Effectiveness of a single and a repeated screen for hearing loss in the elderly.

P J van den Berg, A Prins, H Verschuure, A W Hoes
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引用次数: 9

Abstract

The aim of this study was to assess the value of repeated audiometric screens offered to elderly in general practice. In 1991, an audiometric screen was performed on 660 participants, aged 60 years and over, enlisted in one general practice near Rotterdam, the Netherlands. We repeated the audiometric screen 5 years later in 80.2% (405/505) of the eligible participants of the first screen. After the first screen, 24.3% of those who were hearing impaired had discussed this with their general practitioner, 21.5% were referred to a specialist in otolaryngology and 12.1% had been prescribed a hearing aid. The effect of the repeated screen was lower as only 7.3% of the hearing impaired participants received a hearing aid. Efforts to screen on hearing loss will be fruitless and can best be avoided by general practitioners unless strategies are developed to increase the use of hearing aids after a positive screening result.

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老年人听力损失单次和多次筛查的有效性。
本研究的目的是评估在一般实践中提供给老年人的重复听力测量屏幕的价值。1991年,在荷兰鹿特丹附近的一家全科诊所,对660名年龄在60岁及以上的参与者进行了听力测试。5年后,我们在80.2%(405/505)的第一次筛查的合格参与者中重复了听力测量筛查。在第一次筛查后,24.3%的听力受损者与全科医生讨论过这个问题,21.5%的人被转介给耳鼻喉科专家,12.1%的人被开了助听器。重复筛查的效果较低,因为只有7.3%的听力受损参与者使用了助听器。筛查听力损失的努力将是徒劳的,全科医生最好避免这样做,除非制定策略,在筛查结果呈阳性后增加助听器的使用。
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