1
|
Ge J, Yan Y, Zhu Y, Cheng X, Li H, Sun X, Jiang H. Development and validation of the screening tool for age-related hearing loss in the community based on the information platform. Eur Arch Otorhinolaryngol 2024; 281:2893-2903. [PMID: 38206390 PMCID: PMC11065916 DOI: 10.1007/s00405-023-08389-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2023] [Accepted: 11/29/2023] [Indexed: 01/12/2024]
Abstract
INTRODUCTION Currently, age-related hearing loss has become prevalent, awareness and screening rates remain dismally low. Duing to several barriers, as time, personnel training and equipment costs, available hearing screening tools do not adequately meet the need for large-scale hearing detection in community-dwelling older adults. Therefore, an accurate, convenient, and inexpensive hearing screening tool is needed to detect hearing loss, intervene early and reduce the negative consequences and burden of untreated hearing loss on individuals, families and society. OBJECTIVES The study harnessed "medical big data" and "intelligent medical management" to develop a multi-dimensional screening tool of age-related hearing loss based on WeChat platform. METHODS The assessment of risk factors was carried out by cross-sectional survey, logistic regression model and receiver operating characteristic (ROC) curve analysis. Combining risk factor assessment, Hearing handicap inventory for the elderly screening version and analog audiometry, the screening software was been developed by JavaScript language and been evaluated and verified. RESULTS A total of 401 older adults were included in the cross-sectional study. Logistic regression model (univariate, multivariate) and reference to literature mention rate of risk factors, 18 variables (male, overweight/obesity, living alone, widowed/divorced, history of noise, family history of deafness, non-light diet, no exercising habit, smoking, drinking, headset wearer habit, hypertension, diabetes, hyperlipidemia, cardiovascular and cerebrovascular diseases, hyperuricemia, hypothyroidism, history of ototoxic drug use) were defined as risk factors. The area under the ROC curve (AUC) of the cumulative score of risk factors for early prediction of age-related hearing loss was 0.777 [95% CI (0.721, 0.833)]. The cumulative score threshold of risk factors was defined as 4, to classify the older adults into low-risk (< 4) and high-risk (≥ 4) hearing loss groups. The sensitivity, specificity, positive predictive value, and negative predictive value of the screen tool were 100%, 65.5%, 71.8%, and 100.0%, respectively. The Kappa index was 0.6. CONCLUSIONS The screening software enabled the closed loop management of real-time data transmission, early warning, management, whole process supervision of the hearing loss and improve self-health belief in it. The software has huge prospects for application as a screening approach for age-related hearing loss.
Collapse
Affiliation(s)
- Jianli Ge
- Department of General Practice, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China
| | - Yunyun Yan
- Department of General Practice, Huashan Hospital, Fudan University, Shanghai, 200040, China
| | - Yinqian Zhu
- Department of General Practice, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China
| | - Xin Cheng
- Department of General Practice, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China
| | - Huazhang Li
- Department of Science and Education, Shanghai Guangming Traditional Chinese Medicine Hospital, Shanghai, 201399, China
| | - Xiaoming Sun
- Department of General Practice, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
- Department of General Practice, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
| | - Hua Jiang
- Department of General Practice, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
| |
Collapse
|
2
|
Winzell Juhlin Å, Rosenhall U, Wallström Berg B, Hoff M, Wetterberg H, Rydén L, Skoog I, Sadeghi A. Hearing acuity in nonagenarians aged 90 and 95 assessed in a home setting using standardized pure-tone audiometry. Int J Audiol 2024:1-11. [PMID: 38517324 DOI: 10.1080/14992027.2024.2329710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2023] [Accepted: 02/11/2024] [Indexed: 03/23/2024]
Abstract
OBJECTIVE Knowledge regarding hearing acuity in the nonagenarian age group is sparse. In this study we aimed to advance our understanding of hearing loss in the 10th decade of life. DESIGN A cross-sectional study in which standardised hearing measurements were performed during home visits, which included care home facilities and nursing homes to maximise participation. STUDY SAMPLE Two unselected groups of individuals aged 90 (n = 42) and 95 (n = 49), sampled from the population-based Gothenburg H70 Birth Cohort Studies. RESULTS 98% of the participants (95% CI [95, 100]) had some degree of hearing loss in their better ear, with 83% (95% CI [73, 89]) having a potentially disabling hearing loss of moderate degree or worse, according to WHO criteria. Furthermore, differences between the two age groups (five years apart) indicate an increasing hearing loss, primarily at frequencies ≥ 2 kHz. CONCLUSION Hearing loss was present in almost all of the participants in the nonagenarian age group and among a majority of them potentially to a degree that would warrant rehabilitation. Carrying out standardised hearing measurements in a home setting was feasible in this age group and enhanced the representativeness of the study population.
