Hearing Impairment and Tinnitus: Prevalence, Risk Factors, and Outcomes in US Service Members and Veterans Deployed to the Iraq and Afghanistan Wars
Hearing Impairment and Tinnitus: Prevalence, Risk Factors, and Outcomes in US Service Members and Veterans Deployed to the Iraq and Afghanistan Wars
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DOI：
10.1093/epirev/mxu005
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发表时间：
2015-01-01
影响因子：
5.5
通讯作者：
Carlson, Kathleen F.
中科院分区：
文献类型：
--
作者：
Theodoroff, Sarah M.;Lewis, M. Samantha;Carlson, Kathleen F.
听力损失和耳鸣是美国退伍军人中最常见的两种与服役有关的残疾。“持久自由行动”、“伊拉克自由行动”和“新黎明行动”的退伍军人都暴露在与这些条件相关的多种危害中，比如爆炸、耳毒性化学物质，最明显的是高水平的噪音。我们对美国“持久自由行动”、“伊拉克自由行动”和“新黎明”退伍军人和军人中听力损伤和耳鸣的患病率、风险和保护因素、功能和生活质量结果进行了系统的文献回顾。我们通过PubMed、PsycINFO、REHABDATA、Cochrane Library、pearling和专家推荐，确定了2001年至2013年发表的研究。同行评议的英文文章描述了30名或更多成年人的研究，如果它们提供了一个或多个关键问题，则被纳入。共有839篇标题/摘要由受过文献批判性分析培训的调查人员进行相关性审查；14项研究符合纳入标准。其中，13项研究提供了患病率数据，4项研究提供了风险/保护因素数据。没有纳入报告结果的研究。该系统综述的发现将有助于临床医生、研究人员和政策制定者了解有关最新一代退伍军人听力障碍和耳鸣的未来资源和研究需求。
Hearing loss and tinnitus are the 2 most prevalent service-connected disabilities among veterans in the United States. Veterans of Operations Enduring Freedom, Iraqi Freedom, and New Dawn have been exposed to multiple hazards associated with these conditions, such as blasts/explosions, ototoxic chemicals, and most notably high levels of noise. We conducted a systematic literature review of evidence on 1) prevalence of, 2) risk and protective factors for, and 3) functional and quality-of-life outcomes of hearing impairment and tinnitus in US Operations Enduring Freedom, Iraqi Freedom, and New Dawn veterans and military personnel. We identified studies published from 2001 through 2013 using PubMed, PsycINFO, REHABDATA, Cochrane Library, pearling, and expert recommendation. Peer-reviewed English language articles describing studies of 30 or more adults were included if they informed one or more key questions. A total of 839 titles/abstracts were reviewed for relevance by investigators trained in critical analysis of literature; 14 studies met inclusion criteria. Of these, 13 studies presented data on prevalence and 4 on risk/protective factors, respectively. There were no included studies reporting on outcomes. Findings from this systematic review will help inform clinicians, researchers, and policy makers on future resource and research needs pertaining to hearing impairment and tinnitus in this newest generation of veterans.