Hearing Vital Signs: Mobile Audiometry in the Emergency Department for Evaluation of Sudden Hearing Loss

Rory J. Lubner; Eric Barbarite; Neil Kondamuri; Renata M. Knoll; H. Gregory Ota; Rebecca M. Lewis; Kevin Franck; Aaron K. Remenschneider; Elliott D. Kozin

doi:10.1177/0194599820935420

Hearing Vital Signs: Mobile Audiometry in the Emergency Department for Evaluation of Sudden Hearing Loss

Rory J. Lubner, Eric Barbarite, Neil Kondamuri, Renata M. Knoll, H. Gregory Ota, Rebecca M. Lewis, Kevin Franck, Aaron K. Remenschneider, Elliott D. Kozin

Department of Otolaryngology

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

Emergency departments (EDs) are a common location for patients to present with sudden hearing loss (SHL). Unfortunately, high-quality, rapid quantitative measurement of hearing loss is challenging. Herein, we aim to evaluate the accuracy of tablet-based audiometry in patients complaining of SHL. Prospective tablet-based testing was completed in the ED in patients complaining of SHL. Air conduction thresholds (ACTs) obtained via tablet-based audiometry were compared to same-day measurements with a clinical-grade audiometer. Hearing loss (HL) was defined as >20 dB ACT for any frequency. In participant-level analysis, 30+ dB HL in 3 consecutive frequencies was used to define SHL. In the ED, mobile audiogram ACTs were within 5 dB (77%) and 10 dB (89.6%) of those determined by conventional audiometry. The sensitivity and specificity for mobile audiometry to detect 3 or more consecutive thresholds with 30+ dB HL were 100% and 62.5%, respectively. Findings have implications for increasing access to high-quality audiometry.

Original language	English
Pages (from-to)	1025-1028
Number of pages	4
Journal	Otolaryngology - Head and Neck Surgery (United States)
Volume	163
Issue number	5
DOIs	https://doi.org/10.1177/0194599820935420
State	Published - Nov 1 2020

Keywords

audiometry
hearing loss
idiopathic sudden sensorineural hearing loss
mobile audiometry
sudden sensorineural hearing loss

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title = "Hearing Vital Signs: Mobile Audiometry in the Emergency Department for Evaluation of Sudden Hearing Loss",

abstract = "Emergency departments (EDs) are a common location for patients to present with sudden hearing loss (SHL). Unfortunately, high-quality, rapid quantitative measurement of hearing loss is challenging. Herein, we aim to evaluate the accuracy of tablet-based audiometry in patients complaining of SHL. Prospective tablet-based testing was completed in the ED in patients complaining of SHL. Air conduction thresholds (ACTs) obtained via tablet-based audiometry were compared to same-day measurements with a clinical-grade audiometer. Hearing loss (HL) was defined as >20 dB ACT for any frequency. In participant-level analysis, 30+ dB HL in 3 consecutive frequencies was used to define SHL. In the ED, mobile audiogram ACTs were within 5 dB (77%) and 10 dB (89.6%) of those determined by conventional audiometry. The sensitivity and specificity for mobile audiometry to detect 3 or more consecutive thresholds with 30+ dB HL were 100% and 62.5%, respectively. Findings have implications for increasing access to high-quality audiometry.",

keywords = "audiometry, hearing loss, idiopathic sudden sensorineural hearing loss, mobile audiometry, sudden sensorineural hearing loss",

author = "Lubner, {Rory J.} and Eric Barbarite and Neil Kondamuri and Knoll, {Renata M.} and Ota, {H. Gregory} and Lewis, {Rebecca M.} and Kevin Franck and Remenschneider, {Aaron K.} and Kozin, {Elliott D.}",

note = "Publisher Copyright: {\textcopyright} American Academy of Otolaryngology–Head and Neck Surgery Foundation 2020.",

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AU - Knoll, Renata M.

AU - Ota, H. Gregory

AU - Lewis, Rebecca M.

AU - Franck, Kevin

AU - Remenschneider, Aaron K.

AU - Kozin, Elliott D.

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N2 - Emergency departments (EDs) are a common location for patients to present with sudden hearing loss (SHL). Unfortunately, high-quality, rapid quantitative measurement of hearing loss is challenging. Herein, we aim to evaluate the accuracy of tablet-based audiometry in patients complaining of SHL. Prospective tablet-based testing was completed in the ED in patients complaining of SHL. Air conduction thresholds (ACTs) obtained via tablet-based audiometry were compared to same-day measurements with a clinical-grade audiometer. Hearing loss (HL) was defined as >20 dB ACT for any frequency. In participant-level analysis, 30+ dB HL in 3 consecutive frequencies was used to define SHL. In the ED, mobile audiogram ACTs were within 5 dB (77%) and 10 dB (89.6%) of those determined by conventional audiometry. The sensitivity and specificity for mobile audiometry to detect 3 or more consecutive thresholds with 30+ dB HL were 100% and 62.5%, respectively. Findings have implications for increasing access to high-quality audiometry.

AB - Emergency departments (EDs) are a common location for patients to present with sudden hearing loss (SHL). Unfortunately, high-quality, rapid quantitative measurement of hearing loss is challenging. Herein, we aim to evaluate the accuracy of tablet-based audiometry in patients complaining of SHL. Prospective tablet-based testing was completed in the ED in patients complaining of SHL. Air conduction thresholds (ACTs) obtained via tablet-based audiometry were compared to same-day measurements with a clinical-grade audiometer. Hearing loss (HL) was defined as >20 dB ACT for any frequency. In participant-level analysis, 30+ dB HL in 3 consecutive frequencies was used to define SHL. In the ED, mobile audiogram ACTs were within 5 dB (77%) and 10 dB (89.6%) of those determined by conventional audiometry. The sensitivity and specificity for mobile audiometry to detect 3 or more consecutive thresholds with 30+ dB HL were 100% and 62.5%, respectively. Findings have implications for increasing access to high-quality audiometry.

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Hearing Vital Signs: Mobile Audiometry in the Emergency Department for Evaluation of Sudden Hearing Loss

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