Collapse
Affiliation(s)
- Åsa Winzell Juhlin
- Unit of Audiology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
- Hearing Organization, Habilitation & Health, Region Västra Götaland, Gothenburg, Sweden
| | - Ulf Rosenhall
- Unit of Audiology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | | | - Maria Hoff
- Unit of Audiology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Hanna Wetterberg
- Section of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Lina Rydén
- Section of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
- Sahlgrenska University Hospital, Psychiatry, Cognition and Old Age Psychiatry Clinic, Region Västra Götaland, Gothenburg, Sweden
| | - Ingmar Skoog
- Section of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
- Sahlgrenska University Hospital, Psychiatry, Cognition and Old Age Psychiatry Clinic, Region Västra Götaland, Gothenburg, Sweden
| | - André Sadeghi
- Unit of Audiology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
- Hearing Organization, Habilitation & Health, Region Västra Götaland, Gothenburg, Sweden
| |
Collapse
|
3
|
Lohi V, Ohtonen P, Sorri M, Mäki-Torkko E, Hannula S. The impact of cardiovascular diseases on hearing deterioration: a 13-year follow-up study. Int J Audiol 2021; 61:826-831. [PMID: 34751079 DOI: 10.1080/14992027.2021.1998838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE To study the impact of cardiovascular diseases (CVDs) on hearing deterioration among ageing adults in a longitudinal setting. Furthermore, to describe the pure tone threshold changes at the 0.125-8 kHz frequency range over 13 years. DESIGN A population-based follow-up study. STUDY SAMPLE A random sample of 850 adults, of whom 559 participated in the follow-up study. Otological examination, a structured interview, and pure tone audiometry were conducted. Multivariate regression models were used to estimate the effect of CVD (participants had at least one cardiovascular condition) on hearing deterioration of the better ear hearing level (BEHL), defined as a change in the pure-tone average (PTA) of the frequencies 0.5, 1, 2, and 4 kHz and separately at the lower (0.125, 0.25, and 0.5 kHz) and higher (4, 6, and 8 kHz) frequencies. RESULTS In the multivariable-adjusted analysis, the BEHL change at 13 years was 0.7 dB greater among participants with CVD (p = 0.3). The mean BEHL change during the 13-year follow-up was 12.0 dB (95% CI 11.4-12.6) among all participants. CONCLUSIONS No significant association between CVD and hearing threshold changes was found.
Collapse
Affiliation(s)
- Venla Lohi
- Department of Otorhinolaryngology and Head and Neck Surgery, Oulu University Hospital, Oulu, Finland.,PEDEGO Research Unit, University of Oulu, Oulu, Finland.,Medical Research Center Oulu, Oulu, Finland
| | - Pasi Ohtonen
- Division of Operative Care and Oulu University Hospital and Research Unit of Surgery, Anesthesia and Intensive care, University of Oulu, Oulu, Finland
| | - Martti Sorri
- PEDEGO Research Unit, University of Oulu, Oulu, Finland.,Medical Research Center Oulu, Oulu, Finland
| | - Elina Mäki-Torkko
- PEDEGO Research Unit, University of Oulu, Oulu, Finland.,Medical Research Center Oulu, Oulu, Finland.,Audiological Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Samuli Hannula
- Department of Otorhinolaryngology and Head and Neck Surgery, Oulu University Hospital, Oulu, Finland.,PEDEGO Research Unit, University of Oulu, Oulu, Finland.,Medical Research Center Oulu, Oulu, Finland
| |
Collapse
|
4
|
Michel O. [DIN EN ISO 7029:2017-06 : The current DIN thresholds for evaluating normal hearing]. HNO 2021; 69:1014-1018. [PMID: 34651214 DOI: 10.1007/s00106-021-01111-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/07/2021] [Indexed: 12/29/2022]
Affiliation(s)
- O Michel
- Afdelingshoofd dienst KNO, Universitair Ziekenhuis - Vrije Universiteit Brussel UZ-VUB, Laarbeeklaan 101, B-1090, Brüssel, Belgien.
