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Cited by 332

The DOI matches its Crossref record; 49 of the 49 references it cites were found in a registry or an index.

Hearing loss as a risk factor for dementia: A systematic review

Open access
Thomson, Rhett S., Auduong, Priscilla, Miller, Alexander T., Gurgel, Richard K.·2017·Laryngoscope Investigative Otolaryngology

Abstract

Objectives: To review evidence of hearing loss as a risk factor for dementia. Data Sources: PubMed Review methods: A systematic review was conducted using the PubMed database using the search terms (hearing loss OR presbycusis) AND (dementia OR cognitive decline). Initially, 488 articles were obtained. Only those studies evaluating an association between hearing loss and incident dementia or cognitive decline were included in the analysis. This resulted in 17 articles which were thoroughly evaluated with consideration for study design, method for determining hearing loss and cognitive status, relevant covariates and confounding factors, and key findings. Results: All of the 17 articles meeting inclusion criteria indicate that hearing loss is associated with dementia or cognitive decline. The methods used among the studies for ascertaining hearing loss and dementia were notably varied. For hearing loss, peripheral auditory function was tested far more than central auditory function. For peripheral audition, pure tone audiometry was the most commonly reported method for defining hearing loss. Only a few studies measured central auditory function by using the Synthetic Sentence Identification with Ipsilateral Competing Message test (SSI‐ICM) and the Staggered Spondaic Word Test (SSW). Dementia was most often defined using the Mini Mental State Exam (MMSE). However, many studies used extensive batteries of tests to define cognitive status, often including a neuropsychologist. Confounding variables such as cardiovascular risk factors were measured in 17 studies and family history of dementia was only evaluated in 1 study. Overall, the methods used by studies to ascertain hearing loss, cognitive status and other variables are valid, making their evaluation appear reliable. Conclusion: While each of the studies included in this study utilized slightly different methods for evaluating participants, each of them demonstrated that hearing loss is associated with higher incidence of dementia in older adults. Level of Evidence: Level V, systematic review.

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Metadata

Authors
Thomson, R. S., Auduong, P., Miller, A. T., & Gurgel, R. K.
Venue
Laryngoscope Investigative Otolaryngology
Publisher
Wiley
Published
2017-03-16
Volume
2
Issue
2
Pages
69-79
ISSN
2378-8038 (ISSN-L)
OpenAlex
W2595469704
Cited by
332
References
49
FWCI
3.02
Type
journal article
Language
en
Open access
gold

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