Correlation of Hearing Handicap Inventory for Adult (HHIA) Total Score and Number of Hemodialysis in Chronic Kidney Disease who Undergo Hemodialysis in Haji General Hospital Surabay

Abstract

Background: Sensorineural hearing loss can occur in chronic kidney patients (CKD) who undergo

hemodialysis. Haemodialysis sessions influence sensorineural hearing loss significantly. Hearing loss in

CKD and hemodialysis patients need an assessment tool for early detection. HHIA questionnaire seems has

potential to be used as an early detection of hearing loss in CKD patients with hemodialysis. The correlations

of HHIA total scores and number of hemodialysis in this population remain unknown.

Objective: To analyze the correlation between HHIA (Hearing Handicap Inventory for Adult) total scores

and number of hemodialysis in stage 5 chronic kidney disease patients in Haji general hospital Surabaya.

Method: This study is an analytical, observational, and cross-sectional study. There were 43 patients included

in this study. HHIA scores and number of hemodialysis were obtained by interview the patients based on

HHIA questionnaire and patient’s status form. Patients Age, sex, history of hypertension and diabetes, and

audiogram was conducted from medical record. All of the data were analyzed by using SPSS Statistic 22

software.

Results: 43 patients have responded to HHIA questionnaire. 42(95,3%) patients had no handicap and only

2(4,7%) patients had mild handicap. The correlation between HHIA total scores and number hemodialysis

found not significant (r = 0,156, p = 0,319). Only 16 patients have PTA audiometry result, 10 patients

(68,75%) had mild hearing loss, 1 patient (6,25%) had moderate hearing loss, and 4 patients (25%) were

normal.

Conclusions: The questioner assessment to assess the hearing loss in CKD patients with hemodialysis may

applied practically and tolerable to the patients. There was no correlation between HHIA and number of

hemodialysis.