An assistive listening device improves hearing following aneurysmal subarachnoid haemorrhage
An assistive listening device improves hearing following aneurysmal subarachnoid haemorrhage
Background and purpose: Hearing impairment is common following aneurysmal subarachnoid haemorrhage (aSAH). Previous studies have demonstrated that auditory processing disorder (APD) is the primary underlying pathology. Assistive listening devices (ALDs) can be used to manage APD but have not been explored in aSAH. The aim of this study was to assess the benefit of an ALD for patients reporting hearing difficulty after aSAH. Methods: This was a prospective pilot single-arm intervention study of an ALD for APD following aSAH. Patients who reported subjective hearing difficulty following aSAH were identified from the Wessex Neurological Centre aSAH database. Speech-in-noise was evaluated using the Bamford−Kowal−Bench (BKB) test under 60 and 65 dB noise conditions. BKB performance was compared with and without an ALD. Cognition was assessed using the Addenbrooke's Cognitive Examination-III. Results: Fourteen aSAH patients with self-reported hearing loss were included in the analysis. Under both noise conditions the ALD significantly improved BKB performance (60 dB, Z = −3.30, p < 0.001; 65 dB, Z = −3.33, p < 0.001). There was no relationship between cognition and response to the ALD. Conclusions: This study demonstrates the marked benefit of ALDs to manage APD following aSAH, regardless of cognitive status. This finding has implications for the management of this common yet disabling deficit which impacts quality of life and employment. A further trial of ALDs in this patient group is needed to test whether these large, short-term benefits can be practically translated to the community for long-term benefit when used at home.
assistive listening device, hearing, subarachnoid haemorrhage
Gaastra, Ben
c7b7f371-706b-4d59-9150-94e8f254e205
Whyte, Stuart
d2536af1-f5ce-40ca-8576-57aef493c031
Hankin, Bethan
45333917-0a8e-44be-bb75-b6b770ce97ce
Bulters, Diederik
d6f9644a-a32f-45d8-b5ed-be54486ec21d
Galea, Ian
66209a2f-f7e6-4d63-afe4-e9299f156f0b
Campbell, Nicci
fde07dcf-4874-4bab-ab3a-c3bc3c0015da
8 February 2024
Gaastra, Ben
c7b7f371-706b-4d59-9150-94e8f254e205
Whyte, Stuart
d2536af1-f5ce-40ca-8576-57aef493c031
Hankin, Bethan
45333917-0a8e-44be-bb75-b6b770ce97ce
Bulters, Diederik
d6f9644a-a32f-45d8-b5ed-be54486ec21d
Galea, Ian
66209a2f-f7e6-4d63-afe4-e9299f156f0b
Campbell, Nicci
fde07dcf-4874-4bab-ab3a-c3bc3c0015da
Gaastra, Ben, Whyte, Stuart, Hankin, Bethan, Bulters, Diederik, Galea, Ian and Campbell, Nicci
(2024)
An assistive listening device improves hearing following aneurysmal subarachnoid haemorrhage.
European Journal of Neurology, 31 (5), [e16240].
(doi:10.1111/ene.16240).
Abstract
Background and purpose: Hearing impairment is common following aneurysmal subarachnoid haemorrhage (aSAH). Previous studies have demonstrated that auditory processing disorder (APD) is the primary underlying pathology. Assistive listening devices (ALDs) can be used to manage APD but have not been explored in aSAH. The aim of this study was to assess the benefit of an ALD for patients reporting hearing difficulty after aSAH. Methods: This was a prospective pilot single-arm intervention study of an ALD for APD following aSAH. Patients who reported subjective hearing difficulty following aSAH were identified from the Wessex Neurological Centre aSAH database. Speech-in-noise was evaluated using the Bamford−Kowal−Bench (BKB) test under 60 and 65 dB noise conditions. BKB performance was compared with and without an ALD. Cognition was assessed using the Addenbrooke's Cognitive Examination-III. Results: Fourteen aSAH patients with self-reported hearing loss were included in the analysis. Under both noise conditions the ALD significantly improved BKB performance (60 dB, Z = −3.30, p < 0.001; 65 dB, Z = −3.33, p < 0.001). There was no relationship between cognition and response to the ALD. Conclusions: This study demonstrates the marked benefit of ALDs to manage APD following aSAH, regardless of cognitive status. This finding has implications for the management of this common yet disabling deficit which impacts quality of life and employment. A further trial of ALDs in this patient group is needed to test whether these large, short-term benefits can be practically translated to the community for long-term benefit when used at home.
Text
Euro J of Neurology - 2024 - Gaastra - An assistive listening device improves hearing following aneurysmal subarachnoid
- Version of Record
More information
Accepted/In Press date: 24 January 2024
e-pub ahead of print date: 8 February 2024
Published date: 8 February 2024
Additional Information:
Funding Information:
BG is funded by the National Institute for Health Research (NIHR), Guarantors of Brain and Institute for Life Sciences at the University of Southampton.
Publisher Copyright:
© 2024 The Authors. European Journal of Neurology published by John Wiley & Sons Ltd on behalf of European Academy of Neurology.
Keywords:
assistive listening device, hearing, subarachnoid haemorrhage
Identifiers
Local EPrints ID: 486991
URI: http://eprints.soton.ac.uk/id/eprint/486991
ISSN: 1351-5101
PURE UUID: cf9cec08-1ec9-4b56-8cce-997097dbfe5b
Catalogue record
Date deposited: 09 Feb 2024 17:34
Last modified: 12 Apr 2024 02:01
Export record
Altmetrics
Contributors
Author:
Stuart Whyte
Author:
Bethan Hankin
Author:
Diederik Bulters
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.
View more statistics