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Dizziness, Falls, and Hearing Loss in Adults Living With Sickle Cell Disease.

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Title: Dizziness, Falls, and Hearing Loss in Adults Living With Sickle Cell Disease.
Authors: Nelson, M. Dawn1 nelso1md@cmich.edu, Bennett, Danielle M.2, Lehman, Mark E.1, Okonji, Angela I.1
Source: American Journal of Audiology. Dec2022, Vol. 31, p1178-1190. 13p. 6 Charts, 1 Graph.
Subject Terms: *Treatment of hearing disorders, *Blindness, *Self-evaluation, *Help-seeking behavior, *Hearing disorders, *Educational attainment, *Longitudinal method, Musculoskeletal system diseases, Stroke, Dizziness, Ear canal, Cross-sectional method, Age distribution, Medical care, Disease incidence, Medical care use, Risk assessment, Accidental falls, Health insurance, Questionnaires, Disease prevalence, Numbness, Foot, Descriptive statistics, Chi-squared test, Research funding, Odds ratio, Sickle cell anemia, Vestibular apparatus, Disease risk factors, Disease complications
Geographic Terms: United States
Abstract: Objective: The aim of this study was to assess the prevalence of reported dizziness/imbalance, frequency of falls, and hearing loss in adults with sickle cell disease (SCD) and determine the relationship of these self-reported problems both during and in the absence of an SCD crisis. Also, the impact of educational level and health insurance on seeking treatment services, as well as the relationship of falls to stroke, legal blindness, and other orthopedic problems, was assessed. Interrupted blood flow to shared vestibular and auditory arteries supports the notion of increased likelihood of balance deficits and increased falls in this population. Design: A cross-sectional survey study design was used. Adults living with SCD responded to a questionnaire that was distributed online and through traditional mail. Study Sample: Adults living with SCD (N = 135) participated in the study. Results: Responses revealed 70% of participants with SCD experienced dizziness/imbalance and 23% reported hearing loss. Furthermore, 33% of participants reported falling one or more times in the last year. The prevalence of dizziness/imbalance, falling, and hearing loss in the respondents with SCD was much higher than that of the general population of the United States. Additionally, for dizziness and falling, the prevalence was higher not only than the national average but also for persons over 65 years of age. A significant association was demonstrated between dizziness/imbalance and hearing loss as well as dizziness/imbalance and falls for adults living with SCD. In fact, participants with self-reported hearing loss were 5.2 times more likely to also report dizziness/imbalance. They were 4.9 times more likely to fall if they also reported dizziness/imbalance. Numbness of the feet was revealed to significantly impact the likelihood of falling in this disease population and should be further studied. Regarding SCD crisis status, dizziness/imbalance and falls were more likely to occur outside of SCD crisis than during a crisis. Furthermore, pain levels were significantly associated with dizziness/imbalance only when respondents were in crisis and not in the absence of a crisis. In crisis, higher pain levels were reported from respondents who also reported dizziness/imbalance than from those who did not report dizziness. No significant relationship was revealed between hearing loss and falls. Discussion: These results provide justification for patient and health care provider education regarding appropriate referrals for vestibular/balance assessments and provision of fall prevention strategies. Future studies on balance and SCD are encouraged. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Dizziness, Falls, and Hearing Loss in Adults Living With Sickle Cell Disease.
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Audiology%22">American Journal of Audiology</searchLink>. Dec2022, Vol. 31, p1178-1190. 13p. 6 Charts, 1 Graph.
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– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: The aim of this study was to assess the prevalence of reported dizziness/imbalance, frequency of falls, and hearing loss in adults with sickle cell disease (SCD) and determine the relationship of these self-reported problems both during and in the absence of an SCD crisis. Also, the impact of educational level and health insurance on seeking treatment services, as well as the relationship of falls to stroke, legal blindness, and other orthopedic problems, was assessed. Interrupted blood flow to shared vestibular and auditory arteries supports the notion of increased likelihood of balance deficits and increased falls in this population. Design: A cross-sectional survey study design was used. Adults living with SCD responded to a questionnaire that was distributed online and through traditional mail. Study Sample: Adults living with SCD (N = 135) participated in the study. Results: Responses revealed 70% of participants with SCD experienced dizziness/imbalance and 23% reported hearing loss. Furthermore, 33% of participants reported falling one or more times in the last year. The prevalence of dizziness/imbalance, falling, and hearing loss in the respondents with SCD was much higher than that of the general population of the United States. Additionally, for dizziness and falling, the prevalence was higher not only than the national average but also for persons over 65 years of age. A significant association was demonstrated between dizziness/imbalance and hearing loss as well as dizziness/imbalance and falls for adults living with SCD. In fact, participants with self-reported hearing loss were 5.2 times more likely to also report dizziness/imbalance. They were 4.9 times more likely to fall if they also reported dizziness/imbalance. Numbness of the feet was revealed to significantly impact the likelihood of falling in this disease population and should be further studied. Regarding SCD crisis status, dizziness/imbalance and falls were more likely to occur outside of SCD crisis than during a crisis. Furthermore, pain levels were significantly associated with dizziness/imbalance only when respondents were in crisis and not in the absence of a crisis. In crisis, higher pain levels were reported from respondents who also reported dizziness/imbalance than from those who did not report dizziness. No significant relationship was revealed between hearing loss and falls. Discussion: These results provide justification for patient and health care provider education regarding appropriate referrals for vestibular/balance assessments and provision of fall prevention strategies. Future studies on balance and SCD are encouraged. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Group: Ab
  Data: <i>Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=160628912
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1044/2022_AJA-22-00059
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 13
        StartPage: 1178
    Subjects:
      – SubjectFull: Treatment of hearing disorders
        Type: general
      – SubjectFull: Blindness
        Type: general
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Help-seeking behavior
        Type: general
      – SubjectFull: Hearing disorders
        Type: general
      – SubjectFull: Educational attainment
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Musculoskeletal system diseases
        Type: general
      – SubjectFull: Stroke
        Type: general
      – SubjectFull: Dizziness
        Type: general
      – SubjectFull: Ear canal
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Disease incidence
        Type: general
      – SubjectFull: Medical care use
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Accidental falls
        Type: general
      – SubjectFull: Health insurance
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Disease prevalence
        Type: general
      – SubjectFull: Numbness
        Type: general
      – SubjectFull: Foot
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Odds ratio
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      – SubjectFull: Sickle cell anemia
        Type: general
      – SubjectFull: Vestibular apparatus
        Type: general
      – SubjectFull: Disease risk factors
        Type: general
      – SubjectFull: Disease complications
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Dizziness, Falls, and Hearing Loss in Adults Living With Sickle Cell Disease.
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              Text: Dec2022
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