Dual sensory impairment in older adults increases the risk of mortality: a population-based study.

Although concurrent vision and hearing loss are common in older adults, population-based data on their relationship with mortality is limited. This cohort study investigated the association between objectively measured dual sensory impairment (DSI) with mortality risk over 10 years. 2812 Blue Mounta...

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Autores principales:	Bamini Gopinath, Julie Schneider, Catherine M McMahon, George Burlutsky, Stephen R Leeder, Paul Mitchell
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8878b378fdcc4c08aed137c280ce03cf
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spelling	oai:doaj.org-article:8878b378fdcc4c08aed137c280ce03cf2021-11-18T07:55:10ZDual sensory impairment in older adults increases the risk of mortality: a population-based study.1932-620310.1371/journal.pone.0055054https://doaj.org/article/8878b378fdcc4c08aed137c280ce03cf2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23469161/?tool=EBIhttps://doaj.org/toc/1932-6203Although concurrent vision and hearing loss are common in older adults, population-based data on their relationship with mortality is limited. This cohort study investigated the association between objectively measured dual sensory impairment (DSI) with mortality risk over 10 years. 2812 Blue Mountains Eye Study participants aged 55 years and older at baseline were included for analyses. Visual impairment was defined as visual acuity less than 20/40 (better eye), and hearing impairment as average pure-tone air conduction threshold greater than 25 dB HL (500-4000 Hz, better ear). Ten-year all-cause mortality was confirmed using the Australian National Death Index. After ten years, 64% and 11% of participants with DSI and no sensory loss, respectively, had died. After multivariable adjustment, participants with DSI (presenting visual impairment and hearing impairment) compared to those with no sensory impairment at baseline, had 62% increased risk of all-cause mortality, hazard ratio, HR, 1.62 (95% confidence intervals, CI, 1.16-2.26). This association was more marked in those with both moderate-severe hearing loss (>40 dB HL) and presenting visual impairment, HR 1.84 (95% CI 1.19-2.86). Participants with either presenting visual impairment only or hearing impairment only, did not have an increased risk of mortality, HR 1.05 (95% CI 0.61-1.80) and HR 1.24 (95% CI 0.99-1.54), respectively. Concurrent best-corrected visual impairment and moderate-severe hearing loss was more strongly associated with mortality 10 years later, HR 2.19 (95% CI 1.20-4.03). Objectively measured DSI was an independent predictor of total mortality in older adults. DSI was associated with a risk of death greater than that of either vision loss only or hearing loss alone.Bamini GopinathJulie SchneiderCatherine M McMahonGeorge BurlutskyStephen R LeederPaul MitchellPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 3, p e55054 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Bamini Gopinath Julie Schneider Catherine M McMahon George Burlutsky Stephen R Leeder Paul Mitchell Dual sensory impairment in older adults increases the risk of mortality: a population-based study.
description	Although concurrent vision and hearing loss are common in older adults, population-based data on their relationship with mortality is limited. This cohort study investigated the association between objectively measured dual sensory impairment (DSI) with mortality risk over 10 years. 2812 Blue Mountains Eye Study participants aged 55 years and older at baseline were included for analyses. Visual impairment was defined as visual acuity less than 20/40 (better eye), and hearing impairment as average pure-tone air conduction threshold greater than 25 dB HL (500-4000 Hz, better ear). Ten-year all-cause mortality was confirmed using the Australian National Death Index. After ten years, 64% and 11% of participants with DSI and no sensory loss, respectively, had died. After multivariable adjustment, participants with DSI (presenting visual impairment and hearing impairment) compared to those with no sensory impairment at baseline, had 62% increased risk of all-cause mortality, hazard ratio, HR, 1.62 (95% confidence intervals, CI, 1.16-2.26). This association was more marked in those with both moderate-severe hearing loss (>40 dB HL) and presenting visual impairment, HR 1.84 (95% CI 1.19-2.86). Participants with either presenting visual impairment only or hearing impairment only, did not have an increased risk of mortality, HR 1.05 (95% CI 0.61-1.80) and HR 1.24 (95% CI 0.99-1.54), respectively. Concurrent best-corrected visual impairment and moderate-severe hearing loss was more strongly associated with mortality 10 years later, HR 2.19 (95% CI 1.20-4.03). Objectively measured DSI was an independent predictor of total mortality in older adults. DSI was associated with a risk of death greater than that of either vision loss only or hearing loss alone.
format	article
author	Bamini Gopinath Julie Schneider Catherine M McMahon George Burlutsky Stephen R Leeder Paul Mitchell
author_facet	Bamini Gopinath Julie Schneider Catherine M McMahon George Burlutsky Stephen R Leeder Paul Mitchell
author_sort	Bamini Gopinath
title	Dual sensory impairment in older adults increases the risk of mortality: a population-based study.
title_short	Dual sensory impairment in older adults increases the risk of mortality: a population-based study.
title_full	Dual sensory impairment in older adults increases the risk of mortality: a population-based study.
title_fullStr	Dual sensory impairment in older adults increases the risk of mortality: a population-based study.
title_full_unstemmed	Dual sensory impairment in older adults increases the risk of mortality: a population-based study.
title_sort	dual sensory impairment in older adults increases the risk of mortality: a population-based study.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/8878b378fdcc4c08aed137c280ce03cf
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Dual sensory impairment in older adults increases the risk of mortality: a population-based study.

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