Consistent hearing aid use is associated with lower fall prevalence and risk in older adults with hearing loss

Journal of the American Geriatrics Society, Journal Year: 2023, Volume and Issue: 71(10), P. 3163 - 3171

Published: June 14, 2023

Abstract Background Falls and their sequelae cost more than $50 billion every year. Older adults with hearing loss are at 2.4 times greater risk of falls normal peers. Current research is inconclusive about whether aids can offset this increased fall risk, no previous studies considered if outcomes differed based on the consistency aid use. Methods Individuals 60 years older bilateral completed a survey consisting Fall Risk Questionnaire (FRQ) questions history, use, other common factors. In cross‐sectional study, prevalence, as well (based FRQ score), was compared between users non‐users. A separate group consistent hearing‐aid (at least 4 h daily use for 1 year) also inconsistent/non‐users. Results Responses from 299 surveys were analyzed. Bivariate analysis found 50% reduced odds experiencing non‐users (OR = 0.50 [95% CI: 0.29–0.85], p 0.01). After adjusting age, sex, severity, medication usage, those who reported any still had lower 0.48 0.26–0.90], 0.02) being 0.36 0.19–0.66] < 0.001) demonstrate an even stronger association lowered falling 0.35 0.19–0.67], 0.32 0.12–0.59], 0.001), suggesting potential dose–response relationship. Conclusions These findings suggest that aids—especially use—is associated or classified in individuals loss.

Language: Английский

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Hearing loss and risk of major osteoporotic fracture: a population-based cohort study in the United Kingdom

Archives of Osteoporosis, Journal Year: 2025, Volume and Issue: 20(1)

Published: Jan. 28, 2025

Abstract Summary Using the UK Clinical Practice Research Datalink, our cohort study matched 237,297 individuals with hearing loss (HL) to 829,431 without HL. The found an 8–10% higher risk of major osteoporotic fracture in HL compared those without. Additionally, within cohort, we identified factors for potential inclusion models. Purpose Assess association between and (MOF; spine, wrist/forearm, shoulder/proximal humerus, hip) aged ≥ 60 years, MOF Methods From years diagnosed (READ/ICD-10 codes; 01January2001–31December2021; index event), secondary osteoporosis causes, up five (birth, year, sex, general practice). Incidence rates Cox proportional hazard ratios (HL vs. no HL; stratified by low/high risk) were calculated hip fracture; multivariate logistic regression assessed cohort). Results A total HL, a median age 74 72 respectively. Compared had greater frailty (severe electronic index, 5.9% 2.7%), incidence prior falls (14.1% 10.6%), longer mean follow-up fractures (5.1 4.4 20.1 5.32 16.58 4.54 per 1000 person-years, respectively) (adjusted HR, 1.10 1.08, respectively). Significant included 70 history, falls, diagnosis, chronic obstructive pulmonary disorder cardiovascular disease Conclusion In observed versus

Language: Английский

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Hearing Loss and Falls

JAMA Otolaryngology–Head & Neck Surgery, Journal Year: 2025, Volume and Issue: unknown

Published: March 20, 2025

Importance Falls constitute a significant public health concern worldwide and have been associated with increased morbidity mortality across all ages. Identifying potentially modifiable risk factors for falls is key priority. Literature surrounding the association between hearing loss (HL) remains inconclusive. Objective To conduct systematic review meta-analysis to comprehensively synthesize evidence impact of HL on falls. Data Sources PubMed, Embase, Cochrane Library from database inception through April 9, 2024. Study Selection Observational studies investigating were selected. Only reporting covariate-adjusted estimates included minimize confounding. Extraction Synthesis Two independent reviewers evaluated eligibility, extracted data, assessed bias studies. Using random-effects model, adjusted pooled in meta-analyses. Heterogeneity was using subgroup sensitivity analyses, publication assessed. Main Outcomes Measures The cross-sectional odds longitudinal among patients compared those without HL. Results A total 5 071 935 participants 27 studies; approximately 49.2% female, 14 conducted Asia, 7 North America, 3 Europe, Oceania, represented by Australia. Patients exhibited an (odds ratio, 1.51; 95% CI, 1.37-1.67; I 2 = 64%) (risk 1.17; 1.06-1.29; 69%) than Further stratification self-reported or validated assessments, fall duration, continent, community-dwelling adults, adjusting other sensory deficits identified as World Guideline did not change significance. These results remained robust absent. Conclusions Relevance This found that overall, may be factor With rapidly aging global population, it crucial acknowledge concerns consider if could factor. Nonetheless, further randomized clinical trials are needed elucidate any benefit treating prevention.

