Audiological screening in hearing health care for hospitalized elderly people
DOI:
https://doi.org/10.23925/2176-2724.2024v36i4e67872Keywords:
Presbycusis, Screening, Aged, Hearing LossAbstract
Introduction: Presbycusis, a hearing loss caused by aging, negatively affects the quality of life of the elderly. Hearing screening can identify hearing loss in this population, particularly in those with limited access to specialized services. Objective: To analyze the results of opportunistic hearing screening using the Hearing Handicap Inventory for the Elderly Screening Version (HHIE-S) questionnaire and the whisper test (WT) in hospitalized elderly. Methods: Hospitalized patients over 60 years of age, with and without hearing complaints, answered the HHIE-S questionnaire and underwent the WT. Results: Fifty elderly individuals, with a mean age of 69 years, 58% of whom were male, were evaluated. It was observed that 56% of the participants had a hearing handicap. There was a significant dependence between male gender and the perception of handicap (p=0.0077). Regarding the WT, 36% failed in at least one ear. There was a dependence between the HHIE-S and the WT (p=0.042). Conclusion: Both the HHIE-S questionnaire and the WT are useful in screening for hearing loss. The correlation between the two tests suggests that both can be complementary in assessing hearing loss in the elderly. This study found a dependence between sex and the perception of hearing handicap, and an association between the HHIE-S and the WT, as the correlation between the handicap condition (with or without) and the distribution between those who passed or failed the whisper test differed.
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World Health Organization (WHO). World report on hearing: executive summary [Internet]. Geneva: WHO; 2021. [cited 2024 Ago15]. 12 p. Available from: https://cdn.who.int/media/docs/default-source/documents/health-topics/deafness-and-hearing-loss/world-report-on-hearing/wrh-executive-summary.en.pdf?sfvrsn=feb8d533_27&download=true.
Uchida Y, Sugiura S, Nishita Y, Saji N, Sone M, Ueda H. Age-related hearing loss and cognitive decline - The potential mechanisms linking the two. Auris Nasus Larynx. 2019 Feb; 46(1):1-9. doi: 10.1016/j.anl.2018.08.010. Epub 2018 Sep 1. PMID: 30177417.
Vaisbuch Y, Santa Maria PL. Age-Related Hearing Loss: Innovations in Hearing Augmentation. Otolaryngol Clin North Am. 2018 Aug; 51(4): 705-723. doi: 10.1016/j.otc.2018.03.002. Epub 2018 May 4. PMID: 29735277.
Loughrey DG, Kelly ME, Kelley GA, Brennan S, Lawlor BA. Association of Age-Related Hearing Loss With Cognitive Function, Cognitive Impairment, and Dementia: A Systematic Review and Meta-analysis. JAMA Otolaryngol Head Neck Surg. 2018 Feb 1;144(2):115-126. doi: 10.1001/jamaoto.2017.2513. Erratum in: JAMA Otolaryngol Head Neck Surg. 2018 Feb 1;144(2): 176. doi: 10.1001/jamaoto.2017.3219. PMID: 29222544; PMCID: PMC5824986.
Ciorba A, Bianchini C, Pelucchi S, Pastore A. The impact of hearing loss on the quality of life of elderly adults. Clin Interv Aging. 2012; 7: 159-63. doi: 10.2147/CIA.S26059. Epub 2012 Jun 15. PMID: 22791988; PMCID: PMC3393360.
Croll PH, Vinke EJ, Armstrong NM, Licher S, Vernooij MW, Baatenburg de Jong RJ, Goedegebure A, Ikram MA. Hearing loss and cognitive decline in the general population: a prospective cohort study. J Neurol. 2021 Mar;268(3): 860-871. doi: 10.1007/s00415-020-10208-8. Epub 2020 Sep 10. PMID: 32910252; PMCID: PMC7914236.
Borges MG de S, Labanca L, Couto E de AB, Guarisco LPC. Correlações entre a avaliação audiológica e a triagem cognitiva em idosos. Rev CEFAC [Internet]. 2016 Nov;18(6):1285–93. Available from: https://doi.org/10.1590/1982-021620161865616.
