Impact of Hearing Loss on Geriatric Assessment

Christiane Völter,1 Lisa Götze,1 Stefan Dazert,1 Rainer Wirth,2 Jan Peter Thomas1 1Department of Otorhinolaryngology, Head and Neck Surgery, Ruhr-University Bochum, St. Elisabeth-Hospital, Bochum 44787, Germany; 2Department of Geriatric Medicine, Ruhr-University Bochum, Marien Hosp...

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Autores principales:	Völter C, Götze L, Dazert S, Wirth R, Thomas JP
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	age-related hearing loss cognitive screening dementia geriatric assessment Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/806ed4f477f249259ddc5c62ac0e3623
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spelling	oai:doaj.org-article:806ed4f477f249259ddc5c62ac0e36232021-12-02T15:06:32ZImpact of Hearing Loss on Geriatric Assessment1178-1998https://doaj.org/article/806ed4f477f249259ddc5c62ac0e36232020-12-01T00:00:00Zhttps://www.dovepress.com/impact-of-hearing-loss-on-geriatric-assessment-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Christiane Völter,1 Lisa Götze,1 Stefan Dazert,1 Rainer Wirth,2 Jan Peter Thomas1 1Department of Otorhinolaryngology, Head and Neck Surgery, Ruhr-University Bochum, St. Elisabeth-Hospital, Bochum 44787, Germany; 2Department of Geriatric Medicine, Ruhr-University Bochum, Marien Hospital Herne, Herne 44625, GermanyCorrespondence: Christiane VölterDepartment of Otorhinolaryngology, Head and Neck Surgery, Ruhr-University Bochum, St. Elisabeth-Hospital, Bleichstraße 15, Bochum 44787, GermanyTel +49 234 509 8390Email christiane.voelter@rub.deBackground: Due to the aging society, the incidence of age-related hearing loss (ARHL) is strongly increasing. Hearing loss has a high impact on various aspects of life and may lead to social isolation, depression, loss of gain control, frailty and even mental decline. Comorbidity of cognitive and sensory impairment is not rare. This might have an impact on diagnostics and treatment in the geriatric setting.Objective: The aim of the study was to evaluate the impact of hearing impairment on geriatric assessment and cognitive testing routinely done in geriatrics.Material and Methods: This review is based on publications retrieved by a selective search in Medline, including individual studies, meta-analyses, guidelines, Cochrane reviews, and other reviews from 1960 until August 2020.Results: Awareness of sensory impairment is low among patients and health professionals working with elderly people. The evaluation of the hearing status is not always part of the geriatric assessment and not yet routinely done in psychiatric settings. However, neurocognitive testing as an important part can be strongly influenced by auditory deprivation. Misunderstanding of verbal instructions, cognitive changes, and delayed central processes may lead to a false diagnosis in up to 16% of subjects with hearing loss. To minimize this bias, several neurocognitive assessments were transformed into non-auditory versions recently, eg the most commonly used Hearing-Impaired Montreal Cognitive Assessment (HI-MoCA). However, most of them still lack normative data for elderly people with hearing loss.Conclusion: Hearing loss should be taken into consideration when performing geriatric assessment and cognitive testing in elderly subjects. Test batteries suitable for ARLH should be applied.Keywords: age-related hearing loss, cognitive screening, dementia, geriatric assessmentVölter CGötze LDazert SWirth RThomas JPDove Medical Pressarticleage-related hearing losscognitive screeningdementiageriatric assessmentGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 2453-2467 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	age-related hearing loss cognitive screening dementia geriatric assessment Geriatrics RC952-954.6
spellingShingle	age-related hearing loss cognitive screening dementia geriatric assessment Geriatrics RC952-954.6 Völter C Götze L Dazert S Wirth R Thomas JP Impact of Hearing Loss on Geriatric Assessment
description	Christiane Völter,1 Lisa Götze,1 Stefan Dazert,1 Rainer Wirth,2 Jan Peter Thomas1 1Department of Otorhinolaryngology, Head and Neck Surgery, Ruhr-University Bochum, St. Elisabeth-Hospital, Bochum 44787, Germany; 2Department of Geriatric Medicine, Ruhr-University Bochum, Marien Hospital Herne, Herne 44625, GermanyCorrespondence: Christiane VölterDepartment of Otorhinolaryngology, Head and Neck Surgery, Ruhr-University Bochum, St. Elisabeth-Hospital, Bleichstraße 15, Bochum 44787, GermanyTel +49 234 509 8390Email christiane.voelter@rub.deBackground: Due to the aging society, the incidence of age-related hearing loss (ARHL) is strongly increasing. Hearing loss has a high impact on various aspects of life and may lead to social isolation, depression, loss of gain control, frailty and even mental decline. Comorbidity of cognitive and sensory impairment is not rare. This might have an impact on diagnostics and treatment in the geriatric setting.Objective: The aim of the study was to evaluate the impact of hearing impairment on geriatric assessment and cognitive testing routinely done in geriatrics.Material and Methods: This review is based on publications retrieved by a selective search in Medline, including individual studies, meta-analyses, guidelines, Cochrane reviews, and other reviews from 1960 until August 2020.Results: Awareness of sensory impairment is low among patients and health professionals working with elderly people. The evaluation of the hearing status is not always part of the geriatric assessment and not yet routinely done in psychiatric settings. However, neurocognitive testing as an important part can be strongly influenced by auditory deprivation. Misunderstanding of verbal instructions, cognitive changes, and delayed central processes may lead to a false diagnosis in up to 16% of subjects with hearing loss. To minimize this bias, several neurocognitive assessments were transformed into non-auditory versions recently, eg the most commonly used Hearing-Impaired Montreal Cognitive Assessment (HI-MoCA). However, most of them still lack normative data for elderly people with hearing loss.Conclusion: Hearing loss should be taken into consideration when performing geriatric assessment and cognitive testing in elderly subjects. Test batteries suitable for ARLH should be applied.Keywords: age-related hearing loss, cognitive screening, dementia, geriatric assessment
format	article
author	Völter C Götze L Dazert S Wirth R Thomas JP
author_facet	Völter C Götze L Dazert S Wirth R Thomas JP
author_sort	Völter C
title	Impact of Hearing Loss on Geriatric Assessment
title_short	Impact of Hearing Loss on Geriatric Assessment
title_full	Impact of Hearing Loss on Geriatric Assessment
title_fullStr	Impact of Hearing Loss on Geriatric Assessment
title_full_unstemmed	Impact of Hearing Loss on Geriatric Assessment
title_sort	impact of hearing loss on geriatric assessment
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/806ed4f477f249259ddc5c62ac0e3623
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Impact of Hearing Loss on Geriatric Assessment

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