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A Low Cost Setup for Behavioral Audiometry in Rodents
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Inpatient Audiograms: A Mixed Methods Study Examining Clinical Decision Making, Financial Analyses, and Audiologist

Nadine I Ibrahim1, Megan M Cherry2, Charles A Keilin1

  • 1Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|January 26, 2025
PubMed
Summary
This summary is machine-generated.

Inpatient audiometry is costly and rarely impacts patient treatment decisions, suggesting outpatient audiology may be sufficient for many cases. System improvements are needed for its appropriate use.

Keywords:
audiogramsaudiologistaudiometrycost analysisdecision‐makingfocus grouphearing lossinpatient audiogramotolaryngologyotology

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Area of Science:

  • Audiology
  • Otolaryngology
  • Health Services Research

Background:

  • Inpatient audiometry is a diagnostic tool used for hospitalized patients.
  • Its clinical utility and financial implications are not well-established.

Purpose of the Study:

  • To evaluate the impact of inpatient audiometry on clinical decision-making.
  • To assess stakeholder perspectives on inpatient audiometry practices.
  • To analyze the financial impact of inpatient audiometry.

Main Methods:

  • Mixed-methods study including retrospective chart review (n=302 adults, 2015-2022).
  • Focus group with audiologists.
  • Financial analyses of audiogram costs.

Main Results:

  • 62% of inpatient audiograms did not influence treatment decisions.
  • Inpatient audiometry costs 63% more than outpatient testing.
  • Audiologists reported challenges with equipment, patient, and system factors.

Conclusions:

  • Inpatient audiometry is resource-intensive with limited impact on clinical management for most cases.
  • Outpatient audiograms may be adequate for many otologic consultations.
  • System optimization and guidelines are needed for appropriate inpatient audiometry use.