scholarly journals Validation of SHOEBOX QuickTest Hearing Loss Screening Tool in Individuals With Cognitive Impairment

2021 ◽  
Vol 3 ◽  
Author(s):  
Andrew Frank ◽  
Serena Goldlist ◽  
Amy E. Mark Fraser ◽  
Matthew Bromwich

Objectives: The aim of this study was to validate a novel iPad-based rapid hearing loss screening tool (SHOEBOX QuickTest) in individuals with cognitive impairment.Design: Cross-sectional validation study.Setting: Bruyère Research Institute, Ottawa, Canada.Subjects and Methods: Twenty-five individuals with mild cognitive impairment (MCI) and mild dementia from the Bruyère Memory Program were included in this study. The study consisted of two components: (1) SHOEBOX QuickTest hearing screener and (2) a conventional hearing test (pure tone audiometry).Measurements: Hearing was assessed at 1,000, 2,000, and 4,000 Hz separately for each ear. The agreement between hearing ability groupings (good vs. reduced) from conventional hearing test and SHOEBOX QuickTest was determined. Specifically, accuracy, sensitivity, specificity, as well as alignment between conventional thresholds and hearing threshold ranges.Results: An overall accuracy of 84% was observed for SHOEBOX QuickTest, and a sensitivity and specificity of 100 and 66.7%, respectively. 72% ([95% CI], 60.0–84.1%) of conventional audiometry thresholds were within the pre-established 10 dB SHOEBOX QuickTest.Conclusion: SHOEBOX QuickTest is a valid hearing loss screening tool for individuals with cognitive impairment. Implementing this iPad-based screening tool in memory clinics could not only aid in the timely diagnosis of hearing loss, but also assist physicians in providing a better assessment of cognitive impairment by ruling out hearing loss as a confounding variable.

e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Febrina R. Wuwung ◽  
Ora I. Palandeng ◽  
Olivia C. P. Pelealu

Abstract: Diabetes mellitus is a group of chronic metabolic disease which can affect nearly every organ system in the body. Complications of this disease are diverse and include retinopathy, nepropathy and neuropathy. It has a high prevalence and continued to increase. The relationship between diabetes mellitus and hearing loss have been studied. This study aimed to obtain the average of hearing threshold in patients with diabetes mellitus. This was a descriptive observational study with a cross sectional design. Total 38 diabetes mellitus patients were included in the study. Hearing threshold obtained based on air conduction pure tone audiometry average at 500, 1000, 2000, and 4000 Hz. The results showed that subjects were 65.8% females and 32.4% males. There were 9 subjects (23.6%) with normal hearing, 24 subjects (63.2%) with bilateral hearing loss, and 5 subjects (13.2%) with unilateral hearing loss. Of the 29 subjects with hearing loss, the levels were mild and moderate. None of the subjects had moderately severe, severe, or profound. Conclusion: The majority of subjects in this study had hearing loss.Keywords: diabetes mellitus, hearing threshold, pure tone audiometryAbstrak: Diabetes melitus merupakan suatu kelompok penyakit metabolik kronik yang dapat mempengaruhi hampir setiap sistem organ dalam tubuh. Komplikasi penyakit ini beragam, termasuk retinopati, nefropati dan neuropati. Prevalensinya cukup tinggi dan diperkirakan akan terus meningkat. Terdapat beberapa penelitian yang menghubungkan diabetes melitus dan gangguan pendengaran. Penelitian ini bertujuan untuk mengetahui ambang pendengaran rata – rata pada penderita diabetes melitus. Penelitian ini merupakan penelitian deskriptif observasional dengan desain penelitian potong lintang. Sampel total ialah 38 pasien diabetes melitus. Ambang pendengaran rata – rata diperoleh berdasarkan hantaran udara audiometri nada murni rata-rata pada frekuensi 500, 1000, 2000, dan 4000 Hz. Hasil penelitian memperlihatkan bahwa subjek penelitian 65,8% perempuan dan 34,2% laki – laki. Terdapat 9 orang (23,6%) yang mempunyai pendengaran normal, 24 orang (63,2 %) mengalami gangguan pendengaran bilateral dan 5 orang (13,2%) dengan gangguan pendengaran unilateral. Dari 29 subjek penelitian dengan gangguan pendengaran mengalami gangguan pendengaran kategori ringan dan sedang. Tidak ditemukan subjek penelitian dengan gangguan pendengaran kategori sedang berat, berat atau sangat berat. Simpulan: Mayoritas subjek penelitian mengalami gangguan pendengar.Kata kunci: ambang pendengaran, audiometri nada murni, diabetes melitus


2020 ◽  
Vol 14 (2) ◽  
pp. 106-114
Author(s):  
Abdullahi Musa Kirfi ◽  
◽  
Mohammed Bello Fufore ◽  
Garba Mohammed Mainasara ◽  
Abdulrazak Ajiya ◽  
...  

