{"title":"老年性听力损失患者出现轻度认知障碍的风险因素：荟萃分析","authors":"","doi":"10.1016/j.bjorl.2024.101467","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><p>One of the most common sensory impairments in the elderly is age-related hearing loss, and individuals with this condition have a higher risk of mild cognitive impairment than the overall aged population. The purpose of this study was to conduct a systematic review of the literature in order to evaluate the evidence supporting the hypothesis that mild cognitive impairment may be developed in patients with age-related hearing loss.</p></div><div><h3>Methods</h3><p>The PRISMA principles were followed when searching the databases of the China Knowledge Network, Wanfang, China Biomedical Literature Database, Pub Med, Cochrane Library, Embase, and Web of Science. Two investigators independently carried out the quality assessment, data extraction, and literature review of the eligible studies. Stata 17.0 was used to finish the statistical analysis and descriptive results.</p></div><div><h3>Results</h3><p>A total of 13 articles containing 2,222,036 individuals who were evaluated for demographic traits, factors associated with age-related hearing loss, vascular neurologic factors, and psychological factors were included after 2166 search records were found in the database. In patients with age-related hearing loss, eleven factors were found to be risk factors for the development of mild cognitive impairment: age (OR = 1.63; 95% CI 1.09–2.43), male (OR = 1.29; 95% CI 1.14–1.47), degree of hearing loss (OR = 1.35; 95% CI 1.03–1.75), not wearing hearing aids (OR = 1.56; 95% CI 1.37–1.79), cerebrovascular disease (OR = 1.41; 95% CI 1.17–1.69), cardiovascular disease (OR = 1.29; 95% CI 1.07–1.55), diabetes mellitus (OR = 1.28; 95% CI 1.20–1.35), head injury (OR = 1.22; 95% CI 1.13–1.33), alcohol consumption (OR = 1.28; 95% CI 1.14–1.43), and tobacco use (OR = 1.19; 95% CI 1.14–1.25), and depression (OR = 1.63; 95% CI 1.47–1.81).</p></div><div><h3>Conclusion</h3><p>Caregivers can customize care strategies to decrease the occurrence of mild cognitive impairment in elderly deaf patients by considering demographic traits, factors associated with age-related hearing loss, vascular-neurologic factors, and psychological factors.</p></div>","PeriodicalId":49099,"journal":{"name":"Brazilian Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S180886942400082X/pdfft?md5=e3fff2705b1e4431d7957c4900dc1005&pid=1-s2.0-S180886942400082X-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Risk factors for mild cognitive impairment in patients with age-related hearing loss: a meta-analysis\",\"authors\":\"\",\"doi\":\"10.1016/j.bjorl.2024.101467\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><p>One of the most common sensory impairments in the elderly is age-related hearing loss, and individuals with this condition have a higher risk of mild cognitive impairment than the overall aged population. The purpose of this study was to conduct a systematic review of the literature in order to evaluate the evidence supporting the hypothesis that mild cognitive impairment may be developed in patients with age-related hearing loss.</p></div><div><h3>Methods</h3><p>The PRISMA principles were followed when searching the databases of the China Knowledge Network, Wanfang, China Biomedical Literature Database, Pub Med, Cochrane Library, Embase, and Web of Science. Two investigators independently carried out the quality assessment, data extraction, and literature review of the eligible studies. Stata 17.0 was used to finish the statistical analysis and descriptive results.</p></div><div><h3>Results</h3><p>A total of 13 articles containing 2,222,036 individuals who were evaluated for demographic traits, factors associated with age-related hearing loss, vascular neurologic factors, and psychological factors were included after 2166 search records were found in the database. In patients with age-related hearing loss, eleven factors were found to be risk factors for the development of mild cognitive impairment: age (OR = 1.63; 95% CI 1.09–2.43), male (OR = 1.29; 95% CI 1.14–1.47), degree of hearing loss (OR = 1.35; 95% CI 1.03–1.75), not wearing hearing aids (OR = 1.56; 95% CI 1.37–1.79), cerebrovascular disease (OR = 1.41; 95% CI 1.17–1.69), cardiovascular disease (OR = 1.29; 95% CI 1.07–1.55), diabetes mellitus (OR = 1.28; 95% CI 1.20–1.35), head injury (OR = 1.22; 95% CI 1.13–1.33), alcohol consumption (OR = 1.28; 95% CI 1.14–1.43), and tobacco use (OR = 1.19; 95% CI 1.14–1.25), and depression (OR = 1.63; 95% CI 1.47–1.81).</p></div><div><h3>Conclusion</h3><p>Caregivers can customize care strategies to decrease the occurrence of mild cognitive impairment in elderly deaf patients by considering demographic traits, factors associated with age-related hearing loss, vascular-neurologic factors, and psychological factors.