The role of a mobile hearing application in secondary care ENT (HAppENT)

J Laryngol Otol. 2024 Mar;138(3):289-296. doi: 10.1017/S002221512300138X. Epub 2023 Aug 17.

Abstract

Objective: Sudden hearing loss is a common presentation to ENT. In the authors' practice, patients often wait many weeks for formal hearing testing. This study aimed to assess whether a tablet-based hearing test, hearTest, could aid clinical decision-making within secondary care ENT.

Method: This was a multi-centre, prospective, non-randomised study to assess the feasibility, usability and accuracy of hearTest.

Results: In the sample, hearTest was shown to be an acceptable method of testing for hearing loss by both patients and clinicians. The 0.5-4 kHz range had an average clinical agreement rate of 95.1 per cent when compared with formal pure tone audiometry, deeming it an accurate test to diagnose hearing loss.

Conclusion: The authors propose that hearTest can be used within ENT as a clinical decision support tool when manual audiometry is not immediately available. Within the authors' practice, hearTest is used to aid diagnosis and management of sudden sensorineural hearing loss.

Keywords: Hearing loss; audiology; hearing test; pure tone audiometry; sensorineural hearing loss; sudden hearing loss.

MeSH terms

  • Audiometry, Pure-Tone / methods
  • Deafness*
  • Hearing
  • Hearing Loss, Sensorineural*
  • Hearing Loss, Sudden* / diagnosis
  • Hearing Loss, Sudden* / therapy
  • Humans
  • Prospective Studies
  • Secondary Care