CC BY-NC-ND 4.0 · Laryngorhinootologie 2022; 101(S 02): S252
DOI: 10.1055/s-0042-1746716
Poster
Otology / Neurootology / Audiology

Diagnosis of dementia in hearing-impaired subjects using the MOCA-HI

Hannah Fricke
1   St. Elisabeth Hospital, Klinik für Hals-Nasen-Ohrenheilkunde Bochum
,
Lisa Götze
1   St. Elisabeth Hospital, Klinik für Hals-Nasen-Ohrenheilkunde Bochum
,
Franziska Labrenz
2   Medizinische Fakultät der Ruhr Universität Bochum, Abteilung für Medizinische Psychologie und Soziologie Bochum
,
Christiane Völter
1   St. Elisabeth Hospital, Klinik für Hals-Nasen-Ohrenheilkunde Bochum
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As dementia diagnostic tools such as the MoCA screening test are mainly auditory-based, the risk of false-positive diagnosis in the presence of a moderate to severe hearing impairment cannot be ruled out. Therefore, a visual-based MoCA-HI has recently been developed in English. The aim of the present study was to assess a German version of the MoCA-HI in cognitive healthy subjects aged 60 or more with and without hearing loss.

After translation, the MoCA-HI was tested on 94 subjects with normal or slightly impaired hearing (NH) and on 81 subjects with moderate or severe hearing loss (SH) aged 60 to 97 (M: 71.52). Additionally, cognitive testing was performed with the standard MoCA and the GPCOG and socioeconomic as well as psychosocial data (GDS-15) were recorded. In 115 patients a retest was done after a period of at least 4 weeks.

A higher age (p<.001), male gender (p=.011), and lower education level (p<.001) were associated with a lower MoCA-HI total score. After accounting for these factors, no significant difference was found between NH and SH in the MoCA-HI total score (p=.550), the cognitive subdomains (p≥.494), or the three adapted items of the MoCA-HI (p≥.227). Retest reliability was high with a correlation of 0.844 (p<.001).

In the German MoCA-HI, the previously described difference between NH and SH could not be detected anymore. Currently, cognitively impaired normal hearing and hearing-impaired subjects are included in the study. The aim is to assess normative data adapted to age, gender and educational level, which allow to use the MoCA-HI in clinical practice in the long-term.



Publication History

Article published online:
24 May 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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