Association of Increased Risk of Injury in Adults With Hearing Loss: A Population-Based Cohort Study
This nationwide retrospective cohort study examines the association between adults with hearing loss (HL) and subsequent injury risk. Utilizing data from the Taiwan National Health Insurance Research Database (2000-2017), the study included 19,480 patients with HL and 77,920 matched controls. Over a...
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| Veröffentlicht in: | Trends in hearing 2025-01, Vol.29, p.23312165241309589 |
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| creator | Lai, Kuan-Yu Lin, Hung-Che Shih, Wan-Ting Chien, Wu-Chien Chung, Chi-Hsiang Chen, Mingchih Chen, Jeng-Wen Chung, Hung-Chun |
| description | This nationwide retrospective cohort study examines the association between adults with hearing loss (HL) and subsequent injury risk. Utilizing data from the Taiwan National Health Insurance Research Database (2000-2017), the study included 19,480 patients with HL and 77,920 matched controls. Over an average follow-up of 9.08 years, 18.30% of the 97,400 subjects sustained subsequent all-cause injuries. The injury incidence was significantly higher in the HL group compared to the control group (24.04% vs. 16.86%, |
| doi_str_mv | 10.1177/23312165241309589 |
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< .001). After adjusting for demographics and comorbidities, the adjusted hazard ratio (aHR) for injury in the HL cohort was 2.35 (95% CI: 2.22-2.49). Kaplan-Meier analysis showed significant differences in injury-free survival between the HL and control groups (log-rank test,
< .001). The increased risk was consistent across age groups (18-64 and ≥65 years), with the HL group showing a higher risk of unintentional injuries (aHR: 2.62; 95% CI: 2.45-2.80), including falls (aHR: 2.83; 95% CI: 2.52-3.17) and traffic-related injuries (aHR: 2.38; 95% CI: 2.07-2.74). These findings highlight an independent association between HL and increased injury risk, underscoring the need for healthcare providers to counsel adult HL patients on preventive measures.</description><identifier>ISSN: 2331-2165</identifier><identifier>EISSN: 2331-2165</identifier><identifier>DOI: 10.1177/23312165241309589</identifier><identifier>PMID: 39814342</identifier><language>eng</language><publisher>United States: SAGE Publications</publisher><subject>Accidental Falls - statistics & numerical data ; Accidents, Traffic ; Adolescent ; Adult ; Age Factors ; Aged ; Databases, Factual ; Female ; Hearing Loss - diagnosis ; Hearing Loss - epidemiology ; Humans ; Incidence ; Male ; Middle Aged ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Taiwan - epidemiology ; Wounds and Injuries - diagnosis ; Wounds and Injuries - epidemiology ; Young Adult</subject><ispartof>Trends in hearing, 2025-01, Vol.29, p.23312165241309589</ispartof><rights>The Author(s) 2025 2025 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c282t-410ffe21be9b46e20a677850d118516acb9d0dbe66753e068389ec0870db78a3</cites><orcidid>0000-0003-3635-4815</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736742/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736742/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39814342$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lai, Kuan-Yu</creatorcontrib><creatorcontrib>Lin, Hung-Che</creatorcontrib><creatorcontrib>Shih, Wan-Ting</creatorcontrib><creatorcontrib>Chien, Wu-Chien</creatorcontrib><creatorcontrib>Chung, Chi-Hsiang</creatorcontrib><creatorcontrib>Chen, Mingchih</creatorcontrib><creatorcontrib>Chen, Jeng-Wen</creatorcontrib><creatorcontrib>Chung, Hung-Chun</creatorcontrib><title>Association of Increased Risk of Injury in Adults With Hearing Loss: A Population-Based Cohort Study</title><title>Trends in hearing</title><addtitle>Trends Hear</addtitle><description>This nationwide retrospective cohort study examines the association between adults with hearing loss (HL) and subsequent injury risk. Utilizing data from the Taiwan National Health Insurance Research Database (2000-2017), the study included 19,480 patients with HL and 77,920 matched controls. Over an average follow-up of 9.08 years, 18.30% of the 97,400 subjects sustained subsequent all-cause injuries. The injury incidence was significantly higher in the HL group compared to the control group (24.04% vs. 16.86%,
< .001). After adjusting for demographics and comorbidities, the adjusted hazard ratio (aHR) for injury in the HL cohort was 2.35 (95% CI: 2.22-2.49). Kaplan-Meier analysis showed significant differences in injury-free survival between the HL and control groups (log-rank test,
