Association between obstructive sleep apnea and hearing loss among a cohort of emergency responders.

IF 2 4区医学 Q3 CLINICAL NEUROLOGY

Sleep and Breathing Pub Date : 2025-05-06 DOI:10.1007/s11325-025-03338-8

David W Appel, David G Goldfarb, Rachel Zeig-Owens, Jaeun Choi, Gregory Flamme, Yang Liu, Theresa Schwartz, David J Prezant

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引用次数: 0

Abstract

Purpose: We sought to determine whether risk for obstructive sleep apnea (OSA) and OSA severity are associated with sensorineural hearing loss (HL) among emergency responders.

Methods: We evaluated two independent variables: OSA risk, categorized using Berlin Questionnaire criteria, and OSA severity, determined by polysomnogram (PSG) apnea-hypopnea indices (AHI). Logistic regression, adjusted for confounders, was used to assess the association between each OSA exposure and the outcome of HL among a cohort of emergency responders.

Results: The study cohort included 13,909 participants with audiometric data, 12,834 with Berlin Questionnaire data, and 4,024 participants with PSG data. Those with high and very high OSA risk showed significantly elevated odds of HL at speech frequencies, with adjusted odds ratios (OR) of 1.34 (95% CI: 1.14-1.58; p < 0.01) and 1.56 (95% CI: 1.30-1.88; p < 0.01), respectively, compared to those with no OSA risk. Combining very high and high risk validated category groupings for the Berlin, those individuals had 41% higher odds for HL over speech frequencies compared to those with no risk (OR = 1.41; 95% CI = 1.21-1.65; p < 0.01). Those with PSG-determined severe OSA had higher adjusted odds of HL at speech frequencies than those with no OSA; OR of 1.33 (95% CI: 1.00-1.78; p = 0.04).

Conclusions: We report a significant association between OSA and HL among emergency responders. Our results underscore a need for an analysis of the longitudinal association between OSA and HL to identify potential causality and for integrated health interventions that target both conditions in this responder population.

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阻塞性睡眠呼吸暂停和听力损失之间的联系在一组紧急反应者中。

目的：我们试图确定急诊应答者中阻塞性睡眠呼吸暂停（OSA）的风险和OSA严重程度是否与感音神经性听力损失（HL）相关。方法：我们评估了两个自变量：使用柏林问卷标准分类的OSA风险，以及通过多导睡眠图（PSG）呼吸暂停低通气指数（AHI）确定的OSA严重程度。对混杂因素进行调整后，采用Logistic回归来评估急诊应答者队列中每次OSA暴露与HL结果之间的关系。结果：研究队列包括13909名听力测量数据参与者，12834名柏林问卷数据参与者，4024名PSG数据参与者。高和非常高OSA风险的患者在语音频率上发生HL的几率显著升高，调整后的优势比（OR）为1.34 (95% CI: 1.14-1.58；结论：我们报告了在急救人员中OSA和HL之间的显著关联。我们的研究结果强调需要对OSA和HL之间的纵向关联进行分析，以确定潜在的因果关系，并在这一反应人群中针对这两种情况进行综合健康干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sleep and Breathing 医学-呼吸系统

CiteScore

5.20

自引率

4.00%

发文量

222

审稿时长

3-8 weeks

期刊介绍： The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.