From the College of Medicine (Alqahtani, Alkhunein, alduaiji, Alqadiri), King Abdullah International Medical Research Center (Alqahtani, Alotaibi, Alkhunein, alduaiji, Alqadiri, Alibrahim, binSalih, Balubaid), Department of Medicine (binSalih, Balubaid), Division of Neurology (Alibrahim), Department of Medicine King Abdulaziz Medical City, Ministry of National Guard - Health Affairs, Riyadh, Kingdom of Saudi Arabia.
Neurosciences (Riyadh). 2024 Oct;29(4):262-269. doi: 10.17712/nsj.2024.4.20240030.
To determine the prevalence of hearing loss in patients with dementia, examine the use of hearing aids in those with hearing loss, and ascertain if the cause of hearing loss is central or peripheral in origin.
A retrospective cohort study involving 143 patients with dementia which was conducted in Saudi Arabia from 2020 to 2023 in King Abdulaziz Medical City, Riyadh, Saudi Arabia, to determine hearing loss. The study included patients aged ≥60 years who had dementia, hearing loss, and neurological diseases. Those with Parkinson's disease and secondary epilepsy were excluded. Data was analyzed for its demographics, clinical features, predisposing factors, treatment, dementia duration and progression, and hearing loss outcomes. All statistical analyses were performed using IBM's SPSS software, version 29.0.0. Statistical significance was established at a -value of ≤0.05 and a confidence interval of 95%.
The findings indicated that 88.8% of the 143 patients exhibited dementia, with Alzheimer's disease being the most prevalent type. Moreover, 18.2% had hearing issues, and 11.2% had other complaints. Audiometry was performed in 15.4% of the cases. Hearing loss was present in 14.7% of the patients, being primarily bilateral, ranging from mild to severe.
This study has clarified the link between hearing loss and dementia onset and has emphasized the need for early evaluation and intervention for individuals with hearing impairment.
确定痴呆患者听力损失的患病率，检查听力损失患者助听器的使用情况，并确定听力损失的原因是中枢性还是外周性。
这是一项回顾性队列研究，涉及 2020 年至 2023 年在沙特阿拉伯利雅得的阿卜杜勒阿齐兹国王医疗城进行的 143 例痴呆症患者，以确定听力损失情况。该研究纳入了年龄≥60 岁且患有痴呆症、听力损失和神经系统疾病的患者。排除患有帕金森病和继发性癫痫的患者。对其人口统计学、临床特征、易患因素、治疗、痴呆持续时间和进展以及听力损失结果进行数据分析。所有统计分析均使用 IBM 的 SPSS 软件版本 29.0.0 进行。统计学意义的建立标准为 - 值≤0.05 和置信区间为 95%。
研究结果表明，143 例患者中有 88.8%患有痴呆症，其中阿尔茨海默病最常见。此外，18.2%的患者有听力问题，11.2%的患者有其他抱怨。15.4%的病例进行了听力测试。14.7%的患者存在听力损失，主要为双侧，从轻度到重度不等。
本研究阐明了听力损失与痴呆症发病之间的联系，并强调了对听力受损个体进行早期评估和干预的必要性。
