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NEUROLOGY 2007;68:1311-1314
© 2007 American Academy of Neurology

How accurate are bedside hearing tests?

D. F. Boatman, PhD, CCC-A, D. L. Miglioretti, PhD, C. Eberwein, MS, CCC-A, M. Alidoost, MS and S. G. Reich, MD

From the Departments of Neurology and Otolaryngology, Johns Hopkins School of Medicine, Baltimore, MD (D.F.B., C.E., M.A.); Center for Health Studies, Group Health Cooperative, Seattle, WA (D.L.M.); and Department of Neurology, University of Maryland, Baltimore, MD (S.G.R.).

Address correspondence and reprint requests to Dr. Dana Boatman, Department of Neurology, 600 North Wolfe Street/Meyer 2-147, Baltimore, MD 21287; e-mail: dboatma{at}jhmi.edu

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 (≤0.60), relatively good specificity (≥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.

Supported by NIH grants R01-DC005645 and R21-DC007490.

Disclosure: The authors report no conflicts of interest.

Received March 21, 2006. Accepted in final form December 19, 2006.


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Correspondence:

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How accurate are bedside hearing tests?
Marcelo A. Kauffman, et al.
Neurology Online, 11 Jun 2007 [Full text]
Reply from the Authors
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