Higher risk of developing sudden sensorineural hearing loss in patients with chronic otitis media

JAMA Otolaryngology-- Head & Neck Surgery
Yung-Chang YenYung-Song Lin

Abstract

Several sources have suggested an association between chronic sensory hearing impairment and chronic otitis media (COM). However, to our knowledge, no studies have evaluated the risk of sudden sensorineural hearing loss (SSNHL) in patients with COM (COM-positive). To examine the risk of developing SSNHL in COM-positive patients. This was a retrospective cohort study; we compared 10 248 patients with newly diagnosed COM from January 1, 2001, through December 31, 2008, with 30 744 age- and sex-matched controls using data from Taiwan's National Health Insurance Research Database. We followed each patient and evaluated the incidence of SSNHL. The incidence of SSNHL at the end of 2011. The incidence of SSNHL was 3 times higher in the COM-positive cohort than in the COM-negative cohort (14.47 vs 4.83 per 10 000 person-years). Cox proportional hazard regressions showed that the adjusted hazard ratio (AHR) was 3.02 (95% CI, 2.30-3.98). A stratified analysis showed that the highest risk of developing SSNHL was in the first follow-up year (incidence rate ratio [IRR], 3.87; 95% CI, 1.93-7.79). Thereafter, the risk declined during years 1 to 5 and then peaked (IRR, 3.01; 95% CI, 1.89-4.79). Patients who needed surgery had a higher incidenc...Continue Reading

Citations

Oct 11, 2015·Otolaryngologic Clinics of North America·Margaret A Kenna
Nov 3, 2016·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Seung-No HongJeong-Whun Kim
Feb 6, 2020·International Journal of Environmental Research and Public Health·Yao-Te TsaiChih-Wei Luan
Jul 14, 2020·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Hyo Geun ChoiSo Young Kim
Jul 1, 2020·Journal of Gerontological Nursing·Carly Meyer, Louise Hickson
Mar 21, 2021·International Journal of Epidemiology·Pei-Xun ZhongLi-Ting Kao

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