Sensorineural hearing dysfunction after discharge from critical care in adults: A retrospective observational study
| Autor: | Mizuki Sato, Shin-ichi Sato, Toshio Fukuoka, Takashi Fujiwara |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pediatrics
medicine.medical_specialty Hearing loss law.invention 03 medical and health sciences 0302 clinical medicine law Intensive care Observational study medicine otorhinolaryngologic diseases Elective surgery 030223 otorhinolaryngology Univariate analysis medicine.diagnostic_test business.industry Adverse effects Furosemide Retrospective cohort study Intensive care unit Critical care Otorhinolaryngology RF1-547 Pure tone audiometry medicine.symptom business 030217 neurology & neurosurgery Research Article medicine.drug |
| Zdroj: | Journal of Otology, Vol 16, Iss 3, Pp 144-149 (2021) Journal of Otology |
| ISSN: | 1672-2930 |
| Popis: | Background Patients undergoing intensive care are exposed to risk factors for hearing impairment. This study assessed the worse changes in pure tone average (PTA) thresholds after intensive care and identified the factors associated with worse hearing function. Methods We conducted a single-centre retrospective study, and included adult patients admitted to the intensive care unit (ICU) of Kurashiki Central Hospital between January 2014 and September 2019, who had regular pure tone audiometry performed before and after ICU admission. Correlations between changes in PTA threshold and patient characteristics, were evaluated. The included ears were classified as those with worse hearing (>10 dB increase in the PTA threshold) and those without worse hearing, and the baseline characteristics were compared. Results During the study period, 125 ears of 71 patients (male:female ratio, 35:36; mean age, 72.5 ± 12.3 years) met the eligibility criteria. Age, sex, and the use of furosemide were not correlated with changes in PTA threshold. Univariate analysis showed that ears with worse hearing were associated with a lower serum platelet count than ears without worse hearing (153 ± 85 × 109/L vs. 206 ± 85 × 109/L, respectively; P = 0.010), and the rate of planned ICU admission (elective surgery) was higher in the worse hearing group (57.1% vs. 28.8%, respectively; p = 0.011). Conclusions Age, sex, and the use of furosemide did not have adversely affect hearing function. Low serum platelet count and planned admission appear to be risk factors for worse hearing. |
| Databáze: | OpenAIRE |
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