How accurate are bedside hearing tests?

The accuracy of five bedside hearing tests was evaluated in 107 consecutive adults, using pure-tone audiometry as the standard reference. Bedside tests had poor sensitivity (< or =0.60), relatively good specificity (> or =0.74), and variable positive predictive value (0.24 to 1.0) for detectin...

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Bibliographic Details
Published inNeurology Vol. 68; no. 16; p. 1311
Main Authors Boatman, D F, Miglioretti, D L, Eberwein, C, Alidoost, M, Reich, S G
Format Journal Article
LanguageEnglish
Published United States 17.04.2007
Subjects
Aged
Aged, 80 and over
Audiometry - standards
False Negative Reactions
Female
Hearing Loss - diagnosis
Hearing Loss - epidemiology
Hearing Loss - physiopathology
Hearing Tests - methods
Hearing Tests - standards
Humans
Male
Middle Aged
Predictive Value of Tests
Prevalence
Sex Distribution
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Summary:The accuracy of five bedside hearing tests was evaluated in 107 consecutive adults, using pure-tone audiometry as the standard reference. Bedside tests had poor sensitivity (< or =0.60), relatively good specificity (> or =0.74), and variable positive predictive value (0.24 to 1.0) for detecting hearing loss. Sensitivity improved when bedside tests were combined with case history. The diagnostic utility of bedside tests routinely administered by neurologists to detect hearing loss in adults requires further study.
ISSN:1526-632X
DOI:10.1212/01.wnl.0000259524.08148.16