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Cochlear Implantation and Risk of Falls in Older Adults.
- Source :
-
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [Otolaryngol Head Neck Surg] 2022 Sep; Vol. 167 (3), pp. 531-536. Date of Electronic Publication: 2021 Dec 14. - Publication Year :
- 2022
-
Abstract
- Objective: To examine whether cochlear implantation (CI) increases the risk of clinically significant falls in older adults.<br />Study Design: Retrospective analysis of deidentified administrative claims from a US commercial insurance database.<br />Setting: Nationwide deidentified private insurance claims database (Clinformatics Data Mart; Optum).<br />Methods: Patients undergoing CI were identified through Current Procedural Terminology codes. Number of days with falls resulting in health care expenditure were counted 1 year pre- and post-CI. Generalized estimating equation Poisson regression was used to determine medical and sociodemographic predictors for fall days, including age, sex, race, and income, with pre- vs post-CI status.<br />Results: Between 2003 and 2019, 3773 patients aged >50 years underwent CI. An overall 139 (3.68%) patients recorded at least 1 fall diagnosis a year pre-CI, and 142 (3.76%) recorded at least 1 fall diagnosis post-CI. The average number of days with fall diagnoses per patient with a recorded fall was 3.12 pre-CI and 2.04 post-CI. In bivariate analysis, age ( P < .0001) and Charlson Comorbidity Index ( P < .0001) were predictive of falls, but sex ( P < .10), race ( P < .72), and income ( P < .51) were not. Poisson regression demonstrated a statistically significant association between Charlson Comorbidity Index and days with fall diagnoses (risk ratio, 1.39 [95% CI, 1.30-1.49]; P < .0001]). No statistically significant difference in falls was seen pre- vs post-CI (risk ratio, 0.67 [95% CI, 0.34-1.33]; P < .25]). Age also was not predictive of falls in multivariate analysis.<br />Conclusions: CI does not appear to increase the risk of falls in older adults. Patient comorbidities correlate most strongly with fall risk and should be considered in patient selection for CI.
- Subjects :
- Aged
Comorbidity
Humans
Retrospective Studies
Accidental Falls
Cochlear Implantation
Subjects
Details
- Language :
- English
- ISSN :
- 1097-6817
- Volume :
- 167
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 34905438
- Full Text :
- https://doi.org/10.1177/01945998211064981