Comorbidities of hearing loss and the implications of multimorbidity for audiological care
Comorbidities of hearing loss and the implications of multimorbidity for audiological care
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DOI：
10.1016/j.heares.2018.06.008
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发表时间：
2018-11-01
期刊：
影响因子：
2.8
通讯作者：
Launer, Stefan
中科院分区：
文献类型：
--
作者：
Besser, Jana;Stropahl, Maren;Launer, Stefan
随着年龄的增长，患慢性健康状况的风险也在增加，许多老年人患有多种并存的健康状况，即，多重性老年人的一种常见健康状况是听力损失（HL）。目前的文章反映了听力保健的影响，当HL是一个多发病的几个健康状况之一。概述了经常与HL共存的健康状况，即所谓的合并症，包括相关性强度的指标。该综述基于一项文献研究，该研究检查了2010-2018年发表的队列研究，并检查了听力损失与其他健康状况的关系，即视力障碍，行动受限，认知障碍，心理健康问题，糖尿病，心血管疾病，中风，关节炎和癌症。这一选择是基于以前发表的关于老年常见慢性健康状况和听力损失合并症的文献。对于所有这些健康状况，发现HL患者的患病率更高，几项纵向研究也发现HL患者的发病率增加。检查的出版物提供的信息很少，听力损失应如何管理在其合并症的临床护理，反之亦然。本文讨论了调整当前护理的几种选择。尽管如此，针对HL的综合听力学护理模式的解决方案仍然缺乏，应该受到未来的研究。(C)2018作者由爱思唯尔公司出版
With increasing age, the risk of developing chronic health conditions also increases, and many older people suffer from multiple co-existing health conditions, i.e., multimorbidity. One common health condition at older age is hearing loss (HL). The current article reflects on the implications for audiological care, when HL is one of several health conditions in a multimorbidity. An overview of health conditions often co-existing with HL, so called comorbidities, is provided, including indications for the strength of the associations. The overview is based on a literature study examining cohort studies that were published in the years 2010-2018 and examined associations of hearing loss with other health conditions, namely Visual impairment, Mobility restrictions, Cognitive impairment, Psychosocial health problems, Diabetes, Cardiovascular diseases, Stroke, Arthritis, and Cancer. This selection was based on previous publications on common chronic health conditions at older age and comorbidities of hearing loss. For all of these health conditions, it was found that prevalence is larger in people with a HL and several longitudinal studies also found increased incident rates in people with a HL. The examined publications provide little information on how hearing loss should be managed in the clinical care of its comorbidities and vice versa. The current article discusses several options for adaptations of current care. Nonetheless, solutions for an integrated audiology care model targeting HL in a multimorbidity are still lacking and should be subject to future research. (C) 2018 The Authors. Published by Elsevier B.V.