A Hearing Screening Protocol for Stroke Patients: An Exploratory Study
Background: Auditory impairment post stroke is common and may be due to both peripheral hearing loss and or central auditory processing disorder (CAPD). When auditory impairment remains untreated, it may impact on patient communication and rehabilitation after stroke. Offering a comprehensive audiol...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2019-08-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fneur.2019.00842/full |
| _version_ | 1818609069590577152 |
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| author | Nehzat Koohi Nehzat Koohi Deborah A. Vickers Nattawan Utoomprurkporn Nattawan Utoomprurkporn David J. Werring David J. Werring Doris-Eva Bamiou Doris-Eva Bamiou Doris-Eva Bamiou |
| author_facet | Nehzat Koohi Nehzat Koohi Deborah A. Vickers Nattawan Utoomprurkporn Nattawan Utoomprurkporn David J. Werring David J. Werring Doris-Eva Bamiou Doris-Eva Bamiou Doris-Eva Bamiou |
| author_sort | Nehzat Koohi |
| collection | DOAJ |
| description | Background: Auditory impairment post stroke is common and may be due to both peripheral hearing loss and or central auditory processing disorder (CAPD). When auditory impairment remains untreated, it may impact on patient communication and rehabilitation after stroke. Offering a comprehensive audiological assessment to all stroke patients would be both costly and time-consuming. A brief hearing screening is thus required.Objective: The aim of this study was to determine whether a two-tiered hearing screening approach, with use of a handheld hearing screener and two validated hearing questionnaires could be used as a hearing screening for peripheral hearing loss and CAPD in stroke survivors. The sensitivity and specificity of the screening method was analyzed.Methods: This was a prospective study conducted in a tertiary neurology hospital. Forty-two consecutive stroke patients were recruited and tested within 3–12 months post-onset of their stroke. Three screening tools for the identification of hearing impairment were evaluated in this study: A handheld hearing screener for determination of peripheral audiometric hearing loss and two validated questionnaires (The Amsterdam Inventory Auditory for Disability (AIAD) and the Hearing Handicap Inventory for Elderly (HHIE) questionnaires) for determination of peripheral hearing loss and/or CAPD.Results: The hearing screener had a sensitivity of 92. 59% detecting a hearing loss and specificity of 100%. The greatest test accuracy in identifying a central auditory processing type hearing impairment in stroke patients was found when the handheld hearing screener and the AIAD questionnaire were combined.Conclusion: This study is a first step toward addressing the complex auditory needs of stroke survivors in a systematic manner, with the ultimate aim to support their communication needs and long-term recovery and wellbeing.Registration: Project Identification number 11/0469 and REC ref 11/LO/1675. |
| first_indexed | 2024-12-16T14:52:41Z |
| format | Article |
| id | doaj.art-4b145b6faf584d358943daec76a08fd5 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-16T14:52:41Z |
| publishDate | 2019-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-4b145b6faf584d358943daec76a08fd52022-12-21T22:27:33ZengFrontiers Media S.A.Frontiers in Neurology1664-22952019-08-011010.3389/fneur.2019.00842453632A Hearing Screening Protocol for Stroke Patients: An Exploratory StudyNehzat Koohi0Nehzat Koohi1Deborah A. Vickers2Nattawan Utoomprurkporn3Nattawan Utoomprurkporn4David J. Werring5David J. Werring6Doris-Eva Bamiou7Doris-Eva Bamiou8Doris-Eva Bamiou9Department of Neuro-audiology, The Ear Institute, University College London, London, United KingdomNeuro-otology Department, University College London Hospitals, London, United KingdomSpeech Hearing and Phonetic Sciences, University College London, London, United KingdomDepartment of Neuro-audiology, The Ear Institute, University College London, London, United KingdomDepartment of Otolaryngology, Faculty of Medicine, Chulalongkorn University, Bangkok, ThailandNeuro-otology Department, University College London Hospitals, London, United KingdomDepartment of Brain Repair and Rehabilitation, Stroke Research Centre, Institute of Neurology, University College London Hospitals, London, United KingdomDepartment of Neuro-audiology, The Ear Institute, University College London, London, United KingdomNeuro-otology Department, University College London Hospitals, London, United KingdomBiomedical Research Centre, National Institute for Health Research, London, United KingdomBackground: Auditory impairment post stroke is common and may be due to both peripheral hearing loss and or central auditory processing disorder (CAPD). When auditory impairment remains untreated, it may impact on patient communication and rehabilitation after stroke. Offering a comprehensive audiological assessment to all stroke patients would be both costly and time-consuming. A brief hearing screening is thus required.Objective: The aim of this study was to determine whether a two-tiered hearing screening approach, with use of a handheld hearing screener and two validated hearing questionnaires could be used as a hearing screening for peripheral hearing loss and CAPD in stroke survivors. The sensitivity and specificity of the screening method was analyzed.Methods: This was a prospective study conducted in a tertiary neurology hospital. Forty-two consecutive stroke patients were recruited and tested within 3–12 months post-onset of their stroke. Three screening tools for the identification of hearing impairment were evaluated in this study: A handheld hearing screener for determination of peripheral audiometric hearing loss and two validated questionnaires (The Amsterdam Inventory Auditory for Disability (AIAD) and the Hearing Handicap Inventory for Elderly (HHIE) questionnaires) for determination of peripheral hearing loss and/or CAPD.Results: The hearing screener had a sensitivity of 92. 59% detecting a hearing loss and specificity of 100%. The greatest test accuracy in identifying a central auditory processing type hearing impairment in stroke patients was found when the handheld hearing screener and the AIAD questionnaire were combined.Conclusion: This study is a first step toward addressing the complex auditory needs of stroke survivors in a systematic manner, with the ultimate aim to support their communication needs and long-term recovery and wellbeing.Registration: Project Identification number 11/0469 and REC ref 11/LO/1675.https://www.frontiersin.org/article/10.3389/fneur.2019.00842/fullstrokehearing losshearing screeningcentral auditory processing disorderhearing questionnaires |
| spellingShingle | Nehzat Koohi Nehzat Koohi Deborah A. Vickers Nattawan Utoomprurkporn Nattawan Utoomprurkporn David J. Werring David J. Werring Doris-Eva Bamiou Doris-Eva Bamiou Doris-Eva Bamiou A Hearing Screening Protocol for Stroke Patients: An Exploratory Study Frontiers in Neurology stroke hearing loss hearing screening central auditory processing disorder hearing questionnaires |
| title | A Hearing Screening Protocol for Stroke Patients: An Exploratory Study |
| title_full | A Hearing Screening Protocol for Stroke Patients: An Exploratory Study |
| title_fullStr | A Hearing Screening Protocol for Stroke Patients: An Exploratory Study |
| title_full_unstemmed | A Hearing Screening Protocol for Stroke Patients: An Exploratory Study |
| title_short | A Hearing Screening Protocol for Stroke Patients: An Exploratory Study |
| title_sort | hearing screening protocol for stroke patients an exploratory study |
| topic | stroke hearing loss hearing screening central auditory processing disorder hearing questionnaires |
| url | https://www.frontiersin.org/article/10.3389/fneur.2019.00842/full |
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