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Auditory processing disorder following aneurysmal subarachnoid haemorrhage and the benefit of an assistive listening device

Auditory processing disorder following aneurysmal subarachnoid haemorrhage and the benefit of an assistive listening device
Auditory processing disorder following aneurysmal subarachnoid haemorrhage and the benefit of an assistive listening device
Background: the benefits of Assistive Listening Devices (ALD) with deaf individuals and those with auditory processing disorder (APD) are known. People surviving an aneurysmal subarachnoid haemorrhage (aSAH) often report hearing difficulties. Previous studies have demonstrated that APD, rather than peripheral hearing loss, is the primary underlying pathology. ALD can be used to manage APD but has not been explored following aSAH. The aim of this study was to assess the benefit of ALD.

Methods: this was a 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. Cognition and hearing-related quality of life were assessed. Baseline peripheral hearing was assessed using PTA and individuals with peripheral hearing deficits were excluded. Speech-in-Noise was evaluated with a new test rig using the Bamford-Kowal-Bench (BKB) test at 60dB, with 60dB and 65dB noise conditions. BKB performance was compared with and without ALD.

Results: fourteen aSAH patients with self-reported hearing loss were included in the analysis. In the 60 dB noise condition, the mean BKB words correctly repeated without the ALD was 25%, which increased to 99% with the ALD. In the 65 dB noise condition the mean BKB words correctly repeated without the ALD was 1%, which increased to 97% with the ALD.

Conclusions: this study demonstrates that the test rig is an effective way of assessing benefit of ALD and the marked benefit of ALD to manage APD following aSAH, regardless of cognitive status. Future studies are required to confirm the benefit of this technology in a free-living environment in the long-term following aSAH.
Whyte, Stuart
d2536af1-f5ce-40ca-8576-57aef493c031
Gaastra, Ben
c7b7f371-706b-4d59-9150-94e8f254e205
Campbell, Nicci
fde07dcf-4874-4bab-ab3a-c3bc3c0015da
Galea, Ian
66209a2f-f7e6-4d63-afe4-e9299f156f0b
Bulters, Diederik
d6f9644a-a32f-45d8-b5ed-be54486ec21d
Hankin, Bethan
45333917-0a8e-44be-bb75-b6b770ce97ce
Whyte, Stuart
d2536af1-f5ce-40ca-8576-57aef493c031
Gaastra, Ben
c7b7f371-706b-4d59-9150-94e8f254e205
Campbell, Nicci
fde07dcf-4874-4bab-ab3a-c3bc3c0015da
Galea, Ian
66209a2f-f7e6-4d63-afe4-e9299f156f0b
Bulters, Diederik
d6f9644a-a32f-45d8-b5ed-be54486ec21d
Hankin, Bethan
45333917-0a8e-44be-bb75-b6b770ce97ce

Whyte, Stuart, Gaastra, Ben, Campbell, Nicci, Galea, Ian, Bulters, Diederik and Hankin, Bethan (2024) Auditory processing disorder following aneurysmal subarachnoid haemorrhage and the benefit of an assistive listening device. British Society of Audiology Annual Scientific Meeting, Birmingham Conference and Events Centre, Birmingham, United Kingdom. 17 - 18 Jun 2024. 1 pp .

Record type: Conference or Workshop Item (Poster)

Abstract

Background: the benefits of Assistive Listening Devices (ALD) with deaf individuals and those with auditory processing disorder (APD) are known. People surviving an aneurysmal subarachnoid haemorrhage (aSAH) often report hearing difficulties. Previous studies have demonstrated that APD, rather than peripheral hearing loss, is the primary underlying pathology. ALD can be used to manage APD but has not been explored following aSAH. The aim of this study was to assess the benefit of ALD.

Methods: this was a 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. Cognition and hearing-related quality of life were assessed. Baseline peripheral hearing was assessed using PTA and individuals with peripheral hearing deficits were excluded. Speech-in-Noise was evaluated with a new test rig using the Bamford-Kowal-Bench (BKB) test at 60dB, with 60dB and 65dB noise conditions. BKB performance was compared with and without ALD.

Results: fourteen aSAH patients with self-reported hearing loss were included in the analysis. In the 60 dB noise condition, the mean BKB words correctly repeated without the ALD was 25%, which increased to 99% with the ALD. In the 65 dB noise condition the mean BKB words correctly repeated without the ALD was 1%, which increased to 97% with the ALD.

Conclusions: this study demonstrates that the test rig is an effective way of assessing benefit of ALD and the marked benefit of ALD to manage APD following aSAH, regardless of cognitive status. Future studies are required to confirm the benefit of this technology in a free-living environment in the long-term following aSAH.

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aSAH_RMS_USAIS_AcademicPoster - Author's Original
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Published date: 24 June 2024
Venue - Dates: British Society of Audiology Annual Scientific Meeting, Birmingham Conference and Events Centre, Birmingham, United Kingdom, 2024-06-17 - 2024-06-18

Identifiers

Local EPrints ID: 496453
URI: http://eprints.soton.ac.uk/id/eprint/496453
PURE UUID: d0a81b8c-4f85-4f83-8aa3-68476cf3892b
ORCID for Stuart Whyte: ORCID iD orcid.org/0000-0003-3464-8510
ORCID for Ben Gaastra: ORCID iD orcid.org/0000-0002-7517-6882
ORCID for Nicci Campbell: ORCID iD orcid.org/0000-0001-6895-5434
ORCID for Ian Galea: ORCID iD orcid.org/0000-0002-1268-5102
ORCID for Diederik Bulters: ORCID iD orcid.org/0000-0001-9884-9050

Catalogue record

Date deposited: 16 Dec 2024 17:32
Last modified: 17 Dec 2024 03:01

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Contributors

Author: Stuart Whyte ORCID iD
Author: Ben Gaastra ORCID iD
Author: Nicci Campbell ORCID iD
Author: Ian Galea ORCID iD
Author: Diederik Bulters ORCID iD
Author: Bethan Hankin

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