National study of deafness in hospitalized adults (Harris et al., 2021)

Background: It is unknown whether hospital outcomes differ among nonspeaking deaf patients compared to those without this disability.Objective: This article aims to compare clinical outcomes and utilization data among patients with and without deafness.Design: This study used a retrospective cohort study. Setting and Participants: The participants included Nationwide Inpatient Sample, year 2017, hospitalized adults with and without diagnostic codes related to deafness and inability to speak.Method: Multiple logistic and linear regression were used to compare in-hospital outcomes.Results: Thirty million four hundred one thousand one hundred seventeen adults were hospitalized, and 7,180had deafness and inability to speak related coding. Patients with deafness were older (mean age ± SEM: 59.2 ± 0.51 vs. 57.9 ± 0.09 years, p = .01), and less likely female (47.0% vs. 57.7%, p < .01) compared to controls. Those with deafness had more comorbidities compared to the controls (Charlson comorbidity score ≥ 3: 31.2% vs. 27.8%, p < .01). Mortality was higher among deaf versus controls (3.6% vs. 2.2%; p < .01); this translated into higher adjusted odds of mortality (adjusted odds ratio = 1.7. [confidence interval (CI) 1.3–2.4]; p = .01). Deaf patients had lower odds of being discharged home compared to controls {aOR} = 0.6, (CI) 0.55–0.73]; p < .01. Length of stay was longer (adjusted mean difference = 1.5 days CI [0.7–2.3]; p < .01) and hospital charges were higher, but not significantly so (adjusted mean difference = $4,193 CI [−$1,935–$10,322]; p = .18) in patients with deafness.Conclusions: Hospitalized nonspeaking deaf patients had higher mortality and longer hospital stays compared to those without this condition. These results suggest that specialized attention may be warranted when deaf patients are admitted to our hospitals in hopes of reducing disparities in outcomes.Supplemental Material S1. ICD-10 codes on obesity.Harris, C. M., Kotwal, S., Wright, S. M. (2021). A nationwide study examining deafness among hospitalized adults. American Journal of Audiology. Advance online publication. https://doi.org/10.1044/2021_AJA-20-00156

背景：关于非言语聋患者与无此残疾患者之间医院结果的差异尚不明确。目标：本文旨在比较聋与非聋患者之间的临床结果和利用数据。设计：本研究采用回顾性队列研究方法。研究场所与参与者：参与者包括2017年全国住院样本，住院成人中具有与聋和言语能力缺失相关的诊断编码和无相关编码者。方法：运用多项逻辑回归和线性回归分析来比较住院结果。结果：共有三千四百零一万一千一百十七名成人住院，其中7,180人具有聋和言语能力缺失相关编码。与对照者相比，聋患者年龄较大（平均年龄 ± 标准误：59.2 ± 0.51岁 vs. 57.9 ± 0.09岁，p = .01），且女性比例较低（47.0% vs. 57.7%，p < .01）。与对照者相比，聋患者的合并症更多（Charlson合并症评分≥3：31.2% vs. 27.8%，p < .01）。聋患者的死亡率高于对照者（3.6% vs. 2.2%；p < .01），这转化为更高的调整死亡率比值比（调整比值比 = 1.7 [置信区间 (CI) 1.3–2.4]；p = .01）。与对照者相比，聋患者出院回家的可能性较低{aOR} = 0.6，(CI) 0.55–0.73；p < .01。住院时间更长（调整平均差异 = 1.5天 CI [0.7–2.3]；p < .01），且医疗费用更高，但无显著差异（调整平均差异 = 4,193美元 CI [−1,935–10,322美元]；p = .18）。结论：与非言语聋患者相比，住院的非言语聋患者死亡率更高，住院时间更长。这些结果表明，当聋患者被收入我院时，有必要给予专门的关注，以期减少结果差异。补充材料S1：肥胖的ICD-10编码。Harris, C. M., Kotwal, S., Wright, S. M. (2021). 全方位研究住院成人中的聋病。美国听力学杂志。在线预发布。https://doi.org/10.1044/2021_AJA-20-00156