Fitting a Hearing Aid on the Better Ear, Worse Ear, or Both: Associations of Hearing-aid Fitting Laterality with Outcomes in a Large Sample of US Veterans.
Fitting a Hearing Aid on the Better Ear, Worse Ear, or Both: Associations of Hearing-aid Fitting Laterality with Outcomes in a Large Sample of US Veterans.
复制标题
DOI：
10.1177/23312165231195987
复制
发表时间：
2023-01
影响因子：
2.7
通讯作者：
Dillard, Lauren K.
中科院分区：
文献类型：
--
作者：
Zobay, Oliver;Naylor, Graham;Saunders, Gabrielle H.;Dillard, Lauren K.
美国退伍军人事务部医疗保健系统中大量新助听器 (HA) 接受者的纵向电子健康记录被用来评估验配偏侧性与通过电池订单记录衡量的长期 HA 使用持续性之间的关联，以及与短期 HA 使用和满意度之间的关联 (使用国际助听器结果清单 (IOI-HA) 进行评估，在 HA 验配后 180 天内完成。我们的数据集规模很大，使我们能够解决尚未受到太多关注的偏侧性验配的两个方面，即听力不对称程度以及单侧验配时该适合哪只耳朵的问题。主要发现是，与双侧和单侧较好耳朵验配相比，对称性听力损失 (HL) 的单侧验配和不对称 HL 的单侧较差耳朵验配的长期 HA 使用持续性要低得多。相比之下，短期自我报告的 HA 使用情况没有观察到不同侧向类别之间的差异。与非对称 HL 的双侧佩戴相比，对称 HL 的单侧佩戴和单侧更好的耳朵佩戴的总 IOI-HA 评分较差。因此，我们得出结论，双边拟合产生最佳的短期和长期结果，虽然单边和双边拟合可以在某些措施上产生类似的结果，但我们没有发现任何 HL 配置双边拟合会导致较差的结果。然而，如果要安装单个 HA，那么我们的结果表明，与较差的耳朵验配相比，较好的耳朵验配具有更高的长期 HA 使用持久性的可能性。
Longitudinal electronic health records from a large sample of new hearing-aid (HA) recipients in the US Veterans Affairs healthcare system were used to evaluate associations of fitting laterality with long-term HA use persistence as measured by battery order records, as well as with short-term HA use and satisfaction as assessed using the International Outcome Inventory for Hearing Aids (IOI-HA), completed within 180 days of HA fitting. The large size of our dataset allowed us to address two aspects of fitting laterality that have not received much attention, namely the degree of hearing asymmetry and the question of which ear to fit if fitting unilaterally. The key findings were that long-term HA use persistence was considerably lower for unilateral fittings for symmetric hearing loss (HL) and for unilateral worse-ear fittings for asymmetric HL, as compared to bilateral and unilateral better-ear fittings. In contrast, no differences across laterality categories were observed for short-term self-reported HA usage. Total IOI-HA score was poorer for unilateral fittings of symmetric HL and for unilateral better-ear fittings compared to bilateral for asymmetric HL. We thus conclude that bilateral fittings yield the best short- and long-term outcomes, and while unilateral and bilateral fittings can result in similar outcomes on some measures, we did not identify any HL configuration for which a bilateral fitting would lead to poorer outcomes. However, if a single HA is to be fitted, then our results indicate that a better-ear fitting has a higher probability of long-term HA use persistence than a worse-ear fitting.
登录
查看更多内容
影响因子：
3.7
作者：
Saunders GH;Dillard LK;Zobay O;Cannon JB;Naylor G
通讯作者：
Naylor G
影响因子：
5.8
作者：
Kowarik, Alexander;Templ, Matthias
通讯作者：
Templ, Matthias
影响因子：
2.7
作者：
Glyde, Helen;Dillon, Harvey;Roup, Christina
通讯作者：
Roup, Christina
影响因子：
1.2
作者：
Jespersen, Charlotte Thunberg;Groth, Jennifer;Jensen, Ole Dyrlund
通讯作者：
Jensen, Ole Dyrlund
影响因子：
2.1
作者：
SWAN, IRC;BROWNING, GG;GATEHOUSE, S
通讯作者：
GATEHOUSE, S