Language: Английский

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Associated factors and gender differences of falls in older adults with hypertension: a national cross-sectional survey

Frontiers in Public Health, Journal Year: 2025, Volume and Issue: 13

Published: April 16, 2025

Background Falls have become a crucial public health problem among older adults, especially those with hypertension. However, the current understanding of risk falls them is still insufficient. The purpose this study was to investigate factors associated and their gender differences adults hypertension in China. Methods Based on cross-sectional data Chinese Longitudinal Healthy Longevity Survey (CLHLS) 2018 database, defined 24 possible based five dimensions Health Ecology Model. Binary Logistic Regression Model used analyze impact each factor Results prevalence rate China 22.60%. are variety factors. Specifically, gender, self-rated health, hearing impairment, stroke, instrumental activities daily living (IADL) disability, basic (BADL) exercise, fresh fruit taste preference significant for Among them, effects stroke exercise only female effect men Conclusion findings highlight that situation requires attention, necessitating comprehensive measures prevention control.

Language: Английский

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Hospital performance comparison of inpatient fall rates; the impact of risk adjusting for patient-related factors: a multicentre cross-sectional survey

BMC Health Services Research, Journal Year: 2022, Volume and Issue: 22(1)

Published: Feb. 18, 2022

Comparing inpatient fall rates can serve as a benchmark for quality improvement. To improve the comparability of performance between hospitals, adjustments patient-related risk factors that are not modifiable by care recommended. Thereafter, remaining variability in risk-adjusted be attributed to differences provided hospital. Research on and their impact hospital comparisons is currently sparse. Therefore, aims this study were develop an adjustment model based factors, analyse applying acute hospitals Switzerland.Data falls Swiss collected one day 2017, 2018 2019, part annual multicentre cross-sectional survey. After excluding maternity outpatient wards, all inpatients older than 18 years included. Two-level logistic regression models used construct unadjusted caterpillar plots compare inter-hospital rates.One hundred thirty eight 35,998 patients included analysis. Risk showed following associated with higher falling: increasing dependency (to great extent dependent, odds ratio 3.43, 95% confidence interval 2.78-4.23), last 12 months (OR 2.14, CI 1.89-2.42), intake sedative or psychotropic medications 1.74, 1.54-1.98), mental behavioural disorders 1.55, 1.36-1.77) age 1.01, 1.01-1.02). With ratios 1.26 0.67, further ICD-10 diagnosis groups Female sex 0.78, 0.70-0.88) postoperative 0.83, 0.73-0.95) lower falling. Unadjusted identified 20 low- 3 high-performing hospitals. adjustment, 2 low-performing remained.Risk could reduce misclassification enables fairer basis decision-making improvement measures. Patient-related such dependency, history cognitive impairment should routinely assessed.

Language: Английский

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Assessing the relationship between hearing impairment and falls in older adults

Geriatric Nursing, Journal Year: 2022, Volume and Issue: 47, P. 145 - 150

Published: July 30, 2022

Language: Английский

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The Association of Hearing Loss with Hospitalization

The Journal of the American Board of Family Medicine, Journal Year: 2023, Volume and Issue: 36(3), P. 439 - 448

