A Correlational Study of Hearing Loss and Severity of Diabetic Retinopathy Among Jordanian Patients.

Autor:	Al-Abed SA; Department of Ophthalmology, Jordanian Royal Medical Services, Amman, JOR., Hakooz MM; Department of Ophthalmology, Jordanian Royal Medical Services, Amman, JOR., Teimat MH; Department of Ophthalmology, Jordanian Royal Medical Services, Amman, JOR., Aldurgham GA; Department of Ophthalmology, Jordanian Royal Medical Services, Amman, JOR., Alhusban WK; Department of Otolaryngology, Jordanian Royal Medical Services, Amman, JOR., Hjazeen AA; Department of Community Health Nursing, Jordanian Royal Medical Services, Amman, JOR.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Aug 20; Vol. 15 (8), pp. e43800. Date of Electronic Publication: 2023 Aug 20 (Print Publication: 2023).
DOI:	10.7759/cureus.43800
Abstrakt:	Background Sensorineural hearing loss (SNHL) is a common complication of diabetes, but the underlying mechanisms and risk factors are not fully understood. This study investigated the relationship between several potential risk factors and SNHL in 118 individuals previously diagnosed with diabetes mellitus type 2 (DM2). Methods We did a cross-sectional analysis of data collected from 118 patients with diabetes mellitus at multiple tertiary hospitals in the Jordanian Royal Medical Services (JRMS). The mean age was 60.57 ± 12.8 years, with 56.8% males. Demographic and clinical data were collected, including age, gender, duration of diabetes, presence and duration of hypertension, diabetic retinopathy (DR) severity, tinnitus, and comprehension inability. In addition, a hearing assessment for SNHL was performed using pure-tone audiometry at 0.5, 1, 2, 4, and 8 kHz frequencies. Goodman and Kruskal's γ test and cumulative odds ordinal logistic regression were used to analyze the relationship between these factors and hearing assessment results for SNHL. Results Goodman and Kruskal's γ test showed a statistically significant moderate and positive association between diabetic retinopathy severity and sensorineural hearing loss. Further analysis using logistic regression revealed that retinopathy severity, age, and gender were all significant predictors of hearing loss level in this population. The odds of having a higher level of hearing loss increased by 9.1% for each additional year of age and were higher for males than females. In terms of DR severity, a worsening SNHL had lower odds in individuals with no DR or mild nonproliferative DR compared to those with proliferative DR. Conclusion Our findings have important implications for managing SNHL in individuals with diabetes. They indicate that healthcare providers must closely monitor and manage the risk factors in patients with diabetes. Further research is needed to generalize better the relationship between these risk factors and SNHL, including the potential role of other factors, such as exposure to loud noise or certain medications. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Al-Abed et al.)
Databáze:	MEDLINE
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