听力损失和痴呆症:一个基于人口的队列研究
Keshinisuthan Kirubalingam1, Paul Nguyen2, Daniel Newsted3
1Queen's University School of Medicine, Otolaryngology Head and Neck Surgery, Kingston, Ontario, Canada, kkirubalingam@qmed.ca.
Dementia and geriatric cognitive disorders
|May 26, 2023
概括
听力损失 (HL) 会增加痴呆症的风险. 使用助听器的成年人患痴呆症的风险增加了10%,随着时间的推移和双边设备的使用,风险会增加.
科学领域:
- 老年学是一门学科.
- 流行病学 流行病学
- 神经科学是一个神经科学.
背景情况:
- 听力损失 (HL) 是痴呆症的一个显著可修改的风险因素.
- 了解HL与痴呆症之间的联系对于公共卫生战略至关重要.
研究的目的:
- 调查听力损失和痴呆症诊断的发生率之间的关联.
- 分析使用助听器 (HAD) 的人群痴呆风险.
主要方法:
- 一项基于人口的队列研究利用了行政医疗保健数据库.
- 匹配的对照组用于与257,285名HAD申请人和1,005,010名对照组进行比较.
- 考克斯回归分析评估了痴呆症发病率和危险因素.
主要成果:
- 在HAD索赔者中,痴呆的发病率较高 (19.51/1000人年),而不是对照者 (14.15/1000人年).
- 经过调整后的分析显示,HAD申请人的痴呆风险增加了10% (HR:1.10).
- 对双边HAD和随着时间的推移观察到剂量反应和暴露反应梯度.
结论:
- 听力损失的成年人表现出痴呆症诊断的风险增加.
- 进一步研究听力干预对痴呆风险的影响是有必要的.
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