Cost-effectiveness of hearing aids in South Korea: a multistate Markov model analysis

Clinical and Experimental Otorhinolaryngology, Год журнала: 2025, Номер unknown

Опубликована: Янв. 21, 2025

express our deep appreciation for their

Язык: Английский

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A fall risk prediction model based on the CHARLS database for older individuals in China

BMC Geriatrics, Год журнала: 2025, Номер 25(1)

Опубликована: Март 13, 2025

Falls represent the second leading cause of injury-related mortality among older adults globally. The occurrence falls is consequence interaction numerous complex risk factors. objective this study was to develop a validated fall prediction model for Chinese individuals. used data from China Health and Retirement Longitudinal Study (CHARLS), dataset representative population. Thirty-eight indicators including biological factors, behavioral factors health status were analyzed in study. cohort randomly divided into training set (70%) validation (30%). Variables screened using LASSO regression analysis, best predictive based on 10-fold cross-validation, logistic applied explore correlates individuals, nomogram constructed model, calibration curves assess accuracy performance assessed by area under receiver operating characteristic curve decision analysis. A total 4,913 cases 2015 CHARLS database people aged 60 years ultimately included, 1,082 (22.02%) individuals had experienced within two years. Multivariate analysis showed that Sleeping time, Hearing, Grip strength, ADL score, Cognition, Depression, Health, KD, Pain DRUG predictors These construct models good agreement accuracy. AUC value 0.644 (95% CI = 0.621–0.666), with specificity 0.695 sensitivity 0.522. For internal set, 0.611–0.678), 0.629 0.577. Hosmer-Lemeshow test p 0.9368 0.8545 (both > 0.05). show more significant between actual observations. ROC DCA indicate better nomogram. comprehensive promising convenient tool assessing help understand level falls, avoid eliminate modifiable reduce incidence falls. Not applicable.

Язык: Английский

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Hearing Loss and Falls

JAMA Otolaryngology–Head & Neck Surgery, Год журнала: 2025, Номер unknown

Опубликована: Март 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.

Язык: 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, Год журнала: 2025, Номер 13

Опубликована: Апрель 16, 2025

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. 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 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 findings highlight that situation requires attention, necessitating comprehensive measures prevention control.

Язык: Английский

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Effect of Attitudes Toward Hearing Loss and Hearing Aids on the Risk of Device Abandonment Among Older Adults With Hearing Loss Fitted in the Chilean Public Health Sector

Ear and Hearing, Год журнала: 2025, Номер unknown

Опубликована: Апрель 16, 2025

Objectives: The World Health Organization estimates that 25% of older adults worldwide have disabling hearing loss. Although aids are the conventional management strategy for this condition, rate abandonment these devices is high. Complete device can expose individuals to negative consequences untreated previous studies examined effect attitudes on aid abandonment, they not investigated time over which occurs. Consequently, evidence has explored whether toward loss and associated with speed (i.e., hazard) at abandon their time. Our primary objective was determine both risk timing abandonment. A secondary assess potential changes in social participation withdrawal from activities. Design: We conducted a retrospective cohort study involving 355 patients who received Chilean public hospital. Device assessed by asking about specific month Attitudes were measured using Spanish version towards Loss Hearing Questionnaire (S-ALHQ), while activities Glasgow Benefit Inventory questionnaire. Univariate multivariate flexible parametric models developed estimate hazard ratio time, as predictors. Furthermore, multinomial regression constructed evaluate relationship between or Results: cumulative incidence approximately 21%. median score S-ALHQ 2.45 points (25th 75th percentile: 2.05 2.77). In survival models, each average point increase questionnaire, there twofold (Hazard Ratio = 2.09; 95% Confidence Interval 1.30 3.40). addition, an association found activities, 5.5-fold (Relative-Risk 5.53; 1.49 20.56). Conclusions: More increased Thus, use should be considered when implementing rehabilitation programs include dispensing aids.

Язык: Английский

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Effectiveness of the aquatic physical therapy exercises to improve balance, gait, quality of life and reduce fall-related outcomes in healthy community-dwelling older adults: A systematic review and meta-analysis

PLoS ONE, Год журнала: 2023, Номер 18(9), С. e0291193 - e0291193

Опубликована: Сен. 8, 2023

Background Opting to use aquatic or land-based physical therapy exercises improve balance, gait, quality of life and reduce fall-related outcomes in community-dwelling older adults (CDOAs) is still a questionable clinical decision for physiotherapists. Objective Assess the evidence from randomized quasi-randomized controlled trials that used CDOAs. Methods Articles were surveyed following databases: MEDLINE/PubMed, EMBASE, SCOPUS, LILACS, Web Science, CENTRAL (Cochrane Central Register Controlled Trials), PEDro, CINAHL, SciELO Google Scholar, published any language, up July 31, 2023. Two independent reviewers extracted data assessed quality. The risk bias was evaluated by Cochrane tool GRADE approach. Review Manager software conduct meta-analyses. Results 3007 articles identified searches, remaining 33 studies be read full, with 11 being eligible this systematic review. included presented low fear falling. Land-based improved analyzed; however, more effective improving reducing falling meta-analysis showed engaging increases functional reach, through anterior displacement center pressure CDOAs 6.36cm, compared exercises, Functional Reach test: [CI:5.22 7.50], (p<0.00001), presenting evidence. Conclusions Aquatic are than their counterparts enhancing However, due methodological limitations trials, remains inconclusive. It suggested new conducted greater rigor, order provide high-quality on analyzed

