Triagem auditiva em idosos: avaliação da acurácia e reprodutibilidade do teste do sussurro

Abstract

Given the high prevalence of presbycusis and its detrimental effect on quality of life, screening tests can be useful tools for detecting hearing loss in primary care settings. This study therefore aimed to determine the accuracy and reproducibility of the whispered voice test as a screening method for detecting hearing impairment in older people. This cross-sectional study was carried out with 210 older adults aged between 60 and 97 years who underwent the whispered voice test employing ten different phrases and using audiometry as a reference test. Sensitivity, specificity and positive and negative predictive values were calculated and accuracy was measured by calculating the area under the ROC curve. The test was repeated on 20% of the ears by a second examiner to assess inter-examiner reproducibility (IER). The words and phrases that showed the highest area under the curve (AUC) and IER values were: "shoe" (AUC = 0.918; IER = 0.877), "window" (AUC = 0.917; IER = 0.869), "it looks like it's going to rain" (AUC = 0.911; IER = 0.810), and "the bus is late" (AUC = 0.900; IER = 0.810), demonstrating that the whispered voice test is a useful screening tool for detecting hearing loss among older people. It is proposed that these words and phrases should be incorporated into the whispered voice test protocol.

Distribuição espacial de usuários de AASI de um serviço de saúde auditiva

“…Verificou-se predomínio de perdas auditivas adquiridas na amostra. Sabe-se que a presbiacusia e PAINPSE são de etiologia adquirida, sendo a primeira uma alteração na acuidade auditiva que acompanha o processo de envelhecimento e a segunda decorrente de exposição prolongada a ruídos e de caráter irreversível 9,19 . Desse modo, a etiologia da perda auditiva pode ser associada à idade e ao trabalho exercido pelos usuários.…”

“…Além disso, a distribuição espacial pode fornecer dados que permitam direcionar as medidas de ações de prevenção e promoção em saúde, de acordo com as especificidades das populações nos territórios, possibilitando maior eficiência da utilização dos recursos públicos disponíveis à toda região de abrangência e priorizando as áreas de atuação 9 .…”

Screening Methods for Age-Related Hearing Loss in Older Patients with Cancer: A Review of the Literature

“…Although they concluded that these results demonstrate that the WVT is a useful screening tool for detecting hearing loss in older subjects, it should be noted that this trial was conducted with Portuguese-speaking individuals. Therefore, it is possible that these results cannot be extrapolated to subjects with other native languages [24]. Our research group has examined the performance of the WVT in a group of older cancer patients as part of the CGA.…”

Whisper voice test for screening of hearing loss in nursing home residents with cognitive impairmen

“…Eekhof et al (1996), sin embargo, observan una elevada variación en la especificidad del test (14%-100%) al confrontar resultados de siete examinadores distintos, la cual adjudican principalmente a variaciones en la intensidad del estímulo. McShefferty et al (2013) también hacen referencia a diferencias en los resultados del test en función de la experiencia del examinador, mientras que Labanca et al (2017) hallan una fiabilidad interobservador del 75% cuando el material de testeo empleado son frases, indicando que dicha prueba es reproducible cuando existe un entrenamiento adecuado de los observadores.…”

“…La detección de problemas auditivos sin tratar es esencial para promover un envejecimiento saludable debido a la estrecha relación entre discapacidad auditiva y calidad de vida. Coincidimos con Labanca et al (2017) en la importancia de dicha detección en los mayores residentes, debido no solo la elevada prevalencia de PA en estos sujetos, sino también a la demostrada asociación ente audición y función cognitiva (Alattar et al, 2019;Lin et al, 2011), la cual con frecuencia está comprometida en los mayores institucionalizados. Nuestros resultados revelan que la nueva técnica aplicada podría ser eficaz en la detección de PA en una población similar a la analizada.…”