Published: May 8, 2023

Individuals with hearing loss (HL) are at higher risk for hospitalizations, and may be readmissions, compared their peers. The objective of this prospective study was to confirm retrospective studies suggesting that HL increases hospital and, if confirmed, possible causes it.A cohort English-speaking patients >55 years old admitted general medical surgical floors 2 large systems in southeastern Michigan over a 2-year period conducted. All underwent bedside audiometric testing. presence severity were categorized using World Health Organization pure tone assessment parameters. Readmission rates, Charlson comorbidity index, socio-demographic variables obtained from Epic EMR databases.There 1247 hospitalized enrolled. Of these, 76.8% had documented which 50.5% (630) mild 26.3% (328) moderate or worse HL. Patients any older more likely non-Hispanic, white, male, less education, lower health literacy, comorbidities, difficulty communicating doctor. rates 30 90-days similar between groups, after adjusting severity, Charlston numerous potential confounders.Patients do not seem have readmissions. We did find high frequency along significant communication difficulties clinicians. These findings implications measures improve patient-physician communication, potentially improving long-term outcomes.

Language: Английский

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Hearing Loss Is Associated with Increased Variability in Double Support Period in the Elderly

Sensors, Journal Year: 2021, Volume and Issue: 21(1), P. 278 - 278

Published: Jan. 4, 2021

Hearing loss is a disabling condition that increases with age and has been linked to difficulties in walking increased risk of falls. The purpose this study investigate changes gait parameters associated hearing group older adults aged 60 or greater. Custom-engineered footwear was used collect spatiotemporal data an outpatient clinical setting. Multivariable linear regression determine the relationship between high low frequency thresholds poorer ear, left right respectively, adjusting for age, sex, race/ethnicity, Dizziness Handicap Inventory–Screening version score. Worsening were variability double support period. Effects persisted after effects perceived vestibular disability greater ear compared ear. These findings illustrate importance auditory feedback balance coordination may suggest advantage influence on gait.

Language: Английский

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Association of Single and Dual Sensory Impairment with Falls among Medicare Beneficiaries

Journal of Aging and Health, Journal Year: 2023, Volume and Issue: 36(5-6), P. 390 - 399

Published: July 28, 2023

Objective: The purpose of this study was to determine if dual sensory impairment (DSI) is associated with falls and fear falling among older adults. Methods: Using data from the 2019 Medicare Current Beneficiary Survey (MCBS), we studied cross-sectional association self-reported hearing/vision history/number over past year, (scale 1–6), a fall requiring medical help using weighted multivariable regressions adjusted for demographic clinical covariates. Results: Among 11,089 beneficiaries (mean age = 74, 55% female, 9% Black), DSI increased prevalence (prevalence ratio 1.45 [1.28–1.65]) incidence (incidence 2.21 [1.79–2.75]) rate falls, greater odds higher score (odds 1.38 [1.08–1.77]). Discussion: Consideration as marker initiate prevention programs inclusion interventions in these may be valuable.

Language: Английский

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Clinical Effects of Outpatient Health Education on Fall Prevention and Self-health Management of Elderly Patients with Chronic Diseases

Evidence-based Complementary and Alternative Medicine, Journal Year: 2022, Volume and Issue: 2022, P. 1 - 9

Published: Aug. 28, 2022

Background. Elderly patients with chronic diseases (CDs) have a higher predilection for falls, more severe consequences once they fall. Therefore, it is necessary to explore an effective way prevent falls in elderly CDs. Objective. To clarify the clinical effects of outpatient health education on fall prevention and self-health management Methods. This retrospective study enrolled 102 CDs who received treatment School Medicine, Sir Run Shaw Hospital Zhejiang University, between January 2019 December 2020. Patients intervened by routine nursing were assigned regular group (n = 48), those additionally treated included research 54). Assessment patients’ negative emotions (NEs) adopted Self-Rating Anxiety/Depression Scale (SAS/SDS), determination their sense self-efficacy employed Falls Efficacy International (FES-I), self-care capacity evaluation used Exercise Self-Care Agency (ESCA). Patients’ hospitalization time, knowledge, prevention-related behavior, satisfaction recorded. Results. After intervention, lower SAS, SDS, FES-I scores determined versus group; total ESCA score assessed from various dimensions was also exhibited markedly incidence shorter time than group, better mastery behavior satisfaction. Conclusions. Outpatient intervention can senile falling, promote rehabilitation, enhance knowledge; moreover, improve healthy behaviors mitigate NEs, ability, which has high application value.

Language: Английский

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