Background: Prisoners, due to confinement are isolated from contact with the society and access to many of the facilities, including medical care. This study aimed to evaluate the hearing threshold of inmates of Kaduna convict prison. Method: It was a cross-sectional study of prison inmates at the Kaduna convict prison between April 2017 and February 2019. Ethical approvals were obtained from relevant bodies and all consented inmates aged 18 – 55years in the Kaduna convict prison were enrolled. Equal number of control matched for age and gender were enrolled from the communities in Kaduna North Local Government Area. Data were collated using a structured questionnaire. A diagnostic Pure Tone Audiometry was performed to assess their hearing threshold. Statistical Package for Social Sciences (SPSS) version 20.0 was used for analysis. Results: Four hundred and thirty inmates and equal number of control group were enrolled. The mean age for the inmates and controls were 30.2±7.5 and 30.4±8.02 years respectively. There were 383 males and 47 females in both groups. Among the 860 ears of the inmates, 238(27.7%) ears had hearing loss while in the control group, 95/ (11.1%) ears had impaired hearing. Conductive hearing loss was the commonest among the inmates 111(46.6%) while sensorineural was commoner among the controls 57(60.0%). The mean pure tone average among the inmates was 25.6±11.3dBHL and 26.1±11.2dBHL on the right and left ears respectively while in the control group, it was 18.4±7.8dBHL on the right and 17.9±7.9dBHL on the left. Conclusion: This study revealed that hearing loss was more prevalent among prison inmates than the general population. In majority of the inmates, the hearing loss was mild, conductive and mostly affecting all the frequencies.


2021 ◽  
Vol 16 (1) ◽  
pp. 12-15
Author(s):  
Iftekharul Islam ◽  
Md Abdullah Al Jobair ◽  
Mohammad Ahmed Ahsan ◽  
Mushtaq Ahmad ◽  
Mohammad Delwar Hossain ◽  
...  

Introduction: Noise-induced hearing loss is a significant, often unrecognized health problem among the military pilots. Advanced aircraft are powerful and more efficient but generate high noise causing noise-induced hearing loss (NIHL) among military pilots. Aim: To determine the prevalence of noise-induced hearing loss among pilots of the Bangladesh Air Force (BAF) and its association with aircraft type and flying hours. Methods: This cross-sectional study was carried out at Central Medical Board (CMB), Bangladesh Air Force (BAF) Dhaka from April 2017 to March 2018. The audiometry was done in the ENT department of CMB, BAF. Pure-tone audiometry was used to measure hearing thresholds and following pure tone frequencies were used for the test: 0.25, 0.5, 1, 2, 3, 4, 6 and 8 kHz. The association between flight hours and the development of noise-induced hearing loss was analyzed in the different age groups. Results: The study revealed NIHL in the aircrew was 16.5% with a higher prevalence among the helicopter pilots (18.6%) as compared with fighter (16.7%) and transport (11.5%) pilots. The left ear was affected in most of the cases than the right ear. Pilots of more than 40 years old and ≥1500 flying hours had a significantly higher hearing threshold compared with other categories. Conclusion: Exposure to noise in aircrew is unavoidable. By avoiding prolonged exposure to loud noise environments and utilization of personal hearing safety devices can prevent noise-induced hearing loss. JAFMC Bangladesh. Vol 15, No 1 (June) 2020: 12-15


The etiology of hearing misfortune is multifactorial which makes the analysis a difficult exercise and frequently an unsolved puzzle. While unadulterated tone audiometry is an obligatory examination, others, for example, research facility and radiology depend on clinical assessment. This current report's on the examination of connection between self-detailed commotion presentation amid relaxation activities and audiological indicators including measured hearing threshold levels (HTL) and tinnitus. The research was conducted by cross sectional survey of 1432 individuals from 11 to 35 years old. Methodology included of a full audiometric assessment including otoscopy, pure tone audiometry (PTA), otoacoustic emission (OAE) and tympanometry, hearing loss investigation, diagnosis, evoked response audiometry radiology, deafness.


2021 ◽  
Vol 64 (12) ◽  
pp. 861-867
Author(s):  
Seok-Youl Choi ◽  
Jee Won Moon ◽  
June Choi ◽  
Jae-Jun Song ◽  
Gi Jung Im ◽  
...  

