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Related Experiment Videos

A simple screening test for hearing impairment in elderly patients.

G J Macphee1, J A Crowther, C H McAlpine

  • 1Department of Otolaryngology, Victoria Infirmary, Glasgow.

Age and Ageing
|September 1, 1988
PubMed
Summary

Simple bedside voice testing reliably detects hearing impairment in elderly patients. A whispered voice test at 2 feet showed high accuracy for identifying those who would benefit from hearing aids.

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Area of Science:

  • Geriatric Medicine
  • Otolaryngology
  • Audiology

Background:

  • Hearing impairment is common in elderly patients.
  • Accurate detection of hearing loss is crucial for geriatric care.
  • Bedside tests offer a practical screening solution.

Purpose of the Study:

  • To evaluate the reliability of simple bedside free-field voice testing.
  • To assess its effectiveness in detecting hearing impairment in geriatric patients.
  • To compare voice testing with pure tone audiometry.

Main Methods:

  • Sixty-two geriatric admissions underwent bedside voice testing by independent geriatricians and otolaryngologists.
  • Four graduated loudness levels were used.
  • Pure tone audiometry was performed subsequently under blind conditions.

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Main Results:

  • Voice testing showed 88% concordance between observers.
  • The whispered voice test at 2 feet achieved 100% sensitivity and 84% specificity.
  • This test had a 92% predictive value for hearing aid candidacy.

Conclusions:

  • Free-field voice testing is a simple and reliable method for hearing impairment detection in the elderly.
  • The whispered voice test at 2 feet is a highly effective screening tool.
  • This bedside approach can identify geriatric patients likely to benefit from hearing aids.