| |
Collapse
|
5
|
Füllgrabe C. On the Possible Overestimation of Cognitive Decline: The Impact of Age-Related Hearing Loss on Cognitive-Test Performance. Front Neurosci 2020; 14:454. [PMID: 32581666 PMCID: PMC7296091 DOI: 10.3389/fnins.2020.00454] [Citation(s) in RCA: 47] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Accepted: 04/14/2020] [Indexed: 11/13/2022] Open
Abstract
Individual differences and age-related normal and pathological changes in mental abilities require the use of cognitive screening and assessment tools. However, simultaneously occurring deficits in sensory processing, whose prevalence increases especially in old age, may negatively impact cognitive-test performance and thus result in an overestimation of cognitive decline. This hypothesis was tested using an impairment-simulation approach. Young normal-hearing university students performed three memory tasks, using auditorily presented speech stimuli that were either unprocessed or processed to mimic some of the perceptual consequences of age-related hearing loss (ARHL). Both short-term-memory and working-memory capacities were significantly lower in the simulated-hearing-loss condition, despite good intelligibility of the test stimuli. The findings are consistent with the notion that, in case of ARHL, the perceptual processing of auditory stimuli used in cognitive assessments requires additional (cognitive) resources that cannot be used toward the execution of the cognitive task itself. Researchers and clinicians would be well advised to consider sensory impairments as a confounding variable when administering cognitive tasks and interpreting their results.
Collapse
Affiliation(s)
- Christian Füllgrabe
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom
| |
Collapse
|
6
|
Göthberg H, Rosenhall U, Tengstrand T, Rydén L, Wetterberg H, Skoog I, Sadeghi A. Prevalence of hearing loss and need for aural rehabilitation in 85-year-olds: a birth cohort comparison, almost three decades apart. Int J Audiol 2020; 60:539-548. [PMID: 32129119 DOI: 10.1080/14992027.2020.1734878] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
OBJECTIVE Many individuals >80 years have difficulties with speech communication due to age-related hearing loss and would benefit from aural rehabilitation. As the proportion of older people increases, there is a need to investigate the prevalence of "disabling hearing loss" to calculate future rehabilitation need. The aims are to determine the prevalence of hearing loss in an unscreened birth cohort of 85-year olds, and to identify differences in audiometric results between two birth cohorts, born 28-29 years apart. DESIGN This is a population-based, cross-sectional study that is part of the Gothenburg H70 Birth Cohort Studies. STUDY SAMPLE Hearing thresholds were measured and compared between 85-year olds born in 1930 (n = 286) and 1901-1902 (n = 249). RESULTS Based on the WHO criteria, the prevalence of "disabling hearing loss" was 45% for men and 43% for women in the latest birth cohort. Hearing thresholds (0.5-4 kHz) for men improved compared with the earlier birth cohort. No such difference was observed for women. CONCLUSION The prevalence of age-related hearing loss over three decades has decreased among 85-year-old men, but has been retained in women. The improvement for men occurred predominantly in the low-mid frequencies. An increased need for aural rehabilitation is expected due to demographic changes.
Collapse
Affiliation(s)
- Hanna Göthberg
- Department of Health and Rehabilitation, Unit of Audiology, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.,Region Västra Götaland, Habilitation and Health, Hearing Organization, Gothenburg, Sweden
| | - Ulf Rosenhall
- Department of Health and Rehabilitation, Unit of Audiology, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.,Region Västra Götaland, Habilitation and Health, Hearing Organization, Gothenburg, Sweden
| | - Tomas Tengstrand
- Region Västra Götaland, Habilitation and Health, Hearing Organization, Gothenburg, Sweden
| | - Lina Rydén
- Department of Psychiatry and Neurochemistry, Neuropsychiatric Epidemiology Unit (EPINEP), Institute of Neuroscience and Physiology, Sahlgrenska academy, Centre for Ageing and Health (AgeCap) at the University of Gothenburg, Gothenburg, Sweden
| | - Hanna Wetterberg
- Department of Psychiatry and Neurochemistry, Neuropsychiatric Epidemiology Unit (EPINEP), Institute of Neuroscience and Physiology, Sahlgrenska academy, Centre for Ageing and Health (AgeCap) at the University of Gothenburg, Gothenburg, Sweden
| | - Ingmar Skoog
- Department of Psychiatry and Neurochemistry, Neuropsychiatric Epidemiology Unit (EPINEP), Institute of Neuroscience and Physiology, Sahlgrenska academy, Centre for Ageing and Health (AgeCap) at the University of Gothenburg, Gothenburg, Sweden
| | - André Sadeghi
- Department of Health and Rehabilitation, Unit of Audiology, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.,Region Västra Götaland, Habilitation and Health, Hearing Organization, Gothenburg, Sweden
| |
Collapse
|