Hee Won Seo, Soorack Ryu, Sang-Yoon Han, Seung Hwan Lee, Jae Ho Chung
{"title":"人工耳蜗植入与重度听力损失患者痴呆发生率降低相关","authors":"Hee Won Seo, Soorack Ryu, Sang-Yoon Han, Seung Hwan Lee, Jae Ho Chung","doi":"10.1097/AUD.0000000000001660","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Hearing loss is recognized as a potentially modifiable risk factor for dementia in midlife. This study aimed to investigate the association between rehabilitation methods and dementia risk in patients with severe to profound hearing loss.</p><p><strong>Design: </strong>Using the nationwide population data from South Korea, individuals with severe to profound hearing loss were identified. Individuals aged 40 to 79 were then divided into 3 groups according to the type of auditory rehabilitation they received in the period between 2005 and 2010, namely cochlear implant (CI), hearing aid (HA), or no rehabilitation (NR). No hearing loss (NHL) group (with normal hearing) consisted of individuals without hearing loss. Dementia incidence was followed up to 2022.</p><p><strong>Results: </strong>The study involved 649 individuals in the CI group, 35,076 in the HA, 16,494 in the NR, and 1,280,788 in the NHL group. The groups that received auditory rehabilitation (HA and CI groups) had a significantly reduced risk of dementia compared with the NR group, with the CI group showing the most pronounced reduction. The CI group demonstrated a lower risk of dementia than the HA group and had a similar dementia risk to the NHL group.</p><p><strong>Conclusions: </strong>In individuals with severe to profound hearing loss, rates of dementia were lower in CI users than in HA users. Moreover, the risk of dementia in those undergoing CI surgery is comparable to that of individuals with normal hearing.</p>","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":""},"PeriodicalIF":2.8000,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Cochlear Implantation Is Associated With Reduced Incidence of Dementia in Severe Hearing Loss.\",\"authors\":\"Hee Won Seo, Soorack Ryu, Sang-Yoon Han, Seung Hwan Lee, Jae Ho Chung\",\"doi\":\"10.1097/AUD.0000000000001660\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>Hearing loss is recognized as a potentially modifiable risk factor for dementia in midlife. This study aimed to investigate the association between rehabilitation methods and dementia risk in patients with severe to profound hearing loss.</p><p><strong>Design: </strong>Using the nationwide population data from South Korea, individuals with severe to profound hearing loss were identified. Individuals aged 40 to 79 were then divided into 3 groups according to the type of auditory rehabilitation they received in the period between 2005 and 2010, namely cochlear implant (CI), hearing aid (HA), or no rehabilitation (NR). No hearing loss (NHL) group (with normal hearing) consisted of individuals without hearing loss. Dementia incidence was followed up to 2022.</p><p><strong>Results: </strong>The study involved 649 individuals in the CI group, 35,076 in the HA, 16,494 in the NR, and 1,280,788 in the NHL group. The groups that received auditory rehabilitation (HA and CI groups) had a significantly reduced risk of dementia compared with the NR group, with the CI group showing the most pronounced reduction. The CI group demonstrated a lower risk of dementia than the HA group and had a similar dementia risk to the NHL group.</p><p><strong>Conclusions: </strong>In individuals with severe to profound hearing loss, rates of dementia were lower in CI users than in HA users. Moreover, the risk of dementia in those undergoing CI surgery is comparable to that of individuals with normal hearing.</p>\",\"PeriodicalId\":55172,\"journal\":{\"name\":\"Ear and Hearing\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2025-04-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Ear and Hearing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/AUD.0000000000001660\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ear and Hearing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/AUD.0000000000001660","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
Cochlear Implantation Is Associated With Reduced Incidence of Dementia in Severe Hearing Loss.
Objectives: Hearing loss is recognized as a potentially modifiable risk factor for dementia in midlife. This study aimed to investigate the association between rehabilitation methods and dementia risk in patients with severe to profound hearing loss.
Design: Using the nationwide population data from South Korea, individuals with severe to profound hearing loss were identified. Individuals aged 40 to 79 were then divided into 3 groups according to the type of auditory rehabilitation they received in the period between 2005 and 2010, namely cochlear implant (CI), hearing aid (HA), or no rehabilitation (NR). No hearing loss (NHL) group (with normal hearing) consisted of individuals without hearing loss. Dementia incidence was followed up to 2022.
Results: The study involved 649 individuals in the CI group, 35,076 in the HA, 16,494 in the NR, and 1,280,788 in the NHL group. The groups that received auditory rehabilitation (HA and CI groups) had a significantly reduced risk of dementia compared with the NR group, with the CI group showing the most pronounced reduction. The CI group demonstrated a lower risk of dementia than the HA group and had a similar dementia risk to the NHL group.
Conclusions: In individuals with severe to profound hearing loss, rates of dementia were lower in CI users than in HA users. Moreover, the risk of dementia in those undergoing CI surgery is comparable to that of individuals with normal hearing.
期刊介绍:
From the basic science of hearing and balance disorders to auditory electrophysiology to amplification and the psychological factors of hearing loss, Ear and Hearing covers all aspects of auditory and vestibular disorders. This multidisciplinary journal consolidates the various factors that contribute to identification, remediation, and audiologic and vestibular rehabilitation. It is the one journal that serves the diverse interest of all members of this professional community -- otologists, audiologists, educators, and to those involved in the design, manufacture, and distribution of amplification systems. The original articles published in the journal focus on assessment, diagnosis, and management of auditory and vestibular disorders.