KCTBASE

노인 돌발성 난청 환자의 임상적 특징 및 예후인자에 대한 분석
Clinical Characteristics and Prognosis of Idiopathic Sudden Sensorineural Hearing Loss in Old Age

대한이비인후-두경부외과학회지 2014년 57권 8호 p.511 ~ p.517

박창호(Park Chang-Ho) - 한양대학교 의과대학 이비인후-두경부외과학교실
이윤재(Lee Yun-Jae) - 한양대학교 의과대학 이비인후-두경부외과학교실
김무건(Kim Moo-Keon) - 한양대학교 의과대학 이비인후-두경부외과학교실
정재호(Chung Jae-Ho) - 한양대학교 의과대학 이비인후-두경부외과학교실
박철원(Park Chul-Won) - 한양대학교 의과대학 이비인후-두경부외과학교실
이승환(Lee Seung-Hwan) - 한양대학교 의과대학 이비인후-두경부외과학교실

Abstract

Background and Objectives: In aging society, interest in idiopathic sudden sensorineural hearing loss (ISSNHL) in elderly have been increased. However, as there has been little discussion about prognostic factors of ISSNHL in old age, this study aims to investigate clinical factors related with prognosis of ISSNHL in elderly and compare with that in adults.

Subjects and Methods: A retrospective medical chart review was performed in patients over 19 years old who diagnosed with ISSNHL from Jan. 2010 to Dec. 2012. Patients were categorized into the old age group (over 65 years old, n=62) and the control group (aged 19 to 64 years old, n=218). Clinical findings, audiological result and treatment outcomes were compared between two groups. And possible prognostic factors of SSNHL in elderly were also investigated.

Results: Significant difference of hearing recovery was identified between the old age group (33.9%, 21/62) and control group (50.9%, 111/218) according to Siegel’s criteria (p=0.021). Multivariate analysis concluded that delayed treatment and low speech discrimination score (SDS) might lead to poor prognosis in elderly. The presence of tinnitus or dizziness, audiometric configurations, hypertension and diabetes mellitus did not affect the treatment results of ISSNHL in the old age group.

Conclusion: Onset of treatment and initial SDS could be possible prognostic factors of ISSNHL in elderly. Early diagnosis and urgent treatment are more important in old age.

키워드

Old age, Prognosis, Sudden sensorineural hearing loss

KMID : 0361020140570080511

원문 및 링크아웃 정보

등재저널 정보

주제코드

주제명(Target field)

연구대상(Population)

연구참여(Sample size)

대상성별(Gender)

질병특성(Condition Category)

연구환경(Setting)

연구설계(Study Design)

연구기간(Period)

중재방법(Intervention Type)

중재명칭(Intervention Name)

키워드(Keyword)

유효성결과(Recomendation)

연구비지원(Fund Source)

근거수준평가(Evidence Hierarchy)

출판년도(Year)

참여저자수(Authors)

대표저자

DOI

KCD코드

ICD 03

건강보험코드

노인 돌발성 난청 환자의 임상적 특징 및 예후인자에 대한 분석 Clinical Characteristics and Prognosis of Idiopathic Sudden Sensorineural Hearing Loss in Old Age

Abstract

키워드

노인 돌발성 난청 환자의 임상적 특징 및 예후인자에 대한 분석
Clinical Characteristics and Prognosis of Idiopathic Sudden Sensorineural Hearing Loss in Old Age