Audiogram and Speech Audiometry in Elderly with Presbycusis


  • Amrollah Latupono Universitas Hasanuddin
  • Eka Savitri Universitas Hasanuddin
  • Abdul Kadir Universitas Hasanuddin



elderly, presbikusis, screening


Presbycusis or age-related hearing loss (ARHL) is one of the biggest health problems suffered by the elderly that causes side effects on the physical, cognitive, emotional, behavioral, and social functions, which will contribute to social isolation, even depression. The purpose of this study was to conduct hearing screening in the elderly diagnosed with presbycusis, determine the audiogram and audiometric features, and describe the characteristics of the elderly and the results of the screening. This was a descriptive study with a cross-sectional research design. Elderly aged 60 to 99 years were screened for hearing by audiogram and speech audiometry after being diagnosed with presbycusis, to analyze the general description of the audiogram and speech audiometry. The results obtained from July to August 2018 showed 61 elderly patients with presbycusis, most were female patients (52%) and were aged 70- 79 (56%). From the right and left ear audiogram screening results, only three patients (5%) had normal audiograms. Other patients have varying degrees of sensorineural hearing loss. Most of the patients (34%) had severe hearing loss in the right ear and moderate hearing loss in the left ear (28%). Based on the speech audiometry, most of the patients (57%) had SDS between 50-80%, which means there is a problem in distinguishing words or language discrimination. This study has successfully performed hearing screening in the elderly with presbycusis. Almost all patients have sensorineural hearing loss with a minimal moderate degree of hearing loss and language discrimination disorder based on the results of the screening.


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Author Biographies

Amrollah Latupono, Universitas Hasanuddin

Departemen Ilmu Kesehatan Telinga Hidung Tenggorokan, Kepala Leher, Fakultas Kedokteran, Universitas Hasanuddin

Eka Savitri, Universitas Hasanuddin

Departemen Ilmu Kesehatan Telinga Hidung Tenggorokan, Kepala Leher, Fakultas Kedokteran, Universitas Hasanuddin

Abdul Kadir, Universitas Hasanuddin

Departemen Ilmu Kesehatan Telinga Hidung Tenggorokan, Kepala Leher, Fakultas Kedokteran, Universitas Hasanuddin


Cheslock M, De Jesus O. 2021. Presbycusis. In StatPearls. Treasure Island (FL): StatPearls Publishing.

Demeester K, van Wieringen A, Hendrickx Jj, Topsakal V, Fransen E, van Laer L, Van de Heyning P. 2009. Audiometric shape and presbycusis. International Journal of Audiology. 48(4):222-232. doi:10.1080/14992020802441799.

Divenyi PL, Stark PB, Haupt KM. 2005. Decline of speech understanding and auditory thresholds in the elderly. The Journal of the Acoustical Society of America. 118(2): 1089-1100. doi:10.1121/1.1953207

Fei J, Lei L, Su–ping Z, Ke–fang L, Qi–you Z, Shi–ming Y. 2011. An investigation into hearing loss among patients of 50 years or older. Journal of Otology. 6(1): 44-49. doi:

Gates, Mills. 2005. Presbycusis. Lancet. 366(20).

Haider HF, Flook M, Aparicio M, Ribeiro D, Antunes M, Szczepek AJ, Caria H. 2017. Biomarkers of Presbycusis and Tinnitus in a Portuguese Older Population. Frontiers in Aging Neuroscience. 9(346). doi:10.3389/fnagi.2017.00346.

Hannula S, Bloigu R, Majamaa K, Sorri M, Mäki-Torkko E. 2011. Audiogram configurations among older adults: Prevalence and relation to self-reported hearing problems. International Journal of Audiology. 50(11): 793-801. doi:10.3109/14992027.2011.593562.

Huang Q, Tang J. 2010. Age-related hearing loss or presbycusis. European Archives of Oto- Rhino-Laryngology. 267(8):1179-1191. doi:10.1007/s00405-010-1270-7

Kim TS, Chung JW. 2013. Evaluation of age-related hearing loss. Korean journal of audiology. 17(2): 50-53. doi:10.7874/kja.2013.17.2.50

Livshitz L, Ghanayim R, Kraus C, Farah R, Even-Tov E, Avraham Y, Gilbey P. 2017. Application-Based Hearing Screening in the Elderly Population. Annals of Otology, Rhinology & Laryngology. 126(1): 36-41. doi:10.1177/0003489416672873.

Maeda Y, Takao S, Sugaya A, Kataoka Y, Kariya S, Tanaka S, Nishizaki K. 2018. Relationship between pure-tone audiogram findings and speech perception among older Japanese persons. Acta Oto-Laryngologica. 138(2): 140-144. doi:10.1080/00016489.2017.1378435.

Mazelová J, Popelar J, Syka J. 2003. Auditory function in presbycusis: peripheral vs. central changes. Experimental Gerontology. 38(1): 87-94. doi: 5565(02)00155-9.

Rissa NF. 2020. Overview The Result of Speech-in-Noise Audiometry Examination on Elderly Associated with Pure Tone Audiometry in the ORL-HNS Department of Dr. Cipto Mangunkusumo General hospital Program Studi Ilmu Kesehatan Telinga Hidung Tenggorok FKUI. 25.

Sarafraz M, Saki N, Maleki M, Nikakhlagh S, Jonaky R. 2015. Distribution of Audiometric Findings in Patients with Presbycusis. Biomedican & Pharmacology Journal, 8(March Spl Edition). 37-41.

Sogebi O, Olsoga-Peters O, Oluwapelumi O. 2013. Clinical and audimetric features of presbycusis in Nigerians. African Health Sciences. 13(4): 886-892.

Sousa CS, Castro Júnior N, Larsson EJ, Ching TH. 2009. Risk factors for presbycusis in a socio-economic middle-class sample. Braz J Otorhinolaryngol. 75(4): 530-536.

Suharto M. 2008. Teknik Manual Audiometri: Audiovestibulogi.



How to Cite

Latupono, A., Savitri, E., & Kadir, A. (2021). Audiogram and Speech Audiometry in Elderly with Presbycusis. Jurnal Ilmiah Kesehatan (JIKA), 3(3), 177–183.