Dataset Information

Self-Reported Hearing in the Last 2 Years of Life in Older Adults.

ABSTRACT: To assess the prevalence and correlates of self-reported hearing loss during the last 2 years of life.Observational cohort study.The Health and Retirement Study (HRS), a longitudinal nationally representative cohort of adults aged 50 and older (2000-13).Older adults (N = 5,895, mean age at death 78, 53% female, 20% nonwhite).The HRS interview closest to death was used (mean 12.2 months before death). Participants rated their hearing (excellent, very good, good, fair, poor) and indicated whether they used hearing aids. The prevalence and correlates of fair and poor ratings are described, adjusted for age and sex.Thirty-two percent (95% confidence interval (CI) = 31-34%) of all participants and 60% (95% CI = 57-64%) of the 7% of participants who used hearing aids rated their hearing as fair or poor. The prevalence of fair or poor hearing was highest in participants interviewed closest to death (29% 19-24 months before death, 36% 1-6 months before death, P for trend = .01). Correlates of fair or poor hearing during the last 2 years of life included age at death (50-59, 22%; 60-69, 21%; 70-79, 26%; 80-89, 38%; ?90, 50%), sex (men 35%, women 30%), race and ethnicity (Hispanic 42%, white 33%), wealth (lowest quartile 38%, highest quartile 27%), history of heart disease (yes 38%, no 27%), activity of daily living dependence (yes 42%, no 26%), difficulty taking medications (yes 46%, no 29%), and probable dementia (yes 44%, no 24%).Self-reported hearing loss increases during the last 2 years of life and is associated with physical and social vulnerability.

SUBMITTER: Smith AK

PROVIDER: S-EPMC4942375 | biostudies-literature | 2016 Jul

REPOSITORIES: biostudies-literature

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Self-Reported Hearing in the Last 2 Years of Life in Older Adults.

Smith Alexander K AK Ritchie Christine S CS Miao Yinghui Y Boscardin W John WJ Wallhagen Margaret L ML

Journal of the American Geriatrics Society 20160624 7

<h4>Objectives</h4>To assess the prevalence and correlates of self-reported hearing loss during the last 2 years of life.<h4>Design</h4>Observational cohort study.<h4>Setting</h4>The Health and Retirement Study (HRS), a longitudinal nationally representative cohort of adults aged 50 and older (2000-13).<h4>Participants</h4>Older adults (N = 5,895, mean age at death 78, 53% female, 20% nonwhite).<h4>Measurements</h4>The HRS interview closest to death was used (mean 12.2 months before death). Part ...[more]

PMID: 27341383

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Project description:Rationale & Objective:Timely recognition of functional decline in older adults receiving dialysis will allow clinicians to pursue interventions to prevent further disability and/or lead patient-centered goals of care discussions. Annual change in the 12-Item Short Form Health Survey (SF-12) physical component score (PCS) could identify patients with functional decline. Our objectives were to assess SF-12 PCS change over a year, risk factors associated with SF-12 PCS change, and the association of SF-12 PCS change with mortality in a survivor cohort of older adults receiving dialysis. Study Design:Retrospective study. Setting & Participants:1,371 adults 65 years or older receiving hemodialysis for 6 or more months who completed SF-12 PCSs 300 or more days apart from 2012 to 2013. Exposures:Serum albumin level; hemodialysis access type; SF-12 PCS change (for mortality analyses). Outcomes:SF-12 PCS change and mortality. Analytical Approach:Multivariable-adjusted linear regression model; Cox proportional hazards model. Results:We excluded 24% (n = 801) of our cohort for death before the second SF-12 PCS. Among the 1,371 with sufficient SF-12 PCS data, mean age was 79.9 ± 4.5 years. Average SF-12 PCS change in 1 year was minimal (-0.9 ± 9.6), but 39.3% (n = 539) and 32.2% (n = 442) had clinically relevant SF-12 PCS decline and improvement, respectively. Albumin level and access type were not statistically associated with SF-12 PCS change. SF-12 PCS change was not associated with mortality (adjusted HR, 0.98; 95% CI, 0.96-1.00). Limitations:2 time points to assess SF-12 PCS change; covariate assessment only at baseline; survivor bias. Conclusions:In this cohort of older adults receiving hemodialysis, nearly one-fourth died, while among survivors, it was more common for SF-12 PCS to decline than improve in a year. Annual SF-12 PCS change was not associated with traditional risk factors for functional impairment or mortality risk. Additional research is needed to identify appropriate measures and frequency of assessment for functional decline.

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Dataset Information

Self-Reported Hearing in the Last 2 Years of Life in Older Adults.

Publications

Self-Reported Hearing in the Last 2 Years of Life in Older Adults.

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