MedElevator
Войти в исследования The Laryngoscope · 2015
Multivariate analysis of prognostic factors for idiopathic sudden sensorineural hearing loss in children.
Сравнительное исследованиеСтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Chung Jae Ho, Cho Seok Hyun, Jeong Jin Hyeok, Park Chul Won, Lee Seung Hwan
Аннотация
OBJECTIVES/HYPOTHESIS: To evaluate clinical characteristics and possible associated factors of idiopathic sudden sensorineural hearing loss (ISSNHL) in children using univariate and multivariate analyses.
STUDY DESIGN: A retrospective case series with comparisons.
METHODS: From January 2007 to December 2013, medical records of 37 pediatric ISSNHL patients were reviewed to assess hearing recovery rate and examine factors associated with prognosis (gender; side of hearing loss; opposite side hearing loss; treatment onset; presence of vertigo, tinnitus, and ear fullness; initial hearing threshold), using univariate and multivariate analysis, and compare them with 276 adult ISSNHL patients.
RESULTS: Pediatric patients comprised only 6.6% of pediatric/adult cases of ISSNHL, and those below 10 years old were only 0.7%. The overall recovery rates (complete and partial) of the pediatric and adult patients were 57.4% and 47.2%, respectively. The complete recovery rate of the pediatric group (46.6%) was higher than that of the adult group (30.8%, P = .040). According to multivariate analysis, absence of tinnitus, later onset of treatment, and higher hearing threshold at initial presentation were associated with a poor prognosis in pediatric ISSNHL.
CONCLUSIONS: The recovery rate of ISSNHL in pediatric patients is higher than in adults, and the presence of tinnitus and earlier treatment onset is associated with favorable outcomes.
LEVEL OF EVIDENCE: 4.
STUDY DESIGN: A retrospective case series with comparisons.
METHODS: From January 2007 to December 2013, medical records of 37 pediatric ISSNHL patients were reviewed to assess hearing recovery rate and examine factors associated with prognosis (gender; side of hearing loss; opposite side hearing loss; treatment onset; presence of vertigo, tinnitus, and ear fullness; initial hearing threshold), using univariate and multivariate analysis, and compare them with 276 adult ISSNHL patients.
RESULTS: Pediatric patients comprised only 6.6% of pediatric/adult cases of ISSNHL, and those below 10 years old were only 0.7%. The overall recovery rates (complete and partial) of the pediatric and adult patients were 57.4% and 47.2%, respectively. The complete recovery rate of the pediatric group (46.6%) was higher than that of the adult group (30.8%, P = .040). According to multivariate analysis, absence of tinnitus, later onset of treatment, and higher hearing threshold at initial presentation were associated with a poor prognosis in pediatric ISSNHL.
CONCLUSIONS: The recovery rate of ISSNHL in pediatric patients is higher than in adults, and the presence of tinnitus and earlier treatment onset is associated with favorable outcomes.
LEVEL OF EVIDENCE: 4.
Предметные рубрики MeSH
Acoustic Impedance TestsAdolescentAdultAudiometry, Pure-ToneChildDextransEvoked Potentials, Auditory, Brain StemFemaleFollow-Up StudiesGlucocorticoidsHearing Loss, SensorineuralHearing Loss, SuddenHumansIncidenceInfusions, IntravenousInjectionsInstillation, DrugMaleMiddle AgedMultivariate AnalysisOtoacoustic Emissions, SpontaneousPlasma SubstitutesPrednisolonePrognosisRecovery of FunctionRepublic of KoreaRetrospective StudiesTreatment OutcomeTympanic MembraneYoung Adult