Livingston G, Sommerlad A, Orgeta V, Costafreda SG, Huntley J, Ames D, et al. Dementia prevention, intervention, and care. Lancet 2017 Dec 16;390(10113): 2673-2734. doi: 10.1016/S0140-6736(17)31363-6. Epub 2017 Jul 20. PMID: 28735855.
Bragança MLLCA. Presbiacusia e o impacto na vida dos doentes. [Dissertação]. Lisboa: Faculdade de Medicina Lisboa. 2019. 36p.
Costa-Guarisco LP, Dalpubel D, Labanca L, Chagas MHN. Percepção da perda auditiva: utilização da escala subjetiva de faces para triagem auditiva em idosos. Ciênc saúde coletiva [Internet]. 2017Nov; 22(11): 3579–88. Available from: https://doi.org/10.1590/1413-812320172211.277872016.
Labanca L, Guimarães FS, Costa-Guarisco LP, Couto E de AB, Gonçalves DU. Triagem auditiva em idosos: avaliação da acurácia e reprodutibilidade do teste do sussurro. Ciênc saúde coletiva [Internet]. 2017Nov; 22(11): 3589–98. Available from: https://doi.org/10.1590/1413-812320172211.31222016.
Brandão ER, Guimarães RDA, Soares MJG, Cavalcanti H. Older adults hearing screening strategies: a bibliometric review. Rev CEFAC. 2023; 25(2): e5822. Available from: https://doi.org/10.1590/1982-0216/20232525822.
Matas CG, Iório M cecília M. Verificação e validação do processo de seleção e adaptação de próteses auditivas. In: Próteses Auditivas - Fundamentos Teóricos & Aplicações Clínicas. São Paulo: Lovise; 2003. [citado 2024 ago. 15].
Rosis ACA de, Souza MRF de, Iório MCM. Questionário Hearing Handicap Inventory for the Elderly - Screening version (HHIE-S): estudo da sensibilidade e especificidade. Rev soc bras fonoaudiol [Internet]. 2009; 14(3): 339–45. Available from: https://doi.org/10.1590/S1516-80342009000300009.
Menegotto IH, Soldera CLC, Anderle P, Anhaia TC. Correlação entre perda auditiva e resultados dos questionários Hearing Handicap Inventory for the Adults: Screening Version HHIA-S e Hearing Handicap Inventory for the Elderly - Screening Version - HHIE-S. Arquivos Int Otorrinolaringol [Internet]. 2011Jul;15(3): 319–26. Available from: https://doi.org/10.1590/S1809-48722011000300009.
Servidoni AB, Conterno LO. Hearing Loss in the Elderly: Is the Hearing Handicap Inventory for the Elderly - Screening Version Effective in Diagnosis When Compared to Audiometric Test?. Int Arch Otorhinolaryngol. 2018; 22(1):1-8. doi: 10.1055/s-0037-1601427. Epub 2017 Mar 31. PMID: 29371892; PMCID: PMC5783690.
Chayaopas N, Kasemsiri P, Thanawirattananit P, Piromchai, P, Yimtae K. The effective screening tools for detecting hearing loss in elderly population: HHIE-ST Versus TSQ. BMC Geriatr. 2021 Jan 9; 21(1): 37. doi: 10.1186/s12877-020-01996-9. PMID: 33421997; PMCID: PMC7797093.
BRASIL. Ministério da Saúde. Envelhecimento e saúde da pessoa idosa [Internet]. Brasília: Ministério da Saúde, 2006. [cited 2024 Ago 15]. 192 p. (Série A. Normas e Manuais. Técnicos) Available from: https://www.saude.sc.gov.br/index.php/informacoes-gerais-documentos/atencao-basica/nucleos/nucleo-de-atencao-as-pessoas-com-doencas-cronicas/saude-da-pessoa-idosa/6561-caderno-de-atencao-basica-pessoa-idosa/file.
Ramdoo K, Bowen J, Dale OT, Corbridge R, Chatterjee A, Gosney MA. Opportunistic hearing screening in elderly inpatients. SAGE Open Med. 2014 Apr 3; 2: 2050312114528171. doi: 10.1177/2050312114528171. PMID: 26770718; PMCID: PMC4607224.
