Audiological profile of first-time hearing aid users - implications for the development of a fast-track fitting protocol.

IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Jukka Kokkonen, Fanni Svärd, Sini Varonen, Heikki Löppönen, Aarno Dietz
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引用次数: 0

Abstract

Objective: To assess the feasibility of implementing a fast-track process (single-session assess-and-fit appointment with no ENT specialist's examination) in hearing rehabilitation by investigating the accuracy of the protocol assignment applying various cut-off criteria and describing the audiometric profile of patients being evaluated for their first hearing aids.

Design: Retrospective chart review.

Study sample: Patients from a single institution (n = 1807, median age 75 years, IQR 67-82 years) undergoing the evaluation for their first hearing aid fitting.

Results: There were no audiometric signs warranting further diagnostic evaluation in 1259 subjects (69.7%). These subjects could be identified using a single criterion: the average threshold difference between the ears in the frequencies from 0.5 to 4 kHz less than 10 dB. Age was found to be a good predictor for the success of a single-session evaluation and fitting, with a cut-off value of 75 years. Altogether, 593 persons (32.8%) were candidates for a fast-track process. The time-saving from a single-session process was estimated to be 1.0%.

Conclusions: It is feasible to have a fast-track hearing aid fitting protocol. Patients can be preselected with excellent accuracy using a single audiometric criterion and an age limit of 75. Time savings for a single-session process are insignificant.

首次助听器使用者的听力学特征-对快速配戴方案发展的影响。
目的:通过应用各种截止标准调查方案分配的准确性,并描述首次使用助听器的患者的听力测量特征,评估在听力康复中实施快速通道流程(单次评估和匹配预约,无需耳鼻喉科专家检查)的可行性。设计:回顾性图表回顾。研究样本:来自单一机构的患者(n = 1807,中位年龄75岁,IQR 67-82岁)进行首次助听器验配评估。结果:1259例(69.7%)患者无需要进一步诊断的听力体征。这些受试者可以用一个单一的标准来识别:耳朵之间的平均阈值差在0.5到4 kHz的频率小于10 dB。年龄被发现是单次评估和拟合成功的一个很好的预测因子,临界值为75岁。总共有593人(32.8%)是快速通道程序的候选人。单会话过程节省的时间估计为1.0%。结论:建立快速通道助听器验配方案是可行的。患者可以使用单一的听力标准和75岁的年龄限制,以极好的准确性进行预选。单会话进程节省的时间是微不足道的。
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
International Journal of Audiology
International Journal of Audiology 医学-耳鼻喉科学
CiteScore
4.90
自引率
14.80%
发文量
133
审稿时长
4-8 weeks
期刊介绍: International Journal of Audiology is committed to furthering development of a scientifically robust evidence base for audiology. The journal is published by the British Society of Audiology, the International Society of Audiology and the Nordic Audiological Society.
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