Background and Objectives Self-reported hearing levels determined by self-report questionnaires are not always correlated with the audiometric hearing level. It is necessary to ascertain the subjectively perceived normal hearing threshold to determine the need for hearing aids at the appropriate time. The objective is to identify the level of correlation between the self-reported hearing level and the audiometric hearing level and ascertain the subjectively perceived normal hearing threshold for each age group.Subjects and Method This cross-sectional study, using the data from the Korea National Health and Nutrition Examination Survey V, looked at participants with hearing loss who were aged ≥40 years. Pure tone audiometry was conducted bilaterally. Self-reported hearing level was ascertained via survey enquiring about hearing loss. The level of correlation between self-reported hearing level and audiometric hearing level, age-specific patterns of hear-ing self-evaluation and subjectively perceived normal hearing values at which participants complained of hearing loss were main outcomes.Results Mean audiometric thresholds (MATs) increased with the age and degree of self-reported hearing level. The accuracy of self-reported hearing level compared to the audiometric threshold decreased with age both in the better-ear and worse-ear groups. Younger participants tended to overestimate their hearing impairment, while older participants tended to underestimate it. Subjectively perceived normal hearing thresholds increased with age and they were very close to the MATs for each age group.Conclusion Results can be useful for devising different age-group specific pure tone audi-ometry-based diagnostic criteria for self-reported hearing loss, which can be used to determine the need for hearing aid in a timely manner.


Author(s):  
Sabreena Mukhtar ◽  
James Thomas ◽  
Girija Ghate ◽  
Raphella Khan

<p class="abstract"><strong>Background:</strong> Chronic kidney disease (CKD) is considered to be a major public health problem and only some studies have subsequently suggested the possibility of a link between the ear and the kidney. The aim of the study was to look for an association between the hearing loss and its association with CKD in absence of any underlying co-morbidities.</p><p class="abstract"><strong>Methods:</strong> The study design was a hospital based cross sectional study. 50 patients diagnosed with CKD were included. The patients were subjected to general physical examination, examination of ear by otoscopy and hearing test by tuning fork test (256 Hz, 512 Hz and 1024 Hz). Pure tone audiometry (PTA) was also done.  </p><p class="abstract"><strong>Results:</strong> It was observed that 24% patients were having unilateral or bilateral hearing loss. Of the 12 patients with hearing loss, PTA threshold was below or equal to 35 dB in 4 patients. Hearing threshold of 45 dB was observed in 3 patients. All 3 patients had unilateral involvement. 2 had hearing loss in right ear whereas left ear was involved in 1 patient. 5 patients had hearing threshold between 45-60 dB. Of these 5 patients, 3 had bilateral ear involvement whereas unilateral ear involvement was seen in remaining 2 patients.</p><p class="abstract"><strong>Conclusions:</strong> CKD is commonly associated with senorineuronal hearing loss. The incidence was 24% in our study population. PTA can be a non-invasive procedure which may be employed to detect CKD patients suffering from any hearing loss.</p>


2019 ◽  
Vol 10 (5) ◽  
pp. 49-54
Author(s):  
Nisha Ghimire ◽  
Sanjeev Kumar Thakur ◽  
Abhisesa Kumar Jha ◽  
Renu Yadav ◽  
Soumitra Mukhopadhyay

Introduction: Traffic police are continually exposed to loud noise. The pure tone audiometric screening for hearing test has not been done in Biratnagar Nepal. So, we conducted a study to screen hearing ability and also to find out hearing thresholds among traffic police with normal hearing ability. Materials and methods: The study was conducted among 36 traffic police personnel. The 25dB sound was administered with audiometer (name) in different frequencies (1 kHz, 2 kHz, 3 kHz, 4 kHz and 8 kHz) for screening hearing loss in left and right ears. The threshold for hearing among normal hearing traffic personnel was compared with controls in all the frequencies. Result: Among 36 traffic police, 17(47.2%) had hearing loss. Maximum (n=8) hearing loss was seen in 4 kHz (4 - unilateral and 4 – bilateral) followed by 3 kHz (n=4, 3 unilateral and 1 bilateral) and mixed 3kHz and 4 kHz frequencies. The percentage of hearing loss in 2 kHz, 3 kHz and 4 kHz frequencies was more in left ear compared to right.  The threshold for hearing loss was higher in traffic police compared to controls .In the left ear, it was only in 4kHz {(25.91+6.64 Vs 20.45±4.15,( p=.034)} whereas in right ear, the threshold was higher in 3 kHz {20.45±5.22 Vs 15.91±4.90, (p=0.04)}, 4 kHz {25.45±12.54 Vs 16.82±5.60, (p=0.05)} and 8000 kHz {18.64±17.62 Vs 6.36±3.23, (p=0.04) . Conclusion: The hearing loss was present in 47.2% of traffic policemen predominantly in 4 kHz. The threshold for hearing was also higher among traffic police compared to controls.    


