The Association of Hearing Loss with Hospitalization.

Humans Male Middle Aged Prospective Studies Retrospective Studies Hearing Loss / diagnosis Educational Status Hospitalization
Disability Hearing Loss Hospitalization Michigan Patient Readmission Prospective Studies Retrospective Studies

Journal

Journal of the American Board of Family Medicine : JABFM
ISSN: 1558-7118
Titre abrégé: J Am Board Fam Med
Pays: United States
ID NLM: 101256526

Informations de publication

Date de publication:
08 May 2023
Historique:
received: 05 12 2022
revised: 14 02 2023
accepted: 17 02 2023
medline: 12 6 2023
pubmed: 12 5 2023
entrez: 11 5 2023
Statut: ppublish

Résumé

Individuals with hearing loss (HL) are at higher risk for hospitalizations, and may be for readmissions, compared with their hearing peers. The objective of this prospective study was to confirm retrospective studies suggesting that HL increases hospital readmissions, and, if confirmed, possible causes for it. A prospective cohort study of English-speaking patients There were 1247 hospitalized patients enrolled. Of these, 76.8% had documented HL of which 50.5% (630) was mild HL and 26.3% (328) moderate or worse HL. Patients with any HL were older and more likely to be non-Hispanic, white, male, and had less education, lower health literacy, more comorbidities, and more difficulty communicating with their doctor. Readmission rates at 30 and 90-days were similar between HL and hearing groups, after adjusting for HL severity, Charlston index, and numerous potential confounders. Patients with HL do not seem to have higher rates of hospital readmissions. We did find high frequency of HL in hospitalized patients along with significant communication difficulties that patients had with their clinicians. These findings have implications for measures to improve patient-physician communication, potentially improving long-term health outcomes.

Sections du résumé

BACKGROUND BACKGROUND
Individuals with hearing loss (HL) are at higher risk for hospitalizations, and may be for readmissions, compared with their hearing peers. The objective of this prospective study was to confirm retrospective studies suggesting that HL increases hospital readmissions, and, if confirmed, possible causes for it.
METHODS METHODS
A prospective cohort study of English-speaking patients
OUTCOMES RESULTS
There were 1247 hospitalized patients enrolled. Of these, 76.8% had documented HL of which 50.5% (630) was mild HL and 26.3% (328) moderate or worse HL. Patients with any HL were older and more likely to be non-Hispanic, white, male, and had less education, lower health literacy, more comorbidities, and more difficulty communicating with their doctor. Readmission rates at 30 and 90-days were similar between HL and hearing groups, after adjusting for HL severity, Charlston index, and numerous potential confounders.
CONCLUSION CONCLUSIONS
Patients with HL do not seem to have higher rates of hospital readmissions. We did find high frequency of HL in hospitalized patients along with significant communication difficulties that patients had with their clinicians. These findings have implications for measures to improve patient-physician communication, potentially improving long-term health outcomes.

Identifiants

DOI: 10.3122/jabfm.2022.220407R1 PMID: 37169586
pubmed: 37169586
pii: jabfm.2022.220407R1
doi: 10.3122/jabfm.2022.220407R1
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

439-448

Informations de copyright

© Copyright by the American Board of Family Medicine.

Déclaration de conflit d'intérêts

Conflict of interest: The authors of this manuscript have no conflicts of interest, financial or otherwise.

Auteurs

Philip Zazove (P)

From the Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (PZ, MAP, KP, SR, JG, AM, MMM); Department of Family Medicine and Community Health, Oakland University William Beaumont School of Medicine, Rochester, Michigan (EM); Department of Otorhinolaryngology, University of Michigan, Ann Arbor, Michigan (PRK) pzaz@med.umich.edu.

Melissa A Plegue (MA)

From the Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (PZ, MAP, KP, SR, JG, AM, MMM); Department of Family Medicine and Community Health, Oakland University William Beaumont School of Medicine, Rochester, Michigan (EM); Department of Otorhinolaryngology, University of Michigan, Ann Arbor, Michigan (PRK).

Elie Mulhem (E)

From the Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (PZ, MAP, KP, SR, JG, AM, MMM); Department of Family Medicine and Community Health, Oakland University William Beaumont School of Medicine, Rochester, Michigan (EM); Department of Otorhinolaryngology, University of Michigan, Ann Arbor, Michigan (PRK).

Kate Panzer (K)

From the Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (PZ, MAP, KP, SR, JG, AM, MMM); Department of Family Medicine and Community Health, Oakland University William Beaumont School of Medicine, Rochester, Michigan (EM); Department of Otorhinolaryngology, University of Michigan, Ann Arbor, Michigan (PRK).

Samantha Ratakonda (S)

From the Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (PZ, MAP, KP, SR, JG, AM, MMM); Department of Family Medicine and Community Health, Oakland University William Beaumont School of Medicine, Rochester, Michigan (EM); Department of Otorhinolaryngology, University of Michigan, Ann Arbor, Michigan (PRK).

Ananda Sen (A)

From the Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (PZ, MAP, KP, SR, JG, AM, MMM); Department of Family Medicine and Community Health, Oakland University William Beaumont School of Medicine, Rochester, Michigan (EM); Department of Otorhinolaryngology, University of Michigan, Ann Arbor, Michigan (PRK).

Jenna Greenberg (J)

From the Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (PZ, MAP, KP, SR, JG, AM, MMM); Department of Family Medicine and Community Health, Oakland University William Beaumont School of Medicine, Rochester, Michigan (EM); Department of Otorhinolaryngology, University of Michigan, Ann Arbor, Michigan (PRK).

Anna McEvoy (A)

From the Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (PZ, MAP, KP, SR, JG, AM, MMM); Department of Family Medicine and Community Health, Oakland University William Beaumont School of Medicine, Rochester, Michigan (EM); Department of Otorhinolaryngology, University of Michigan, Ann Arbor, Michigan (PRK).

Paul R Kileny (PR)

From the Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (PZ, MAP, KP, SR, JG, AM, MMM); Department of Family Medicine and Community Health, Oakland University William Beaumont School of Medicine, Rochester, Michigan (EM); Department of Otorhinolaryngology, University of Michigan, Ann Arbor, Michigan (PRK).

Michael M McKee (MM)

From the Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (PZ, MAP, KP, SR, JG, AM, MMM); Department of Family Medicine and Community Health, Oakland University William Beaumont School of Medicine, Rochester, Michigan (EM); Department of Otorhinolaryngology, University of Michigan, Ann Arbor, Michigan (PRK).

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › The Association of Hearing Loss with Hospitalization.
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Adulte d'âge moyen › The Association of Hearing Loss with Hospitalization.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études prospectives › The Association of Hearing Loss with Hospitalization.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › The Association of Hearing Loss with Hospitalization.
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Troubles sensitifs › Troubles de l'audition › Perte d'audition › The Association of Hearing Loss with Hospitalization.
questionsmedicales.fr › Caractéristiques de la population › Facteurs socioéconomiques › Niveau d'instruction › The Association of Hearing Loss with Hospitalization.
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Hospitalisation › The Association of Hearing Loss with Hospitalization.