NewCourtland Center for Transitions and Health at the University of Pennsylvania, Philadelphia, PA, USA.
Jonas Foundation Vision Scholars, Jonas Philanthropies, New York, NY, USA.
J Aging Health. 2024 Jan;36(1-2):133-142. doi: 10.1177/08982643231176669. Epub 2023 May 19.
This study examines healthcare resource use (hospitalizations, emergency department [ED] visits, and home health episodes) among adults 65 and older diagnosed with hearing, vision, or dual sensory loss (SL) seen in the primary care setting of an academic health system. Multivariable logistic regression models were used to examine the relationship between SL (identified using ICD-10 codes) and healthcare resource use for 45,000 primary care patients. The sample included 5.5% ( = 2479) with hearing loss, 10.4% ( = 4697) with vision loss, and 1.0% with dual SL ( = 469). Hearing loss increased the likelihood of having an ED visit (OR = 1.22, CI: 1.07-1.39), and home health services (OR = 1.27, CI: 1.07-1.51) compared to older adults without any SL. Vision loss reduced the likelihood of having a hospitalization (OR = .81, CI: .73-.91). Findings support research into the drivers of healthcare use among older adults with sensory loss.
本研究考察了在学术医疗系统的初级保健环境中诊断为听力、视力或双重感觉损失(SL)的 65 岁及以上成年人的医疗资源利用情况(住院、急诊部 [ED] 就诊和家庭保健)。使用多变量逻辑回归模型,对 45,000 名初级保健患者的 SL(通过 ICD-10 代码确定)与医疗资源利用之间的关系进行了研究。样本包括 5.5%(=2479)听力损失、10.4%(=4697)视力损失和 1.0%的双重 SL(=469)。与没有任何 SL 的老年人相比,听力损失增加了急诊就诊(OR=1.22,CI:1.07-1.39)和家庭保健服务(OR=1.27,CI:1.07-1.51)的可能性。视力损失降低了住院的可能性(OR=0.81,CI:0.73-0.91)。研究结果支持对有感觉损失的老年人医疗保健使用驱动因素的研究。