title: Patients with severe-to-profound hearing impairment and simultaneous severe vision impairment: a quality-of-life study.
abstract: CONCLUSIONS
  Patients with severe vision impairment in combination with severe-to-profound hearing loss seem to have a higher risk for effects on QoL, including: mobility, the ability to provide self-care and perform usual activities, and levels of anxiety and depression, compared with patients with only severe-to-profound hearing loss.
  
  
  OBJECTIVE
  To study the quality-of-life (QoL) and audiological rehabilitation of the severely vision-impaired patient population among adults with severe-to-profound hearing loss in Sweden.
  
  
  METHODS
  A study of data collected from 543 patients with severe-to-profound hearing loss combined with severe vision impairment among the total of 2319 persons registered in the Swedish Quality Register of Otorhinolaryngology. QoL was measured with the following instruments: EQ5D, PIRS, and HADS. Audiological rehabilitation was described and evaluated.
  
  
  RESULTS
  The patients with dual sensory loss were younger, were more likely to live alone, and had a lower level of education than the control group. The QoL of the study group was significantly negatively affected. In total, 89% of the study group had been rehabilitated with hearing aids, while 8% had received rehabilitation with cochlear implants. A total of 32% of the study group had received extended audiological rehabilitation.
authors.affiliation: a Department of CLINTEC, Division of Ear, Nose and Throat Diseases , Karolinska Institutet , Stockholm , Sweden.|b Department of Audiology and Neurotology , Karolinska University Hospital , Stockholm , Sweden.
authors.forename: Satu
authors.initials: S
authors.lastname: Turunen-Taheri
authors.affiliation: c Audiological Research Center , Örebro University Hospital , Örebro , Sweden.
authors.forename: Åsa
authors.initials: Å
authors.lastname: Skagerstrand
authors.affiliation: a Department of CLINTEC, Division of Ear, Nose and Throat Diseases , Karolinska Institutet , Stockholm , Sweden.|b Department of Audiology and Neurotology , Karolinska University Hospital , Stockholm , Sweden.
authors.forename: Sten
authors.initials: S
authors.lastname: Hellström
authors.affiliation: c Audiological Research Center , Örebro University Hospital , Örebro , Sweden.|d Department of Otorhinolaryngology , Central Hospital , Karlstad , Sweden.
authors.forename: Per-Inge
authors.initials: PI
authors.lastname: Carlsson
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001766:Blindness / Q000150:complications* / Q000523:psychology; D016022:Case-Control Studies; D003638:Deafness / Q000150:complications* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life
keywords: EuroQoL-5D-3L; cochlear implants; dual sensory loss; genus; hearing aids; hearing loss; rehabilitation; the hospital anxiety and depression scale; the problems impact rating scale