Raza Zara, Hussain Syeda F, Gomes Renata S M
BRAVO VICTOR, Research & Innovation, London, United Kingdom.
Hull York Medical School, University of York, York, United Kingdom.
Front Rehabil Sci. 2024 Mar 1;5:1281491. doi: 10.3389/fresc.2024.1281491. eCollection 2024.
Dual sensory impairment (DSI) is prevalent in the older population, but due to exposure to military-related risk factors, it is a particular problem for veterans, older and younger. This rapid review aimed to critically review and summarise the prevalence of DSI in military veteran populations, as well as any associative factors and outcomes that were assessed. This was done in accordance with the Preferred Reporting Items for Systematic Reviews (PRISMA) statement. Several databases (Scopus, Web of Science, AMED, CINAHL Plus, Ultimate, and MEDLINE via EBSCOHost) were searched and five studies were selected for final review. All studies provided a prevalence rate for DSI in a veteran sample. One study also looked at functional independence as an outcome. Three of the studies considered blast injuries and traumatic brain injury (TBI) by using samples from TBI patient populations. Overall, results of this review suggest that age and presence of TBI and/or exposure to blast may increase prevalence of DSI in veterans. Prevalence rates ranged from 5.0-34.6% but there are caveats. There is a lack of universal or standardised definition for DSI, making it difficult to determine true prevalence. Future research should also include veterans who may not be receiving support from Veterans Affairs, consider factors such as TBI aetiology and severity based on clinical measures, and utilise a more standardised definition for DSI based on clinical measures.
双重感官障碍（DSI）在老年人群中很普遍，但由于接触与军事相关的风险因素，对于退伍军人来说，无论年龄大小，这都是一个特殊问题。本快速综述旨在严格审查和总结退伍军人中DSI的患病率，以及所评估的任何相关因素和结果。这是根据系统评价的首选报告项目（PRISMA）声明进行的。检索了几个数据库（Scopus、科学网、AMED、CINAHL Plus、Ultimate和通过EBSCOHost的MEDLINE），并选择了五项研究进行最终审查。所有研究都提供了退伍军人样本中DSI的患病率。一项研究还将功能独立性作为一个结果进行了观察。其中三项研究通过使用创伤性脑损伤（TBI）患者群体的样本，考虑了爆炸伤和创伤性脑损伤（TBI）。总体而言，本次综述的结果表明，年龄、TBI的存在和/或接触爆炸可能会增加退伍军人中DSI的患病率。患病率范围为5.0-34.6%，但存在一些注意事项。对于DSI缺乏通用或标准化的定义，这使得难以确定真正的患病率。未来的研究还应纳入可能未获得退伍军人事务部支持的退伍军人，根据临床测量考虑TBI病因和严重程度等因素，并基于临床测量对DSI采用更标准化的定义。
