Hearing Screening for Older Adults With Cognitive Impairment: A Systematic Review.

IF 1.1 Q3 OTORHINOLARYNGOLOGY

Journal of Audiology and Otology Pub Date : 2024-10-01 Epub Date: 2024-07-09 DOI:10.7874/jao.2023.00507

Patcharaorn Limkitisupasin, Piyawat Jongpradubgiat, Nattawan Utoomprurkporn

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引用次数: 0

Abstract

Background and objectives: Hearing loss is the largest potentially modifiable risk factor for dementia. Early evaluation and intervention are crucial for older adults with cognitive impairment. However, pure-tone audiometry (PTA), the gold standard, may have limitations. This study reviewed auditory tests for detecting hearing loss in this population, comparing to PTA.

Materials and methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we conducted a systematic review in PubMed, Scopus, and Embase. Ten studies (1,071 participants) comparing auditory tests and PTA in patients with dementia and mild cognitive impairment were included.

Results: Electrophysiological and behavioral tests demonstrated strong correlation and accurate hearing impairment detection compared to PTA. Conversely, self-reported assessment showed weaker correlations when aligned with hearing thresholds.

Conclusions: This study highlights the potential of electrophysiological and behavioral auditory tests in detecting hearing impairment in older adults with cognitive impairment, emphasizing the need for further research to develop practical screening protocols for this vulnerable population.

查看原文本刊更多论文

认知障碍老年人的听力筛查：系统回顾。

背景和目标：：听力损失是痴呆症最大的潜在可改变风险因素。早期评估和干预对于有认知障碍的老年人至关重要。然而，作为黄金标准的纯音测听（PTA）可能存在局限性。本研究回顾了用于检测该人群听力损失的听觉测试，并与纯音测听进行了比较。材料与方法：根据系统综述和荟萃分析首选报告项目 (PRISMA) 指南，我们在 PubMed、Scopus 和 Embase 上进行了系统综述。共纳入了 10 项研究（1,071 名参与者），对痴呆症和轻度认知障碍患者的听觉测试和 PTA 进行了比较：结果：与 PTA 相比，电生理测试和行为测试显示出很强的相关性和准确的听力损伤检测。相反，自我报告评估与听力阈值的相关性较弱：本研究强调了电生理和行为听觉测试在检测有认知障碍的老年人听力损伤方面的潜力，并强调了进一步研究的必要性，以便为这一弱势群体制定切实可行的筛查方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Audiology and Otology OTORHINOLARYNGOLOGY-

CiteScore

1.90

自引率

9.10%

发文量

期刊介绍： Journal of Audiology and Otology (JAO) (formerly known as Korean Journal of Audiology) aims to publish the most advanced findings for all aspects of the auditory and vestibular system and diseases of the ear using state-of-the-art techniques and analyses. The journal covers recent trends related to the topics of audiology, otology, and neurotology conducted by professionals, with the goal of providing better possible treatment to people of all ages, from infants to the elderly, who suffer from auditory and/or vestibular disorders and thus, improving their quality of life. This journal encourages the submission of review papers about current professional issues, research papers presenting a scientific base and clinical application, and case papers with unique reports or clinical trials. We also invite letters to the editor and papers related to the manufacture and distribution of medical devices. This journal provides integrated views from otologists, audiologists, and other healthcare practitioners, offering readers high quality scientific and clinical information. This peer-reviewed and open access journal has been the official journal of the Korean Audiological Society since 1997 and of both the Korean Audiological Society and the Korean Otological Society since 2017. It is published in English four times a year in January, April, July, and October.