Association Between Hearing Impairment and Risk of Hospitalization in Older Adults.
Association Between Hearing Impairment and Risk of Hospitalization in Older Adults.
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DOI：
10.1111/jgs.13456
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发表时间：
2015-06
影响因子：
6.3
通讯作者：
Health, Aging and Body Composition Study
中科院分区：
文献类型：
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作者：
Genther DJ;Betz J;Pratt S;Martin KR;Harris TB;Satterfield S;Bauer DC;Newman AB;Simonsick EM;Lin FR;Health, Aging and Body Composition Study
旨在确定美国社区老年人听力障碍 (HI) 与住院风险和住院时间的关系。前瞻性观察研究。健康、衰老和身体成分研究。对 1997-1998 年研究登记时年龄为 70-79 岁、功能良好的社区居住的白人和黑人医疗保险受益人进行了中位随访 12 年。发病率、年发生率和住院时间是主要结局。听力被定义为听力阈值的纯音平均值（以分贝为单位）：0.5-4 kHz 八度频率下的听力水平 (dB HL)。轻度 HI 定义为 PTA >25–40 dB HL，中度或以上 HI 定义为 PTA >40 dB HL。在参与分析的 2,148 名参与者中，1,801 名 (83.5%) 经历过一次或多次住院治疗，研究期间发生了 7,007 起裁定住院事件。共有 882 名参与者（41.1%）听力正常，818 名参与者（38.1%）有轻度 HI，448 名参与者（20.9%）有中度或以上 HI。调整人口统计数据和心血管合并症后，轻度和中度或以上 HI 患者的住院事件风险分别增加 16%（风险比 [HR]：1.16，95% CI：1.04–1.29）和 21%（HR：1.21，95% CI：1.06–1.38），住院风险增加 17%（发病率比） [内部收益率]：1.17， 与听力正常的人相比，每年住院率高出 19%（IRR：1.19，95% CI：1.04–1.38）和 19%（95% CI：1.04–1.32）。 HI 与平均住院时间没有显着相关性。与听力正常的老年人相比，听力受损的老年人的发病率和年住院率更高。调查听力康复治疗是否会影响老年人住院的风险需要进一步研究。
To determine the association of hearing impairment (HI) with risk and duration of hospitalization in community-dwelling older adults in the United States. Prospective observational study. Health, Aging and Body Composition study. Well-functioning community-dwelling White and Black Medicare beneficiaries aged 70–79 years at study enrollment in 1997–1998 were followed for a median of 12 years. Incidence, annual rate, and duration of hospitalization were the primary outcomes. Hearing was defined as the pure-tone average of hearing thresholds in decibels re: Hearing Level (dB HL) at octave frequencies from 0.5–4 kHz. Mild HI was defined as PTA >25–40 dB HL, and moderate-or-greater HI was defined as PTA >40 dB HL. Of the 2,148 participants included in the analysis, 1,801 (83.5%) experienced one or more hospitalizations, with 7,007 adjudicated hospitalization events occurring during the study period. A total of 882 (41.1%) participants had normal hearing, 818 (38.1%) had mild HI, and 448 (20.9%) had moderate-or-greater HI. After adjusting for demographics and cardiovascular comorbidities, persons with mild and moderate-or-greater HI, respectively, experienced a 16% (Hazard Ratio [HR]: 1.16, 95% CI: 1.04–1.29) and 21% (HR: 1.21, 95% CI: 1.06–1.38) greater risk of incident hospitalization and a 17% (Incidence Rate Ratio [IRR]: 1.17, 95% CI: 1.04–1.32) and 19% (IRR: 1.19, 95% CI: 1.04–1.38) greater annual rate of hospitalization compared to persons with normal hearing. There was no significant association of HI with mean duration of hospitalization. Hearing-impaired older adults experience a greater incidence and annual rate of hospitalization than those with normal hearing. Investigating whether hearing rehabilitative therapies could affect the risk of hospitalization in older adults requires further study.
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影响因子：
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作者：
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