de Araújo Pedro Ivo Machado Pires, Duarte Pauliana Lamounier E Silva, Ramos Hugo Valter Lisboa, Costa Claudiney Cândido, Maldi Isabela Gomes, Braz Lucas da Silva, Penido Norma de Oliveira
Programa de Cooperação Institucional CRER - Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
Programa de Cooperação Institucional CRER - Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
Braz J Otorhinolaryngol. 2025 Mar-Apr;91(2):101521. doi: 10.1016/j.bjorl.2024.101521. Epub 2024 Nov 5.
This study aims to evaluate the cognitive performance in adults with hearing loss and to identify associations between clinical characteristics of hearing loss and cognitive outcomes.
In this cross-sectional analytical observational study, adults with hearing loss underwent the Mini-Mental State Examination (MMSE), following the collection of their clinical and audiometric data.
Among 134 evaluated individuals, a majority reported a progressive onset (91.04%) and bilateral nature (87.31%) of hearing loss, with moderate hearing loss being the most common (41.04%). Sensorineural hearing loss was prevalent in 76.12% of cases, with presbycusis identified as a primary etiology in 37.31%. Comorbidities were reported in 61.19% of participants, with 16.42% using benzodiazepines or antidepressants regularly. Symptoms included imbalance (33.58%), vertigo (42.54%), and tinnitus (73.88%). Notably, a sudden onset of hearing loss and imbalance complaints were linked to a higher likelihood of subnormal MMSE performance. Analysis revealed varied cognitive domain performances associated with different clinical characteristics of hearing loss.
Various aspects of hearing loss, such as bilateral and sensorineural types, and the presence of symptoms like tinnitus and vertigo, significantly influence cognitive performance. Specifically, sudden onset hearing loss and imbalance complaints are associated with poorer overall cognitive outcomes in the MMSE. These findings underscore the importance of considering the diverse impacts of hearing loss characteristics on cognitive functions.
Level 4.
本研究旨在评估听力损失成年人的认知表现，并确定听力损失的临床特征与认知结果之间的关联。
在这项横断面分析观察性研究中，听力损失成年人在收集其临床和听力数据后接受了简易精神状态检查表（MMSE）测试。
在134名接受评估的个体中，大多数人报告听力损失为渐进性发作（91.04%）和双侧性（87.31%），中度听力损失最为常见（41.04%）。感音神经性听力损失在76.12%的病例中普遍存在，其中老年性聋被确定为主要病因的占37.31%。61.19%的参与者报告有合并症，16.42%的人经常使用苯二氮䓬类药物或抗抑郁药。症状包括平衡失调（33.58%）、眩晕（42.54%）和耳鸣（73.88%）。值得注意的是，听力损失突然发作和平衡失调主诉与MMSE表现低于正常水平的可能性较高有关。分析显示，与听力损失的不同临床特征相关的认知领域表现各不相同。
听力损失的各个方面，如双侧性和感音神经性类型，以及耳鸣和眩晕等症状的存在，会显著影响认知表现。具体而言，听力损失突然发作和平衡失调主诉与MMSE中较差的整体认知结果相关。这些发现强调了考虑听力损失特征对认知功能的多种影响的重要性。
4级。
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