Hearing Handicap Inventory for the Elderly – Screening (HHIE-S)

Description

The Hearing Handicap Inventory for the Elderly - Screening (HHIE-S) can be used to screen elderly patients for problems associated with hearing impairment. The instrument can be used together with hand-held audioscopes in primary care settings lacking audiometric facilities.

The instrument consists of 10 questions.

Response	Points
no	0
sometimes	2
yes	4

where:

• These items are in the Hearing Handicap Inventory for the Elderly (HHIE) as items 2, 5, 8, 9, 10, 11, 14, 15, 20, and 21.

Interpretation:

• minimum score 0

• maximum score 40

HHIE-S score in study population	pretest probability of hearing impairment	likelihood ratio (95% confidence interval)	post-test probability of hearing impairment
0-8	30%	0.36 (0.19 - 0.68)	13%
10-24	30%	2.30 (1.22 - 4.32)	50%
25-40	30%	12.00 (2.62 - 55.00)	84%

HHIE-S score	sensitivity	specificity	positive predictive value	negative predictive value	test accuracy
> 8	72%	77%	58%	86%	74%
> 24	41%	92%	67%	78%	76%

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Hearing Handicap Inventory for the Elderly – Screening (HHIE-S)

Description

Specialty