A SIMPLE SCREENING-TEST FOR HEARING IMPAIRMENT IN ELDERLY PATIENTS
A SIMPLE SCREENING-TEST FOR HEARING IMPAIRMENT IN ELDERLY PATIENTS
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DOI：
10.1093/ageing/17.5.347
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发表时间：
1988-09-01
期刊：
影响因子：
6.7
通讯作者：
MCALPINE, CH
中科院分区：
文献类型：
--
作者：
MACPHEE, GJA;CROWTHER, JA;MCALPINE, CH
本研究调查了简易床边自由场语音测试在老年病房患者听力损伤检测中的可靠性。六十二个连续入院进行了评估，在四个毕业水平的响度由老年医学家和耳鼻喉科医生独立。然后盲法进行纯音测听。由两个观察者进行的语音测试在88%的所有耳朵中是一致的，并且在100%的耳朵中能够听到2英尺处的低声语音（WV）。0.6 m）。2英尺处的WV是最具判别力的测试，灵敏度为100%，特异性为84%，预测值为92%，听力损害可能受益于提供助听器。自由场嗓音测试是一种简便、可靠、重复性好的老年听力损伤检测方法。
This study investigated the reliability of simple bedside free-field voice testing in the detection of hearing impairment in patients admitted to a geriatric unit. Sixty-two consecutive admissions were assessed at four graduated levels of loudness by geriatrician and otolaryngologist independently. Pure tone audiometry was then performed blind. Voice testing by both observers was concordant in 88% of all ears and in 100% of ears able to hear a whispered voice (WV) at 2 ft (.apprxeq. 0.6 m). The WV at 2 ft was the most discriminant test with a sensitivity of 100%, a specificity of 84% and a predictive value of 92% for hearing impairment likely to benefit from provision of a hearing aid. Free-field voice testing appears a simple, reliable and reproducible test for detecting hearing impairment in elderly patients.