Язык: Английский

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Effectiveness of the active communication education program in improving the general quality of life of older adults who use hearing aids: a randomized clinical trial

BMC Geriatrics, Год журнала: 2024, Номер 24(1)

Опубликована: Окт. 12, 2024

Abstract Background Hearing loss in older adults affects general, generic health-related and disease-specific quality of life (QoL). The conventional strategy to address it is through hearing aids, which have been shown improve QoL. However, the long-term results regarding general are unknown, communication problems stigma associated with may persist. An effective intervention these group programs, most notably Active Communication Education (ACE). This program has increase strategies reduce activity limitations participation restrictions. These precedents allow us hypothesize that this could Methods A randomized clinical trial was conducted on 114 adult aid users. Fifty-four subjects composed received ACE program, while 60 control an informational-lectures type intervention. WHOQOL-BREF questionnaire used measure Measurements were taken before right after intervention, follow-ups at 6 12 months. Multilevel linear mixed models estimated, considering dimension scores total score as outcomes, interaction term between time since predictor. Within- between-group comparisons made. Results Compared baseline time-point, showed significant improvements 6-month 12-month for dimensions psychological health, social relationships, environment, score. group, exhibited significantly greater all postintervention assessments, well environment follow-up. Conclusions improved QoL terms relationships dimensions, lasted up months Therefore, positioned complement HA users, enhancing delivering new benefits related broader aspects not necessarily tied health. Trial registration ISRCTN54021189 (retrospectively registered 18/07/2023).

Язык: Английский

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Interaction effect of self-efficacy and joint problems on hearing aid abandonment among older adults

International Journal of Audiology, Год журнала: 2024, Номер unknown, С. 1 - 11

Опубликована: Окт. 16, 2024

Objective We assessed the interaction between self-efficacy and joint problems visual on risk of hearing aid abandonment in older adults.

Язык: Английский

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Hearing Loss in the Elderly: Implications for Balance and Fall Risk

International Journal of Health Sciences and Research, Год журнала: 2024, Номер 14(2), С. 355 - 373

Опубликована: Фев. 24, 2024

Hearing loss is a prevalent sensory impairment that affects significant population, particularly in the elderly. It has been identified as one of most common chronic conditions among older adults, with profound implications for their physical and psychological well-being. Presbycusis, another name age-related hearing loss, degenerative disorder frequently linked to normal aging. As population continues age, understanding impact on various aspects health becomes increasingly important. In recent years, research shed light connection between balance problems, well an increased risk falls elderly population. Falls present public concern, contributing substantial morbidity, mortality, healthcare costs. Identifying addressing factors contribute fall are critical improving quality life reducing burden systems. This review aims explore from therapy perspective. examines evidence linking disturbances analyze underlying mechanisms involved. Additionally, discusses role interventions mitigating enhancing adults loss. Key words: Loss, Elderly, Older Adults, Balance, Fall Risk

Язык: Английский

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Realistic dual-task listening-while-balancing in older adults with normal hearing and hearing loss with and without hearing aids

Scientific Reports, Год журнала: 2024, Номер 14(1)

Опубликована: Ноя. 20, 2024

Age-related hearing loss is a risk factor for mobility problems and falls, possibly due to poor access spatial sounds or the higher allocation of attention required listen, thereby reducing cognitive resources support mobility. Introducing stabilizing load through aids could improve balance performance; however, evidence mixed. Few studies have evaluated effects on during realistic, multisensory, dual-tasking conditions. This study used virtual reality simulate listening-while-balancing task in 22 older adults with normal aid users, tested their versus off. Participants performed competing digits listening (two, four digits) standing postural task, alone combination (dual task) under different visual, postural, acoustical loads. Listening accuracy outcomes (centre pressure mean velocity, anterior–posterior standard deviation, medial–lateral deviation) were collected. With respect accuracy, as expected, had than those (aided better unaided) both groups eyes closed (vs. open) lower loads (firm vs. compliant). performance, did not remarkably overall, no dual-task costs posture. Other factors related complexity conditions (i.e., listening, demands) differently influenced posture individuals without loss. Overall, these results contribute our understanding how age-related affect balance-related complex, multitasking

Язык: Английский

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