< .001). The increased risk was consistent across age groups (18-64 and ≥65 years), with the HL group showing a higher risk of unintentional injuries (aHR: 2.62; 95% CI: 2.45-2.80), including falls (aHR: 2.83; 95% CI: 2.52-3.17) and traffic-related injuries (aHR: 2.38; 95% CI: 2.07-2.74). These findings highlight an independent association between HL and increased injury risk, underscoring the need for healthcare providers to counsel adult HL patients on preventive measures.</description><subject>Accidental Falls - statistics & numerical data</subject><subject>Accidents, Traffic</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Databases, Factual</subject><subject>Female</subject><subject>Hearing Loss - diagnosis</subject><subject>Hearing Loss - epidemiology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Taiwan - epidemiology</subject><subject>Wounds and Injuries - diagnosis</subject><subject>Wounds and Injuries - epidemiology</subject><subject>Young Adult</subject><issn>2331-2165</issn><issn>2331-2165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkU1LxDAQhoMo7rLuD_AiOXqpZpLmo16kLn7BgqKCx5K2qRvtNmvSCvvvbV1dFE8zvJn3mfAOQodATgCkPKWMAQXBaQyMJFwlO2g8aNEg7v7qR2gawishBCjnUtB9NGKJgpjFdIzKNARXWN1a12BX4dum8EYHU-IHG942ymvn19g2OC27ug342bYLfGO0t80LnrsQznCK792qq78o0cWXfeYWzrf4se3K9QHaq3QdzPS7TtDT1eXT7Caa313fztJ5VFBF2ygGUlWGQm6SPBaGEi2kVJyUAIqD0EWelKTMjRCSM0OEYioxBVGyF6XSbILON9hVly9NWZim9brOVt4utV9nTtvs70tjF9mL-8j6PJmQMe0Jx98E7947E9psaUNh6lo3xnUhY8D7wCWHYRQ2o4XvI_Cm2u4BMgBl9u9Avefo9we3jp9zsE_2MYr4</recordid><startdate>20250101</startdate><enddate>20250101</enddate><creator>Lai, Kuan-Yu</creator><creator>Lin, Hung-Che</creator><creator>Shih, Wan-Ting</creator><creator>Chien, Wu-Chien</creator><creator>Chung, Chi-Hsiang</creator><creator>Chen, Mingchih</creator><creator>Chen, Jeng-Wen</creator><creator>Chung, Hung-Chun</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-3635-4815</orcidid></search><sort><creationdate>20250101</creationdate><title>Association of Increased Risk of Injury in Adults With Hearing Loss: A Population-Based Cohort Study</title><author>Lai, Kuan-Yu ; Lin, Hung-Che ; Shih, Wan-Ting ; Chien, Wu-Chien ; Chung, Chi-Hsiang ; Chen, Mingchih ; Chen, Jeng-Wen ; Chung, Hung-Chun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c282t-410ffe21be9b46e20a677850d118516acb9d0dbe66753e068389ec0870db78a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>Accidental Falls - statistics & numerical data</topic><topic>Accidents, Traffic</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Databases, Factual</topic><topic>Female</topic><topic>Hearing Loss - diagnosis</topic><topic>Hearing Loss - epidemiology</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Taiwan - epidemiology</topic><topic>Wounds and Injuries - diagnosis</topic><topic>Wounds and Injuries - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lai, Kuan-Yu</creatorcontrib><creatorcontrib>Lin, Hung-Che</creatorcontrib><creatorcontrib>Shih, Wan-Ting</creatorcontrib><creatorcontrib>Chien, Wu-Chien</creatorcontrib><creatorcontrib>Chung, Chi-Hsiang</creatorcontrib><creatorcontrib>Chen, Mingchih</creatorcontrib><creatorcontrib>Chen, Jeng-Wen</creatorcontrib><creatorcontrib>Chung, Hung-Chun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Trends in hearing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lai, Kuan-Yu</au><au>Lin, Hung-Che</au><au>Shih, Wan-Ting</au><au>Chien, Wu-Chien</au><au>Chung, Chi-Hsiang</au><au>Chen, Mingchih</au><au>Chen, Jeng-Wen</au><au>Chung, Hung-Chun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of Increased Risk of Injury in Adults With Hearing Loss: A Population-Based Cohort Study</atitle><jtitle>Trends in hearing</jtitle><addtitle>Trends Hear</addtitle><date>2025-01-01</date><risdate>2025</risdate><volume>29</volume><spage>23312165241309589</spage><pages>23312165241309589-</pages><issn>2331-2165</issn><eissn>2331-2165</eissn><abstract>This nationwide retrospective cohort study examines the association between adults with hearing loss (HL) and subsequent injury risk. Utilizing data from the Taiwan National Health Insurance Research Database (2000-2017), the study included 19,480 patients with HL and 77,920 matched controls. Over an average follow-up of 9.08 years, 18.30% of the 97,400 subjects sustained subsequent all-cause injuries. The injury incidence was significantly higher in the HL group compared to the control group (24.04% vs. 16.86%,
< .001). After adjusting for demographics and comorbidities, the adjusted hazard ratio (aHR) for injury in the HL cohort was 2.35 (95% CI: 2.22-2.49). Kaplan-Meier analysis showed significant differences in injury-free survival between the HL and control groups (log-rank test,
< .001). The increased risk was consistent across age groups (18-64 and ≥65 years), with the HL group showing a higher risk of unintentional injuries (aHR: 2.62; 95% CI: 2.45-2.80), including falls (aHR: 2.83; 95% CI: 2.52-3.17) and traffic-related injuries (aHR: 2.38; 95% CI: 2.07-2.74). These findings highlight an independent association between HL and increased injury risk, underscoring the need for healthcare providers to counsel adult HL patients on preventive measures.</abstract><cop>United States</cop><pub>SAGE Publications</pub><pmid>39814342</pmid><doi>10.1177/23312165241309589</doi><orcidid>https://orcid.org/0000-0003-3635-4815</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Accidental Falls - statistics & numerical data Accidents, Traffic Adolescent Adult Age Factors Aged Databases, Factual Female Hearing Loss - diagnosis Hearing Loss - epidemiology Humans Incidence Male Middle Aged Retrospective Studies Risk Assessment Risk Factors Taiwan - epidemiology Wounds and Injuries - diagnosis Wounds and Injuries - epidemiology Young Adult |
| title | Association of Increased Risk of Injury in Adults With Hearing Loss: A Population-Based Cohort Study |
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