitation","Hearing, Cochlea, Tinnitus, Genetics","Adolescent","Adult","Audiometry","Auditory Threshold","Female","Hearing","Humans","Male","Middle Aged","Music","Prospective Studies","Sound"],"mesh_terms":["Adolescent","Adult","Audiometry","Auditory Threshold","Female","Hearing","Humans","Male","Middle Aged","Music","Prospective Studies","Sound"],"keywords":["Audiogram","Audiology","Absolute threshold of hearing","Auditory fatigue","Incidence (geometry)","Sound exposure","Hearing loss","Audiometry","Medicine","Sound (geography)","Psychology","Noise exposure","Acoustics","Mathematics"],"sdg_mappings":[],"linked_datasets":[{"doi":"10.6084/m9.figshare.12949541.v1","title":"Additional file 1 of Which interventions increase hearing protection behaviors during noisy recreational activities? 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