Evid Based Nurs 9:120 doi:10.1136/ebn.9.4.120
  • Assessment (screening or diagnosis)

Review: self report of hearing loss and the whispered voice test are useful for screening for hearing impairment

 Q Are simple screening tests useful for diagnosing hearing impairment?


GraphicData sources:

Medline, EMBASE/Excerpta Medica (1966 to April 2005), bibliographies of relevant articles and a clinical skills textbook, and experts.

GraphicStudy selection and assessment:

English language studies that evaluated the accuracy or precision of bedside screening questions or physical examination manoeuvres for hearing impairment in symptomatic and asymptomatic people ⩾16 years of age. 24 studies (n = 12 645) met the selection criteria. The tests evaluated included a self reported screening question (eg, “Do you feel you have a hearing loss?”); Hearing Handicap Inventory for the Elderly, screening version (HHIE-S), a 10 item self administered questionnaire measuring the social and emotional effects of hearing problems (range of scores 0–40); Weber and Rinne tuning fork tests; whispered voice …

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