Functional Hearing Difficulties in Veterans: Retrospective Chart Review of Auditory Processing Assessments in the VA Health Care System.
Functional Hearing Difficulties in Veterans: Retrospective Chart Review of Auditory Processing Assessments in the VA Health Care System.
复制标题
退伍军人的功能性听力困难：退伍军人管理局医疗保健系统听觉处理评估的回顾性图表审查。
DOI：
10.1044/2022_aja-22-00117
复制
发表时间：
2023
影响因子：
1.8
通讯作者：
Frederick,MelissaT
中科院分区：
文献类型：
--
作者：
Papesh,MelissaA;Fowler,Lora;Pesa,StephanieR;Frederick,MelissaT
大约有2300万美国人可能有功能性听力困难（FHD），这不能很好地解释他们的听力阈值。FHD患者的临床管理是相当大的争论的主题，很少有循证指南来指导患者护理。更好地了解寻求FHD帮助的患者的特征，以及当前的听力学管理实践，是需要直接的研究工作，该地区的最大机会，促进临床护理。方法回顾性图表审查进行检查的医疗记录的随机抽样的100名退伍军人谁经历了听觉处理评估之间的VA卫生保健系统2008年和2009年。2020.结果患者为年轻人至中年人，通常有外伤性脑损伤或爆炸暴露史。心理健康、睡眠和疼痛障碍是常见的。没有一致的关系出现特定的患者因素和领域的听觉处理缺陷。低增益助听器提供给35例患者，其中69%的人继续戴着他们的助听器至少2 years.ConclusionFuture的研究应解决潜在的重叠症状和共病的健康状况和FHD的治疗，以及成功的助听器使用在这个患者群体的条件。
PurposeApproximately 23 million Americans might have functional hearing difficulties (FHDs) that are not well explained by their audiometric thresholds. Clinical management of patients with FHDs is the subject of considerable debate, with few evidence-based guidelines to direct patient care. A better understanding of the characteristics of patients who seek help for FHDs, as well as current audiological management practices, is needed to direct research efforts to the areas greatest opportunity for advancement of clinical care.MethodA retrospective chart review was conducted examining the medical records of a random sample of 100 Veterans who underwent auditory processing assessments across the VA Health Care System between 2008 and 2020.ResultsPatients were young to middle-age, often with previous traumatic brain injury or blast exposure. Mental health, sleep, and pain disorders were common. No consistent relationships emerged between specific patient factors and domains of auditory processing deficits. Low-gain hearing aids were provided to 35 patients, 69% of whom continued wearing their hearing aids for at least 2 years.ConclusionFuture research should address the potential overlap in symptoms and treatment for comorbid health conditions and FHDs, as well as the conditions underlying successful hearing aid use in this patient population.