Smartphone-based audiometric test for screening hearing loss in the elderly
| Autor: | Sara Abu-Ghanem, Lior Ness, Ophir Handzel, Miri Ben-Artzi-Blima, Karin Fait-Ghelbendorf, Mordechai Himmelfarb |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Hearing loss medicine.medical_treatment Audiology Deafness 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires otorhinolaryngologic diseases medicine Humans Mass Screening 030212 general & internal medicine 030223 otorhinolaryngology Hearing Loss Audiometer Aged Aged 80 and over Rehabilitation medicine.diagnostic_test business.industry Pure tone Significant difference Audiometric test Reproducibility of Results General Medicine Equipment Design Otorhinolaryngology Audiometry Pure-Tone Female Smartphone Audiometry medicine.symptom business |
| Zdroj: | European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. 273(2) |
| ISSN: | 1434-4726 |
| Popis: | Hearing loss is widespread among the elderly. One of the main obstacles to rehabilitation is identifying individuals with potentially correctable hearing loss. Smartphone-based hearing tests can be administered at home, thus greatly facilitating access to screening. This study evaluates the use of a smartphone application as a screening tool for hearing loss in individuals aged ≥65 years. Twenty-six subjects aged 84.4 ± 6.73 years (mean ± SD) were recruited. Pure-tone audiometry was administered by both a smartphone application (uHear for iPhone, v1.0 Unitron, Canada) and a standard portable audiometer by trained personnel. Participants also completed a questionnaire on their hearing. Pure-tone thresholds were compared between the two testing modalities and correlated with the questionnaire results. The cutoff point for failing screening tests was a pure tone average of 40 dB for the frequencies 250–6,000 Hz. The smartphone application’s pure tone thresholds were higher (poorer hearing) than the audiometric thresholds, with a significant difference in all frequencies but 2,000 Hz. The application and the audiometric values were in agreement for 24 subjects (92 %). The application had a sensitivity of 100 % and specificity of 60 % for screening compared with the audiometer. The questionnaire was significantly less accurate, having assigned a passing score to three participants who failed both the application and audiometric tests. While a smartphone application may not be able to accurately determine the level of hearing impairment, it is useful as a highly accessible portable audiometer substitute for screening for hearing loss in elderly populations. |
| Databáze: | OpenAIRE |
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