{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:23:09Z","timestamp":1772990589297,"version":"3.50.1"},"reference-count":45,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T00:00:00Z","timestamp":1721001600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T00:00:00Z","timestamp":1721001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Assess the association of hearing on sex\u2010specific overall mortality and death from acute cardiovascular disease and evaluate if these effects are modulated by postural balance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Otolaryngology department at an academic hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients underwent standard clinical examination, laboratory examination including stabilometry and audiometry. Pure tone average on the best hearing ear was calculated from 0.5, 1, 2, and 3\u2009kHz. Cause of death was retrieved from the Norwegian Cause of Death Registry.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1036 patients (58.8% women) were followed for 26\u2009\u00b1\u20093 years. In Cox regression analyses for overall mortality adjusted for age, past medical history, and vestibular disease, 10\u2009dB increase in hearing threshold was associated with a 14% increase in mortality among men (hazard ratio 95% confidence interval: 1.02\u20101.28,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.02), but no significant association was seen between hearing and mortality in women (0.92\u20101.15,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.60). The same analyses for acute cardiovascular death found that a 10\u2009dB increase in hearing threshold was associated with a 57% increase in hazard ratio in men (1.21\u20102.05,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001), but no significant effect of hearing on survival was seen in women (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.71). Adjusting for postural balance did not change the association between hearing and mortality.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study finds hearing threshold is associated with overall mortality and acute cardiovascular death among men, with no such association observed among women. Our findings indicate important differences between men and women and suggest that such differences should be taken into consideration in audiological research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.903","type":"journal-article","created":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T02:29:34Z","timestamp":1721096974000},"page":"1497-1504","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hearing, Balance, and Mortality: Sex\u2010Specific Patterns in a Longitudinal Study"],"prefix":"10.1002","volume":"171","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3037-9405","authenticated-orcid":false,"given":"Jan E.","family":"Berge","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery Haukeland University Hospital Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geir A.","family":"Nilsen","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery Haukeland University Hospital Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8022-9483","authenticated-orcid":false,"given":"Frederik K.","family":"Goplen","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery Haukeland University Hospital Bergen Norway"},{"name":"Department of Clinical Medicine University of Bergen Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9015-741X","authenticated-orcid":false,"given":"Ester","family":"Kringeland","sequence":"additional","affiliation":[{"name":"Department of Heart Disease Haukeland University Hospital Bergen Norway"},{"name":"Department of Health Registry Research and Development Norwegian Institute of Public Health Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1543-7603","authenticated-orcid":false,"given":"Stein H. 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