Ting HC, Huang YY. Sensitivity and specificity of hearing tests for screening hearing loss in older adults. J Otol. 2023 Jan;18(1):1-6. doi: 10.1016/j.joto.2022. Epub 2022 Nov 24. PMID: 36820159; PMCID: PMC9937813.
Purnami N, Mulyaningsih EF, Ahadiah TH, Utomo B, Smith A. Score of Hearing Handicap Inventory for the Elderly (HHIE) Compared to Whisper Test on Presbycusis. Indian J Otolaryngol Head Neck Surg. 2022 Aug; 74(Suppl 1): 311-315. doi: 10.1007/s12070-020-01997-5. Epub 2020 Aug 27. Erratum in: Indian J Otolaryngol Head Neck Surg. 2022 Aug;74(Suppl 1):523. doi: 10.1007/s12070-020-02345-3. PMID: 36032827; PMCID: PMC9411325.
Hirt ER, McCrea SM. Man smart, woman smarter? Getting to the root of gender differences in self‐Handicapping. Social & Personality Psych [Internet]. maio de 2009 [citado 15 de agosto de 2024]; 3(3): 260–74. Disponível em: https://compass.onlinelibrary.wiley.com/doi/10.1111/j.1751-9004.2009.00176.x.
McCrea SM, Hirt ER, Milner BJ. She works hard for the money: Valuing effort underlies gender differences in behavioral self-Handicapping. Journal of Experimental Social Psychology [Internet]. março de 2008 [citado 15 de agosto de 2024]; 44(2): 292–311. Disponível em: https://linkinghub.elsevier.com/retrieve/pii/S0022103107000893.
Wang Y, Mo L, Li Y, Zheng Z, Qi Y. Analyzing use of the Chinese HHIE-S for hearing screening of elderly in a northeastern industrial area of China. Int J Audiol. 2017 Apr; 56(4): 242-7. doi: 10.1080/14992027.2016.1263399. Epub 2016 Dec 13. PMID: 27951727.
Coelho RG, Souza VC, Lemos SMA. Restrição à participação auditiva: análise dos aspectos sociodemográficos e clínicos. Distúrb Comun [Internet]. 29º de setembro de 2017 [citado 16º de agosto de 2024]; 29(3): 428-37. Disponível em: https://revistas.pucsp.br/index.php/dic/article/view/31738.
Gosselin P, Guan DX, Chen HY, Pichora-Fuller MK, Phillips N, Faris P, et al. The Relationship Between Hearing and Mild Behavioral Impairment and the Influence of Sex: A Study of Older Adults Without Dementia from the COMPASS-ND Study. J Alzheimers Dis Rep. 2022 Feb 18; 6(1): 57-66. doi: 10.3233/ADR-210045. PMID: 35360276; PMCID: PMC8925139.
Kawata NYS, Nouchi R, Saito T, Kawashima R. Subjective hearing Handicap is associated with processing speed and visuospatial performance in older adults without severe hearing Handicap. Exp Gerontol. 2021 Dec; 156: 111614. doi: 10.1016/j.exger.2021.111614. Epub 2021 Oct 30. PMID: 34728338.
Oliveira AB de, Anderle P, Goulart BNG de. Associação entre autopercepção auditiva e comprometimento cognitivo em idosos brasileiros: estudo populacional. Ciênc saúde coletiva. 2023Sep;28(9):2653–63. Available from: https://doi.org/10.1590/1413-81232023289.17452022.
Yang TH, Chen YF, Cheng YF, Huang JN, Wu CS, Chu YC. Optimizing age-related hearing risk predictions: an advanced machine learning integration with HHIE-S. BioData Min. 2023 Dec 14; 16(1): 35. doi: 10.1186/s13040-023-00351-z. PMID: 38098102; PMCID: PMC10722728.
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Copyright (c) 2024 Isabel Cristina Sabatini Perez Ramos, Allan Robert da Silva, Carlos Kazuo Taguchi
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