BMJ Open ◽  
2014 ◽  
Vol 4 (10) ◽  
pp. e005529 ◽  
Author(s):  
Arve Lie ◽  
Marit Skogstad ◽  
Torstein Seip Johnsen ◽  
Bo Engdahl ◽  
Kristian Tambs

ObjectiveRailway workers performing maintenance work of trains and tracks could be at risk of developing noise-induced hearing loss, since they are exposed to noise levels of 75–90 dB(A) with peak exposures of 130–140 dB(C). The objective was to make a risk assessment by comparing the hearing thresholds among train and track maintenance workers with a reference group not exposed to noise and reference values from the ISO 1999.DesignCross-sectional.SettingA major Norwegian railway company.Participants1897 and 2730 male train and track maintenance workers, respectively, all exposed to noise, and 2872 male railway traffic controllers and office workers not exposed to noise.Outcome measuresThe primary outcome was the hearing threshold (pure tone audiometry, frequencies from 0.5 to 8 kHz), and the secondary outcome was the prevalence of audiometric notches (Coles notch) of the most recent audiogram.ResultsTrain and track maintenance workers aged 45 years or older had a small mean hearing loss in the 3–6 kHz area of 3–5 dB. The hearing loss was less among workers younger than 45 years. Audiometric notches were slightly more prevalent among the noise exposed (59–64%) group compared with controls (49%) for all age groups. They may therefore be a sensitive measure in disclosing an early hearing loss at a group level.ConclusionsTrain and track maintenance workers aged 45 years or older, on average, have a slightly greater hearing loss and more audiometric notches compared with reference groups not exposed to noise. Younger (<45 years) workers have hearing thresholds comparable to the controls.


Author(s):  
Tran Dai Tri Han ◽  
Keiko Nakamura ◽  
Kaoruko Seino ◽  
Vo Nu Hong Duc ◽  
Thang Van Vo

This study examined the prevalence of cognitive impairment among older adults in central Vietnam and the roles of communication (with or without communication devices) in the association between cognitive impairment and hearing loss. This cross-sectional study was performed on 725 randomly selected community-dwelling older adults aged ≥60 years from Thua Thien Hue province, Vietnam. Participants attended a face-to-face survey. Sociodemographic characteristics, social interaction with or without communication devices, health status and cognitive function using the Mini-Mental State Examination were reported. Ordinal logistic regression analysis was performed to quantify the association between hearing loss and cognitive function by frequency of communication with and without devices. Mild and severe cognitive impairment had prevalence rates of 23.6% and 19.3%, respectively. Cognitive impairment was more prevalent among older adults with hearing-loss, vision loss and difficulties with instrumental activities of daily living (IADL). The association between hearing loss and cognitive impairment was not significant when older adults had frequent communication with others using devices. This study presented the relatively high prevalence of cognitive impairment in community-dwelling older adults in Vietnam. Frequent communication using devices attenuated the association between hearing loss and cognitive impairment.


Author(s):  
Jubina Bency A. T. ◽  
Sarangi . ◽  
Sebastian Roy ◽  
Shalu Sara Mathew ◽  
Shamseena A. ◽  
...  

Background: Hearing loss is a cause of global concern. Percussionists are exposed to greater levels of continuous or intermittent noise than others. Little is known about the relationship between percussion activity and hearing impairment. The early detection of the same and subsequent management makes a significant reduction in the burden of health care services. The objective was to study the proportion of hearing impairment in percussionists in the district of Thrissur using an IOS based mobile application.Methods: A cross sectional study was done on percussionists from Thrissur district who has experience of more than five years and has no congenital or traumatic hearing loss. A predesigned semi structured questionnaire was given and hearing tests were done using a mobile application U hear in a sound proof setting to understand the current state of hearing ability amoung the percussionists.Results: A total of 39 subjects were involved in our study of which all were males. Mean age of our study population was 30.44+12.04. most of them were diagnosed with at least mild degree of hearing loss of one of the ear or both the ears. 15.4% of them had mild degree of hearing loss, 64.1% had moderate degree of hearing loss and 20.5% had severe hearing loss.Conclusions: The study shows percussionists are more exposed to sounds of various frequencies for longer duration, they are more prone to hearing loss. The study brought out that age is directly proportional to hearing loss, music induced hearing loss progress at a rate proportion to the work experience. 


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