Auditory Quality-of-Life Measures in Patients With Traumatic Brain Injury and Normal Pure Tone Audiometry

2020 ◽  
Vol 163 (6) ◽  
pp. 1250-1254
Author(s):  
Renata M. Knoll ◽  
Rory J. Lubner ◽  
Jacob R. Brodsky ◽  
Kevin Wong ◽  
David H. Jung ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Traumatic Brain Injury ◽  
Hearing Loss ◽  
Brain Injury ◽  
Pure Tone Audiometry ◽  
Tinnitus Handicap Inventory ◽  
Hearing Thresholds ◽  
Patient Reported ◽  
Hearing Handicap

Auditory complaints are commonly reported following traumatic brain injury (TBI). However, few studies have examined patient-reported auditory symptomatology and quality-of-life metrics in individuals with TBI. We hypothesize that following TBI, individuals can experience auditory symptoms even with hearing thresholds in the normal range. Adult patients with normal auditory thresholds and a history of TBI were evaluated for subjective hearing loss, tinnitus, aural fullness, hyperacusis, and autophony. Hearing Handicap Inventory for Adults, Tinnitus Handicap Inventory, and Hyperacusis Questionnaire were administered. Thirty-one patients were prospectively recruited. Twenty-eight TBI participants (90%) reported ≥1 auditory symptoms at the time of survey intake. Mild to severe handicap in the Hearing Handicap Inventory for Adults and Tinnitus Handicap Inventory was reported in 71.4% and 40% of the participants with hearing loss and tinnitus, respectively. Hyperacusis handicap was considered significant in 41.1% of the participants who complained of hyperacusis and completed the survey. Despite normal hearing thresholds, individuals with TBI experience decrements in auditory quality-of-life metrics. Level of evidence: 3.

scholarly journals A Prospective Study to Evaluate Effectiveness of a Tinnitus Relief Device in a Clinical Setup

2019 ◽  
Vol 02 (01) ◽  
pp. 27-32
Author(s):  
Nitin Aggarwal ◽  
Soniya Gupta ◽  
Prashant Goyal
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Prospective Study ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Medical Field ◽  
Tinnitus Handicap Inventory ◽  
Score Following ◽  
A Prospective Study

Abstract Introduction Tinnitus has been shown to decrease the quality of life of a person. Being a less understood domain of the medical field, there are no definitive established therapies that can be applied to all patients of tinnitus. The current study is an effort to evaluate the effectiveness of the Tinnitus Relief device in the patients of tinnitus. Aim To evaluate the effectiveness of Tinnitus Relief device TRx in treatment of tinnitus. Methods A prospective study involving 67 participants suffering from tinnitus was conducted in a clinical setup at Delhi, Chandigarh, and Mumbai. These participants were subjected to pure tone audiometry (PTA) and an interview using Tinnitus Handicap Inventory (THI) questionnaire. These participants were advised to use Tinnitus Relief device TR201, TR301, TR401 for more than 6 to 10 months. Improvement in tinnitus in terms of percentage, questions pertaining to THI, and overall improvement in life (subjective) were evaluated after discontinuation of the use of the device in each participant. Results It was found that there was significant improvement in mean THI score, following treatment with Tinnitus Relief TRx. This device was also able to completely alleviate 5 out of 12 associated complaints of tinnitus. No association could be found between the use of Tinnitus Relief therapy and hearing loss. Conclusion Tinnitus Relief TRx can emerge as an effective tool for treatment of the tinnitus and can improve the life of the sufferer.

scholarly journals Hubungan frekuensi dan intensitas tinitus subjektif dengan kualitas hidup pasien

2015 ◽  
Vol 45 (1) ◽  
pp. 19
Author(s):  
Dimas Adi Nugroho ◽  
Muyassaroh Muyassaroh ◽  
Zulfikar Naftali
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Moderate Level ◽  
Tinnitus Handicap Inventory ◽  
Pitch Matching ◽  
Subjective Tinnitus ◽  
Age Range

Latar belakang: Tinitus subjektif menimbulkan stres, depresi, kecemasan, dan penurunan kualitashidup. Frekuensi dan intensitas tinitus dilaporkan berhubungan dengan beratnya gangguan pada pasien.Hubungan frekuensi dan intensitas tinitus dengan kualitas hidup pasien menggunakan kuisioner TinnitusHandicap Inventory (THI) belum pernah dilaporkan di Indonesia. Tujuan: Menganalisis hubunganfrekuensi dan intensitas tinitus subjektif dengan kualitas hidup pasien. Metode: Desain penelitian potonglintang . Sampel penelitian adalah pasien tinitus subjektif yang datang ke klinik THT-KL RSUP Dr. Kariadi.Frekuensi dan intensitas tinitus diperiksa pitch-matching dan loudness-matching dengan audiometernada murni. Kualitas hidup dinilai menggunakan skor THI. Analisis data dengan uji korelasi. Hasil:Subjek penelitian sebanyak 31 pasien, laki-laki 15 orang (48,4%) dan perempuan 16 orang (51,6%),dengan rentang umur 25-60 tahun. Pasien dengan pendengaran normal sebanyak 18 orang (58,1%) dankurang pendengaran sebanyak 13 orang (41,9%). Gangguan kualitas hidup pasien terbanyak didapatkangangguan sedang, sebanyak 12 (38,7%). Frekuensi tinitus berhubungan dengan kualitas hidup pasien(p=0,005) dengan tingkat korelasi sedang (r=0,491). Intensitas tinitus berhubungan dengan kualitas hiduppasien (p=0,043) dengan tingkat korelasi lemah (r=0,365). Kesimpulan: Frekuensi dan intensitas tinitusberhubungan dengan kualitas hidup pasien. Kata kunci: tinitus subjektif, kualitas hidup, Tinnitus Handicap InventoryABSTRACT Background: Subjective tinnitus causes stress, depression, anxiety, and decrease quality of life. Thefrequency and intensity of tinnitus has been reported to have correlation with patients discomfort.Correlation between frequency and intensity of tinnitus with quality of life using Tinnitus HandicapInventory (THI) questionnaires has never been reported in Indonesia. Objective: To analize correlationbetween frequency and intensity of subjective tinnitus with quality of life. Method: Cross sectionalstudy was used in this research. Samples of the study were subjective tinnitus patients who attendedOtolaryngologic clinic Kariadi Hospital. Frequency and intensity of tinnitus was examined by pitchloudnessmatching using pure tone audiometry. Quality of life was assessed by THI scores. Correlationtest used to analize the data. Results: Subject of the study were 31 patients, consisted of 15 (48,4%)males and 16 (51,6%) females, age range between 25-60 years old. Eighteen (58,1%) patients had normalhearing and 13 (41,9%) with hearing loss. The highest disturbance of quality of life obtained in patientswas moderate handicap in 12 (38,7%) patients. Correlation between frequency of tinnitus with qualityof life was statistically significant (p=0,005) with moderate level of correlation (r=0,491). Correlationbetween intensity of tinnitus with quality of life was statistically significant (p=0,043) with weak level ofcorrelation (r=0,365). Conclusion: Frequency and intensity of subjective tinnitus had correlation withquality of life. Keywords: subjective tinnitus, quality of life, Tinnitus Handicap Inventory

THE IMPACT OF TRAUMATIC BRAIN INJURY ON PATIENT-REPORTED PHYSICAL AND MENTAL HEALTH

2015 ◽  
Vol 86 (11) ◽  
pp. e4.114-e4
Author(s):  
Nikos Gorgoraptis ◽  
Joanna Zaw-Linn ◽  
Claire Feeney ◽  
Carmen Tenorio Jimenez ◽  
Mari Niemi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Injury Severity ◽  
Nottingham Health Profile ◽  
Well Being ◽  
Sf 36 ◽  
Patient Reported ◽  
The Impact

Traumatic Brain Injury (TBI) is a major cause of disability, with staggering social consequences, but little is known on what determines the impact of TBI from the patient's perspective.In an audit of 240 patients (172 males, median age: 42 years, range: 20–89 years) who attended our multidisciplinary TBI clinic, we examined the impact of cognitive function, depression, sleep, history of substance abuse, age, injury severity (172 moderate-severe, 68 possible-mild TBI) and time since injury (median: 4 months, range: 20 days–28 years) on two patient-reported measures of quality of life: SF–36 Health Survey and Nottingham Health Profile (NHP).Worse outcomes in NHP and both Mental and Physical sub-scores of SF–36 were associated with poorer cognitive performance, as measured by ACE–R. Depression, examined using BDI–II, showed a strong negative correlation with both quality of life measures. Sleep-related symptoms were also strongly associated with worse patient-reported outcomes. Patients reported poorer outcomes in both SF-36 and NHP when examined at a later time since their injury, and this effect could not be attributed to older age.Impairments in cognition, mood and sleep following TBI may have a significant impact on patients' perception of their physical and mental well-being.

Decompressive Craniectomy is Associated with Improved Quality of Life Up to Ten Years After Rehabilitation from Traumatic Brain Injury

2019 ◽  
Author(s):  
Katrin Rauen ◽  
Lara Reichelt ◽  
Philipp Probst ◽  
Barbara Schäpers ◽  
Friedemann Müller ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Decompressive Craniectomy

Self-awareness four years after severe traumatic brain injury: discordance between the patient’s and relative’s complaints. Results from the PariS-TBI study

2017 ◽  
Vol 32 (5) ◽  
pp. 692-704 ◽  
Author(s):  
Camille Chesnel ◽  
Claire Jourdan ◽  
Eleonore Bayen ◽  
Idir Ghout ◽  
Emmanuelle Darnoux ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Significant Relationship ◽  
Injury Severity ◽  
Chronic Phase ◽  
Functional Independence ◽  
Severe Tbi

Objective: To evaluate the patient’s awareness of his or her difficulties in the chronic phase of severe traumatic brain injury (TBI) and to determine the factors related to poor awareness. Design/Setting/Subjects: This study was part of a larger prospective inception cohort study of patients with severe TBI in the Parisian region (PariS-TBI study). Intervention/Main measures: Evaluation was carried out at four years and included the Brain Injury Complaint Questionnaire (BICoQ) completed by the patient and his or her relative as well as the evaluation of impairments, disability and quality of life. Results: A total of 90 patient-relative pairs were included. Lack of awareness was measured using the unawareness index that corresponded to the number of discordant results between the patient and relative in the direction of under evaluation of difficulties by the patient. The only significant relationship found with lack of awareness was the subjective burden perceived by the relative (Zarit Burden Inventory) ( r = 0.5; P < 0.00001). There was no significant relationship between lack of awareness and injury severity, pre-injury socio-demographic data, cognitive impairments, mood disorders, functional independence (Barthel index), global disability (Glasgow Outcome Scale), return to work at four years or quality of life (Quality Of Life after Brain Injury scale (QOLIBRI)). Conclusion: Lack of awareness four years post severe TBI was not related to the severity of the initial trauma, sociodemographic data, the severity of impairments, limitations of activity and participation, or the patient’s quality of life. However, poor awareness did significantly influence the weight of the burden perceived by the relative.

Fatigue After Traumatic Brain Injury and Its Impact on Participation and Quality of Life

2008 ◽  
Vol 23 (1) ◽  
pp. 41-51 ◽  
Author(s):  
Joshua B. Cantor ◽  
Teresa Ashman ◽  
Wayne Gordon ◽  
Annika Ginsberg ◽  
Clara Engmann ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Traumatic Brain Injury ◽  
Brain Injury
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