在大型电子健康记录系统中,听力损失和抑郁症之间的关联
Hannah N W Weinstein1, Lauren H Tucker1, Maeher R Grewal1
1Department of Otolaryngology-Head and Neck Surgery, Columbia University Vagelos College of Physicians and Surgeons, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, New York, USA.
概括
听力损失 (HL) 与患重度抑郁症和使用抗抑郁药物的可能性更高有关. 这项研究使用电子健康记录来检查听力障碍和心理健康结果之间的关联.
科学领域:
- 听力学和耳鼻喉学
- 精神病学和心理健康 精神病学和心理健康
- 流行病学 流行病学
背景情况:
- 听力损失 (HL) 是一种普遍的疾病,通常与抑郁症有关.
- 现有的研究受限于听力和心理健康的数据细节性.
- 电子健康记录 (EHR) 为研究这些关联提供了宝贵的资源.
研究的目的:
- 调查听力损失 (HL) 和抑郁症之间的关联.
- 利用一个大型的双机构EHR系统,提供详细的诊断信息.
- 为了确定HL是否是主要抑郁症和抗抑郁药使用的风险因素.
主要方法:
- 通过两个学术医疗中心的数据进行了一项横截面的流行病学研究.
- 分析了29,772名患者 (≥18岁) 的听力测量数据 (纯色调平均值,语音接收值,词识别得分).
- 抑郁症是由ICD-10代码定义的大型抑郁症或持续情绪障碍,以及抗抑郁药物的使用.
主要成果:
- 纯音调平均值 (PTA) 的听力恶化10dB与严重抑郁症的几率增加1.04倍有关 (P=.015).
- 同样,通过PTA或语音接收值 (SRT) 听力恶化10dB,抗抑郁药物使用的几率增加了1.04倍 (P=.004).
- 对于持续性情绪障碍,没有发现有意义的关联.
结论:
- 在一个大型的学术EHR数据库中,听力损失与严重抑郁症有显著的关联.
- 听力损失也与使用抗抑郁药物有关.
- 这些发现强调了在心理健康评估中考虑听力健康的重要性.
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