Effect of pre-incident antiplatelet therapy on sudden sensorineural hearing loss.

Autor: Conway RM; Michigan Ear Institute, Farmington Hills, MI, USA. Electronic address: Conwayr4@msu.edu., Mallany HP; Department of Otolaryngology - Head and Neck Surgery, Albany Medical Center, Albany, NY, USA., Shareef Z; Department of Otolaryngology - Head and Neck Surgery, Ascension Macomb-Oakland Hospital, Madison Heights, MI, USA., Anthony N; Eastern Virginia Medical School, Norfolk, VA, USA., Fan CJ; Michigan Ear Institute, Farmington Hills, MI, USA., Lucas JC; Michigan Ear Institute, Farmington Hills, MI, USA., Babu SC; Michigan Ear Institute, Farmington Hills, MI, USA.
Jazyk: angličtina
Zdroj: American journal of otolaryngology [Am J Otolaryngol] 2024 Sep-Oct; Vol. 45 (5), pp. 104431. Date of Electronic Publication: 2024 Jul 21.
DOI: 10.1016/j.amjoto.2024.104431
Abstrakt: Objective: Identify if pre-incident aspirin influences severity and outcome of idiopathic sudden sensorineural hearing loss (SSNHL).
Study Design: Retrospective review.
Setting: Tertiary care center.
Methods: Patients with idiopathic SSNHL were identified and separated into aspirin and non-aspirin groups. Variables, including demographics, comorbid conditions, audiologic outcomes were identified and compared between groups.
Results: One hundred forty-eight patients were included that met inclusion criteria. There were 38 patients who were on pre-incident aspirin therapy and 110 patients not on aspirin prior to the onset of SSNHL. Pre- and post-treatment audiologic status was worsened in the aspirin group. Other comorbid conditions, including hyperlipidemia, coronary artery disease (CAD), cerebrovascular accident (CVA), and vertigo symptoms had an effect as well. With multivariate analysis, CAD, CVA, and vertigo symptoms appeared to have an effect more than aspirin.
Conclusions: Patients on aspirin have a worsened pre- and post-treatment audiologic status. This appears to be more due to the underlying CAD or history of CVA rather than aspirin use itself.
(Copyright © 2024. Published by Elsevier Inc.)
Databáze: MEDLINE
Externí odkaz: