Labanca Ludimila, Guimarães Fernando Sales, Costa-Guarisco Letícia Pimenta, Couto Erica de Araújo Brandão, Gonçalves Denise Utsch
Departamento de Fonoaudiologia, Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG). Av. Alfredo Balena 190/199, Santa Efigênia. 30130-100 Belo Horizonte MG Brasil.
Programa de Residência Multiprofissional em Saúde do Idoso, Hospital das Clínicas, UFMG. Belo Horizonte MG Brasil.
Cien Saude Colet. 2017 Nov;22(11):3589-3598. doi: 10.1590/1413-812320172211.31222016.
Given the high prevalence of presbycusis and its detrimental effect on quality of life, screening tests can be useful tools for detecting hearing loss in primary care settings. This study therefore aimed to determine the accuracy and reproducibility of the whispered voice test as a screening method for detecting hearing impairment in older people. This cross-sectional study was carried out with 210 older adults aged between 60 and 97 years who underwent the whispered voice test employing ten different phrases and using audiometry as a reference test. Sensitivity, specificity and positive and negative predictive values were calculated and accuracy was measured by calculating the area under the ROC curve. The test was repeated on 20% of the ears by a second examiner to assess inter-examiner reproducibility (IER). The words and phrases that showed the highest area under the curve (AUC) and IER values were: "shoe" (AUC = 0.918; IER = 0.877), "window" (AUC = 0.917; IER = 0.869), "it looks like it's going to rain" (AUC = 0.911; IER = 0.810), and "the bus is late" (AUC = 0.900; IER = 0.810), demonstrating that the whispered voice test is a useful screening tool for detecting hearing loss among older people. It is proposed that these words and phrases should be incorporated into the whispered voice test protocol.
鉴于老年性聋的高患病率及其对生活质量的不利影响，筛查测试可作为在初级保健环境中检测听力损失的有用工具。因此，本研究旨在确定低语声测试作为检测老年人听力障碍的筛查方法的准确性和可重复性。这项横断面研究对210名年龄在60至97岁之间的老年人进行，他们接受了使用十个不同短语的低语声测试，并以听力测定作为参考测试。计算了敏感性、特异性、阳性和阴性预测值，并通过计算ROC曲线下面积来测量准确性。由第二名检查者对20%的耳朵重复该测试，以评估检查者间的可重复性（IER）。曲线下面积（AUC）和IER值最高的单词和短语是：“鞋子”（AUC = 0.918；IER = 0.877）、“窗户”（AUC = 0.917；IER = 0.869）、“看起来要下雨了”（AUC = 0.911；IER = 0.810）和“公交车晚点了”（AUC = 0.900；IER = 0.810），这表明低语声测试是检测老年人听力损失的有用筛查工具。建议将这些单词和短语纳入低语声测试方案中。
