Hearing loss is associated with increased stroke risk in the Dongfeng-Tongji Cohort

Fang, Qin; Lai, Xuefeng; Yang, Liangle; Wang, Zhichao; Zhan, Yue; Zhou, Lue; Xiao, Yang; Wang, Hao; Li, Dan; Zhang, Kun; Zhou, Tao; Yang, Handong; Guo, Huan; He, Meian; Kong, Weijia; Wu, Tangchun; Zhang, Xiaomin

doi:10.1016/j.atherosclerosis.2019.03.012

Cited by 19 publications

(25 citation statements)

References 23 publications

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“…Although some epidemiological studies have documented that hearing loss increases the risk of stroke, a cohort study with adequate sample size conducted by Ciorba et al (2015) showed that people with hearing loss had a lower risk for stroke 19 . Moreover, those studies that showed SNHL is a risk factor for stroke have failed to report a significant relationship; or due to controversial results between studies, this relationship is not fully understood 19 , 20 . Therefore, a systematic review and meta-analysis is needed to summarize the available evidence to clarify this association.…”

Section: Introductionmentioning

confidence: 99%

Sensorineural hearing loss and risk of stroke: a systematic review and meta-analysis

Khosravipour

Rajati

2021

Sci Rep

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The aim of this systematic review and meta-analysis study was to clarify the effects of sensorineural hearing loss (SNHL) on the incidence of stroke. In line with this, PubMed, Scopus, Web of Science, and ScienceDirect databases were searched using related keywords and MeSH terms from inception to March 1, 2020. Out of the 1961 initial records, eight cohort studies comprising 4,564,202 participants were included, and their qualities were assessed using the Newcastle-Ottawa Scale (NOS). Then, the random-effects model was used to pool HR (95% CI) for risk of stroke; and heterogeneity was presented with I2 index. Subgroup analysis and publication bias tests were performed, and the pooled HR (95% CI) of stroke in SNHL was estimated as 1.31 (1.08, 1.53) for the unadjusted model and 1.33 (1.18, 1.49) for the adjusted model. Subgroup analysis indicates a significantly higher risk of stroke in patients with sudden SNHL (SSNHL) in comparison to age-related HL (ARHL) both in the unadjusted model, [HR = 1.46; 95% CI (1.08, 1.63)] versus [HR = 1.14; 95% CI (0.64, 1.65)], and in the adjusted model, [HR = 1.44; 95% CI (1.15, 1.74)] versus [HR = 1.29; 95% CI (1.24, 1.34)]. Our study showed that patients with SNHL face a higher risk of stroke than those without SNHL. It is necessary to perform hematologic and neurological examinations to help clinicians detect patients who are potentially at risk for stroke.

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Section: Introductionmentioning

confidence: 99%

Sensorineural hearing loss and risk of stroke: a systematic review and meta-analysis

Khosravipour

Rajati

2021

Sci Rep

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“…Furthermore, hearing impairment could also suggest a poor compliance with the prescriptions made by healthcare professionals, thus causing possible damage due to failure to adhere to drug therapies. This is indirectly supported by some evidence that showed how ARHL could increase mortality in older adults [14], along with severe health-related adverse outcomes, such as cardiovascular diseases [15,16] and falls [17].…”

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confidence: 74%

Age-related hearing loss and speech perception disorder: the broken interface between healthcare professionals and older adults

Sardone

Lozupone

2020

Eur Geriatr Med

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Hearing status is vital not only for communication but also for health, and affects the quality of life. There is evidence that older people with age-related hearing loss (ARHL) are at greater risk for adverse health outcomes, such as cognitive impairment, increased social isolation, psychiatric disorders, and a greater need of support by others [1, 2]. The recognition and treatment of ARHL should be the responsibility of all healthcare professionals working with older adults. The narrative review by Smith et al. [3] explored a topic usually kept in the background in the clinical and functional evaluation of older patients. These authors quantified the extent to which ARHL is accounted for in studies of older adult interactions with healthcare professionals. Their intent was to underline the impact of sensory interface status, especially the disorders related to the decline of hearing and speech comprehension functions occurring in older age, commonly defined as ARHL. Smith and colleagues' narrative review highlights that assessment at such a level of personal participation cannot exclude a check of the necessary integrity of communication channels, first of all those related to hearing disorders [3]. According to Smith and colleagues [3], despite the high prevalence of ARHL, across the health professions, very few studies on healthcare professional-older patient communications have incorporated hearing loss as a variable in their study design or analyses. In fact, ARHL, or presbycusis, is the most frequent sensory impairment in people aged 65 + years, with an estimated prevalence of 18% among older people in high-income

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“…We found SFHL rather than HFHL was signi cantly connected with heart disease mortality in this study. SFHL has been reported to be associated with microvascular damage (Fang et al 2019), and often accompanied by cardiovascular disease risk factors such as smoking, inactive physical activity, with a history of hyperglycemia, and hypertension (Han et al 2018), which would promote the development of heart disease to further increase the risk of heart disease mortality (Fang et al 2018, Gan et al 2016, Karpa et al 2010.…”

Section: Discussionmentioning

confidence: 99%

Association of hearing loss with total and cause-specific mortality in US adults

Feng

Cheng

et al. 2021

Environ Sci Pollut Res

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We expected to explore the associations of hearing loss and hearing thresholds at different frequencies with total and cause-speci c mortality. Methods 11,732 individuals derived from the National Health and Nutrition Examination Survey (NHANES) 1999-2012 were included in this study. Data of death was extracted from the NHANES Public-Use Linked Mortality File through December 31, 2015. Cox proportional hazards models were used to explore the associations between hearing loss, hearing thresholds at different frequencies and total or cause-speci c mortality. ResultsA total of 1,253 deaths occurred with a median follow-up of 12.15 years. A signi cant positive dose-response relationship between hearing loss in speech frequency and total mortality was observed, and the HRs and 95%

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Hearing loss is associated with increased stroke risk in the Dongfeng-Tongji Cohort

Cited by 19 publications

References 23 publications

Sensorineural hearing loss and risk of stroke: a systematic review and meta-analysis

Sensorineural hearing loss and risk of stroke: a systematic review and meta-analysis

Age-related hearing loss and speech perception disorder: the broken interface between healthcare professionals and older adults

Association of hearing loss with total and cause-specific mortality in US adults

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