Hearing Vital Signs: Mobile Audiometry in the Emergency Department for Evaluation of Sudden Hearing Loss
| Autor: | Kevin H. Franck, Aaron K. Remenschneider, H. Gregory Ota, Renata M. Knoll, Rebecca M Lewis, Rory J. Lubner, Eric Barbarite, Neil S. Kondamuri, Elliott D. Kozin |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Hearing loss Hearing Loss Sensorineural Vital signs Audiology Sensitivity and Specificity Audiometry Predictive Value of Tests Medicine Humans Audiometer Air conduction medicine.diagnostic_test business.industry Auditory Threshold Emergency department Audiogram Middle Aged Sudden Hearing Loss Otorhinolaryngology Computers Handheld Surgery Female medicine.symptom business Emergency Service Hospital |
| Zdroj: | Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 163(5) |
| ISSN: | 1097-6817 |
| Popis: | Emergency departments (EDs) are a common location for patients to present with sudden hearing loss (SHL). Unfortunately, high-quality, rapid quantitative measurement of hearing loss is challenging. Herein, we aim to evaluate the accuracy of tablet-based audiometry in patients complaining of SHL. Prospective tablet-based testing was completed in the ED in patients complaining of SHL. Air conduction thresholds (ACTs) obtained via tablet-based audiometry were compared to same-day measurements with a clinical-grade audiometer. Hearing loss (HL) was defined as >20 dB ACT for any frequency. In participant-level analysis, 30+ dB HL in 3 consecutive frequencies was used to define SHL. In the ED, mobile audiogram ACTs were within 5 dB (77%) and 10 dB (89.6%) of those determined by conventional audiometry. The sensitivity and specificity for mobile audiometry to detect 3 or more consecutive thresholds with 30+ dB HL were 100% and 62.5%, respectively. Findings have implications for increasing access to high-quality audiometry. |
| Databáze: | OpenAIRE |
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