Sensorineural hearing loss in stroke: an age-matched retrospective study.

IF 1.1 4区医学 Q3 OTORHINOLARYNGOLOGY Journal of Laryngology and Otology Pub Date : 2025-01-03 DOI:10.1017/S0022215124001051

Sam J Neilson, Paul Sooby, Xuya Huang, Georgios Kontorinis

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Abstract

Objective: To compare characteristics between stroke populations with and without sensorineural hearing loss (SNHL) and assess the impact of SNHL on stroke outcome.

Methods: A retrospective study of patients admitted with stroke was carried out. Patients were divided into two groups, where group A were diagnosed with SNHL and group B were without SNHL. Baseline age, gender, vascular risk factors and disability were compared. Logistic regression analyses were performed with three-month mortality and SNHL as dependent variables.

Results: A total of 631 admissions were reviewed, with mean age 79.2 years, including 305 patients with SNHL and 326 without. More severe disability was more prevalent in patients with SNHL. Sensorineural hearing loss was not associated with increased mortality (odds ratio = 1.1, 95 per cent confidence interval = 0.7-2.0, p = 0.668). Hypertension was present in 210 (68.9 per cent) with SNHL versus 189 (58 per cent) without SNHL (p = 0.005). Small-vessel disease aetiology was more prevalent in SNHL 51 (16.7 per cent) versus 30 (9.2 per cent) without SNHL (p = 0.005).

Conclusion: Sensorineural hearing loss appears to have an association with stroke of small-vessel disease aetiology and hypertension. Sensorineural hearing loss does not affect three-month mortality but is associated with increased disability.

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感觉神经性听力损失在中风：年龄匹配的回顾性研究。

目的：比较伴有和不伴有感音神经性听力损失（SNHL）的脑卒中人群的特征，并评估SNHL对脑卒中预后的影响。方法：对住院的脑卒中患者进行回顾性研究。患者分为两组，其中A组诊断为SNHL， B组未诊断为SNHL。比较基线年龄、性别、血管危险因素和残疾情况。以3个月死亡率和SNHL为因变量进行Logistic回归分析。结果：共纳入631例入院患者，平均年龄79.2岁，其中SNHL患者305例，非SNHL患者326例。更严重的残疾在SNHL患者中更为普遍。感音神经性听力损失与死亡率增加无关（优势比= 1.1,95%可信区间= 0.7-2.0,p = 0.668）。210例（68.9%）SNHL患者存在高血压，189例（58%）非SNHL患者存在高血压（p = 0.005）。小血管疾病病因学在SNHL患者中更为普遍，51例（16.7%）比30例（9.2%）无SNHL （p = 0.005）。结论：感音神经性听力损失与小血管病卒中病因和高血压有关。感音神经性听力损失不影响三个月死亡率，但与残疾增加有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.