Lai Kuan-Yu, Lin Hung-Che, Shih Wan-Ting, Chien Wu-Chien, Chung Chi-Hsiang, Chen Mingchih, Chen Jeng-Wen, Chung Hung-Chun
Department of Otolaryngology-Head and Neck Surgery, Yonghe Cardinal Tien Hospital, New Taipei City, Taiwan.
Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan.
Trends Hear. 2025 Jan-Dec;29:23312165241309589. doi: 10.1177/23312165241309589.
This nationwide retrospective cohort study examines the association between adults with hearing loss (HL) and subsequent injury risk. Utilizing data from the Taiwan National Health Insurance Research Database (2000-2017), the study included 19,480 patients with HL and 77,920 matched controls. Over an average follow-up of 9.08 years, 18.30% of the 97,400 subjects sustained subsequent all-cause injuries. The injury incidence was significantly higher in the HL group compared to the control group (24.04% vs. 16.86%, < .001). After adjusting for demographics and comorbidities, the adjusted hazard ratio (aHR) for injury in the HL cohort was 2.35 (95% CI: 2.22-2.49). Kaplan-Meier analysis showed significant differences in injury-free survival between the HL and control groups (log-rank test, < .001). The increased risk was consistent across age groups (18-64 and ≥65 years), with the HL group showing a higher risk of unintentional injuries (aHR: 2.62; 95% CI: 2.45-2.80), including falls (aHR: 2.83; 95% CI: 2.52-3.17) and traffic-related injuries (aHR: 2.38; 95% CI: 2.07-2.74). These findings highlight an independent association between HL and increased injury risk, underscoring the need for healthcare providers to counsel adult HL patients on preventive measures.
这项全国性回顾性队列研究探讨了成年听力损失（HL）患者与后续受伤风险之间的关联。该研究利用台湾国民健康保险研究数据库（2000 - 2017年）的数据，纳入了19480例HL患者和77920例匹配的对照组。在平均9.08年的随访期内，97400名受试者中有18.30%随后发生了全因性损伤。HL组的损伤发生率显著高于对照组（24.04%对16.86%，<0.001）。在对人口统计学和合并症进行调整后，HL队列中损伤的调整后风险比（aHR）为2.35（95%置信区间：2.22 - 2.49）。Kaplan - Meier分析显示HL组和对照组在无损伤生存方面存在显著差异（对数秩检验，<0.001）。各年龄组（18 - 64岁和≥65岁）的风险增加情况一致，HL组发生意外伤害的风险更高（aHR：2.62；95%置信区间：2.45 - 2.80），包括跌倒（aHR：2.83；95%置信区间：2.52 - 3.17）和交通相关损伤（aHR：2.38；95%置信区间：2.07 - 2.74）。这些发现凸显了HL与受伤风险增加之间的独立关联，强调医疗服务提供者需要就预防措施向成年HL患者提供咨询。
