Koohi, N;
Vickers, DA;
Utoomprurkporn, N;
Werring, DJ;
Bamiou, DE;
(2019)
A Hearing Screening Protocol for Stroke Patients: An Exploratory Study.
Frontiers in Neurology
, 10
, Article 842. 10.3389/fneur.2019.00842.
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Abstract
Background: Auditory impairment post stroke is common and may be due to both peripheral hearing loss and or central auditory processing disorder. 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 central auditory processing disorder in stroke survivors. The sensitivity and specificity of the screening method was analysed. Methods: This was a prospective study conducted in a tertiary neurology hospital. Forty-two consecutive stroke patients were recruited and tested within three to twelve 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 and the Hearing Handicap Inventory for Elderly questionnaires) for determination of peripheral hearing loss and/or central auditory processing disorder. 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 Amsterdam Inventory Auditory for Disability questionnaire were combined. Conclusion: This study is a first step towards 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.
| Type: | Article |
|---|---|
| Title: | A Hearing Screening Protocol for Stroke Patients: An Exploratory Study |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.3389/fneur.2019.00842 |
| Publisher version: | https://doi.org/10.3389/fneur.2019.00842 |
| Language: | English |
| Additional information: | Copyright © 2019 Koohi, Vickers, Utoomprurkporn, Werring and Bamiou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (http://creativecommons.org/licenses/by/4.0/). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
| Keywords: | Stroke, Hearing Loss, Auditory Processing Disorder, Hearing screening, Hearing rehabilitation |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > The Ear Institute UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Brain Repair and Rehabilitation UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Clinical and Movement Neurosciences |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10079062 |
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