Application of a computer-based neurocognitive assessment battery in the elderly with and without hearing loss

Christiane Völter,1 Lisa Götze,1 Michael Falkenstein,2 Stefan Dazert,1 Jan Peter Thomas1 1Department of Otorhinolaryngology, Head and Neck Surgery, Ruhr University Bochum, St Elisabeth-Hospital, Bochum, 2Institute for Work, Learning and Ageing (ALA), Leibniz Research Centre for Wo...

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Autores principales:	Völter C, Götze L, Falkenstein M, Dazert S, Thomas JP
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	• elderly • computer based test battery • hearing loss • cognition Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/3bac6cc02d314f86b31934b108f24edb
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spelling	oai:doaj.org-article:3bac6cc02d314f86b31934b108f24edb2021-12-02T04:31:58ZApplication of a computer-based neurocognitive assessment battery in the elderly with and without hearing loss1178-1998https://doaj.org/article/3bac6cc02d314f86b31934b108f24edb2017-10-01T00:00:00Zhttps://www.dovepress.com/application-of-a-computer-based-neurocognitive-assessment-battery-in-t-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Christiane Völter,1 Lisa Götze,1 Michael Falkenstein,2 Stefan Dazert,1 Jan Peter Thomas1 1Department of Otorhinolaryngology, Head and Neck Surgery, Ruhr University Bochum, St Elisabeth-Hospital, Bochum, 2Institute for Work, Learning and Ageing (ALA), Leibniz Research Centre for Working Environment and Human Factors, Dortmund, Germany Introduction: Due to demographic changes, the number of people suffering not only from dementia illness but also from hearing impairment with the need for hearing rehabilitation have increased noticeably. Even with the association between hearing, age, and cognitive decline being well known, this issue has so far not played an important role in daily clinical Ear Nose Throat settings. The aim of the present study was to evaluate the use of a computer-based battery of tests of neurocognitive abilities in older patients with and without hearing loss.Patients and methods: A total of 120 patients aged 50 years and older were enrolled in this prospective clinical study: 40 patients suffered from severe bilateral hearing loss and were tested before cochlear implantation and 80 patients showed normal hearing thresholds between 500 and 4,000 Hz bilaterally. The test battery covered a wide range of cognitive abilities such as long- and short-term memory, working memory (WM), attention, inhibition, and other executive functions. Individuals with severe depression or cognitive impairment were excluded.Results: Hearing status was a significant predictor of performance on delayed recall (P=0.0082) and verbal fluency after adjusting for age (P=0.0016). Age predominantly impacted on inhibition (P=0.0039) and processing speed (P<0.0001), whereas WM measured by the Operation Span task (OSPAN) and the attention were influenced by both age and hearing. The battery of tests was feasible and practical for testing older patients without prior computer skills.Conclusion: A computerized neurocognitive assessment battery may be a suitable tool for the elderly in clinical practice. While it cannot replace a thorough neuropsychological examination, it may help to draw the line between cognitive and hearing impairment in the elderly and enable the development of individual strategies for hearing rehabilitation. Keywords: elderly, computer-based test battery, hearing loss, cognitionVölter CGötze LFalkenstein MDazert SThomas JPDove Medical Pressarticle• elderly • computer based test battery • hearing loss • cognitionGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 1681-1690 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	• elderly • computer based test battery • hearing loss • cognition Geriatrics RC952-954.6
spellingShingle	• elderly • computer based test battery • hearing loss • cognition Geriatrics RC952-954.6 Völter C Götze L Falkenstein M Dazert S Thomas JP Application of a computer-based neurocognitive assessment battery in the elderly with and without hearing loss
description	Christiane Völter,1 Lisa Götze,1 Michael Falkenstein,2 Stefan Dazert,1 Jan Peter Thomas1 1Department of Otorhinolaryngology, Head and Neck Surgery, Ruhr University Bochum, St Elisabeth-Hospital, Bochum, 2Institute for Work, Learning and Ageing (ALA), Leibniz Research Centre for Working Environment and Human Factors, Dortmund, Germany Introduction: Due to demographic changes, the number of people suffering not only from dementia illness but also from hearing impairment with the need for hearing rehabilitation have increased noticeably. Even with the association between hearing, age, and cognitive decline being well known, this issue has so far not played an important role in daily clinical Ear Nose Throat settings. The aim of the present study was to evaluate the use of a computer-based battery of tests of neurocognitive abilities in older patients with and without hearing loss.Patients and methods: A total of 120 patients aged 50 years and older were enrolled in this prospective clinical study: 40 patients suffered from severe bilateral hearing loss and were tested before cochlear implantation and 80 patients showed normal hearing thresholds between 500 and 4,000 Hz bilaterally. The test battery covered a wide range of cognitive abilities such as long- and short-term memory, working memory (WM), attention, inhibition, and other executive functions. Individuals with severe depression or cognitive impairment were excluded.Results: Hearing status was a significant predictor of performance on delayed recall (P=0.0082) and verbal fluency after adjusting for age (P=0.0016). Age predominantly impacted on inhibition (P=0.0039) and processing speed (P<0.0001), whereas WM measured by the Operation Span task (OSPAN) and the attention were influenced by both age and hearing. The battery of tests was feasible and practical for testing older patients without prior computer skills.Conclusion: A computerized neurocognitive assessment battery may be a suitable tool for the elderly in clinical practice. While it cannot replace a thorough neuropsychological examination, it may help to draw the line between cognitive and hearing impairment in the elderly and enable the development of individual strategies for hearing rehabilitation. Keywords: elderly, computer-based test battery, hearing loss, cognition
format	article
author	Völter C Götze L Falkenstein M Dazert S Thomas JP
author_facet	Völter C Götze L Falkenstein M Dazert S Thomas JP
author_sort	Völter C
title	Application of a computer-based neurocognitive assessment battery in the elderly with and without hearing loss
title_short	Application of a computer-based neurocognitive assessment battery in the elderly with and without hearing loss
title_full	Application of a computer-based neurocognitive assessment battery in the elderly with and without hearing loss
title_fullStr	Application of a computer-based neurocognitive assessment battery in the elderly with and without hearing loss
title_full_unstemmed	Application of a computer-based neurocognitive assessment battery in the elderly with and without hearing loss
title_sort	application of a computer-based neurocognitive assessment battery in the elderly with and without hearing loss
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/3bac6cc02d314f86b31934b108f24edb
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Application of a computer-based neurocognitive assessment battery in the elderly with and without hearing loss

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