title: Hearing loss in elderly patients in a family practice.
abstract: OBJECTIVE
  To investigate hearing loss in elderly patients.
  
  
  METHODS
  Cohort study.
  
  
  METHODS
  Family practice.
  
  
  METHODS
  All ambulatory patients 65 years of age or older who attended the practice from June to August 1989.
  
  
  METHODS
  The Hearing Handicap Inventory for the Elderly--Screening Version (HHIE-S) and the Welch-Allyn Audioscope. Patients who failed one or both of the screening tests were referred to a speech and hearing clinic for audiologic assessment and treatment recommendations. Those with hearing aids were excluded from the main study but were given the opportunity to have them assessed at the clinic.
  
  
  RESULTS
  Of 157 eligible patients 42 were excluded: 16 refused to participate, 13 already had hearing aids, and 13 could not be contacted. Of the remaining 115, 34 failed one or both of the tests (14 failed the HHIE-S, 9 failed the audioscope test, and 11 failed both). Of the 34, 25 completed the audiologic assessment at the clinic. Fifteen were found to have severe hearing impairment; the recommendation was hearing aids for 12, further assessment for 2 and no treatment for 1. Of the remaining 10 patients it was thought that 6 would benefit from hearing aids. Ten of the 11 patients with hearing aids who agreed to undergo testing at the clinic were found to need an adjustment or replacement of their devices.
  
  
  CONCLUSIONS
  Hearing loss is a significant problem in elderly patients in primary practice. Further study is required to determine which of the two screening tools is most effective. Most elderly patients with hearing aids may require modification or replacement of their devices.
authors.affiliation: Department of Family Medicine, University of Western Ontario, London.
authors.forename: J F
authors.initials: JF
authors.lastname: Sangster
authors.forename: T M
authors.initials: TM
authors.lastname: Gerace
authors.forename: R C
authors.initials: RC
authors.lastname: Seewald
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D012048:Correction of Hearing Impairment; D005194:Family Practice; D005260:Female; D006310:Hearing Aids; D006311:Hearing Disorders / Q000175:diagnosis / Q000453:epidemiology*; D006320:Hearing Tests; D006801:Humans; D008297:Male; D009864:Ontario / Q000453:epidemiology; D010044:Outpatient Clinics, Hospital; D015995:Prevalence; D012017:Referral and Consultation