</p></div>\",\"PeriodicalId\":49099,\"journal\":{\"name\":\"Brazilian Journal of Otorhinolaryngology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-07-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S180886942400082X/pdfft?md5=e3fff2705b1e4431d7957c4900dc1005&pid=1-s2.0-S180886942400082X-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Brazilian Journal of Otorhinolaryngology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S180886942400082X\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"OTORHINOLARYNGOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brazilian Journal of Otorhinolaryngology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S180886942400082X","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的老年性听力损失是老年人最常见的感官障碍之一，与整体老年人群相比，患有老年性听力损失的人患轻度认知障碍的风险更高。本研究旨在对文献进行系统性回顾，以评估支持老年性听力损失患者可能出现轻度认知障碍这一假设的证据。方法在检索中国知网、万方数据库、中国生物医学文献数据库、Pub Med、Cochrane Library、Embase 和 Web of Science 等数据库时遵循 PRISMA 原则。两名研究人员独立对符合条件的研究进行了质量评估、数据提取和文献综述。结果 在数据库中找到 2166 条检索记录后，共纳入 13 篇文章，包含 2,222,036 人的人口统计学特征、老年性听力损失相关因素、血管神经因素和心理因素的评估。在老年性听力损失患者中，发现有 11 个因素是轻度认知障碍发生的危险因素：年龄（OR = 1.63；95% CI 1.09-2.43）、男性（OR = 1.29；95% CI 1.14-1.47）、听力损失程度（OR = 1.35；95% CI 1.03-1.75）、未佩戴助听器（OR = 1.56；95% CI 1.37-1.79）、脑血管疾病（OR = 1.41；95% CI 1.17-1.69）、心血管疾病（OR = 1.29；95% CI 1.07-1.55）、糖尿病（OR = 1.28；95% CI 1.20-1.35）、头部损伤（OR = 1.22；95% CI 1.13-1.33）、饮酒（OR = 1.28；95% CI 1.14-1.43）和吸烟（OR = 1.19；95% CI 1.14-1.25）以及抑郁症（OR = 1.63；95% CI 1.47-1.81）。结论护理人员可以通过考虑人口统计学特征、与老年性听力损失相关的因素、血管神经因素和心理因素来定制护理策略，以减少老年耳聋患者轻度认知障碍的发生。
Risk factors for mild cognitive impairment in patients with age-related hearing loss: a meta-analysis
Objectives
One of the most common sensory impairments in the elderly is age-related hearing loss, and individuals with this condition have a higher risk of mild cognitive impairment than the overall aged population. The purpose of this study was to conduct a systematic review of the literature in order to evaluate the evidence supporting the hypothesis that mild cognitive impairment may be developed in patients with age-related hearing loss.
Methods
The PRISMA principles were followed when searching the databases of the China Knowledge Network, Wanfang, China Biomedical Literature Database, Pub Med, Cochrane Library, Embase, and Web of Science. Two investigators independently carried out the quality assessment, data extraction, and literature review of the eligible studies. Stata 17.0 was used to finish the statistical analysis and descriptive results.
Results
A total of 13 articles containing 2,222,036 individuals who were evaluated for demographic traits, factors associated with age-related hearing loss, vascular neurologic factors, and psychological factors were included after 2166 search records were found in the database. In patients with age-related hearing loss, eleven factors were found to be risk factors for the development of mild cognitive impairment: age (OR = 1.63; 95% CI 1.09–2.43), male (OR = 1.29; 95% CI 1.14–1.47), degree of hearing loss (OR = 1.35; 95% CI 1.03–1.75), not wearing hearing aids (OR = 1.56; 95% CI 1.37–1.79), cerebrovascular disease (OR = 1.41; 95% CI 1.17–1.69), cardiovascular disease (OR = 1.29; 95% CI 1.07–1.55), diabetes mellitus (OR = 1.28; 95% CI 1.20–1.35), head injury (OR = 1.22; 95% CI 1.13–1.33), alcohol consumption (OR = 1.28; 95% CI 1.14–1.43), and tobacco use (OR = 1.19; 95% CI 1.14–1.25), and depression (OR = 1.63; 95% CI 1.47–1.81).
Conclusion
Caregivers can customize care strategies to decrease the occurrence of mild cognitive impairment in elderly deaf patients by considering demographic traits, factors associated with age-related hearing loss, vascular-neurologic factors, and psychological factors.
期刊介绍：
Brazilian Journal of Otorhinolaryngology publishes original contributions in otolaryngology and the associated areas (cranio-maxillo-facial surgery and phoniatrics). The aim of this journal is the national and international divulgation of the scientific production interesting to the otolaryngology, as well as the discussion, in editorials, of subjects of scientific, academic and professional relevance.
The Brazilian Journal of Otorhinolaryngology is born from the Revista Brasileira de Otorrinolaringologia, of which it is the English version, created and indexed by MEDLINE in 2005. It is the official scientific publication of the Brazilian Association of Otolaryngology and Cervicofacial Surgery. Its abbreviated title is Braz J Otorhinolaryngol., which should be used in bibliographies, footnotes and bibliographical references and strips.
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