Hearing impairment natural history, complications and prognosis: Difference between revisions
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{{Hearing impairment}} | |||
==Overview== | |||
Different factors contribute to prognosis of hearing loss and psychological complications associated with deafness are a big concern for physicians. | |||
==Natural History, Complications and Prognosis== | |||
===Natural History=== | |||
65% of patients with [[Sensorineural hearing impairment|sudden idiopathic sensorineural hearing loss]] recover completely within 14 days, independent of any type of medical or surgical treatment. There is a fundamental difference in the behavior of apical and basal [[cochlea]] losses recovery and hearing recovery is always better at low than at high frequencies. | |||
==Complications== | ===Complications=== | ||
Age-related hearing loss has been associated with<ref name="pmid332536102">{{cite journal| author=Nieman CL, Oh ES| title=Hearing Loss. | journal=Ann Intern Med | year= 2020 | volume= 173 | issue= 11 | pages= ITC81-ITC96 | pmid=33253610 | doi=10.7326/AITC202012010 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=33253610 }}</ref><ref name="pmid23337978">{{cite journal| author=Lin FR, Yaffe K, Xia J, Xue QL, Harris TB, Purchase-Helzner E | display-authors=etal| title=Hearing loss and cognitive decline in older adults. | journal=JAMA Intern Med | year= 2013 | volume= 173 | issue= 4 | pages= 293-9 | pmid=23337978 | doi=10.1001/jamainternmed.2013.1868 | pmc=3869227 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23337978 }} [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=&cmd=prlinks&id=23842726 Review in: Evid Based Nurs. 2014 Apr;17(2):60-1]</ref> | Age-related hearing loss has been associated with<ref name="pmid332536102">{{cite journal| author=Nieman CL, Oh ES| title=Hearing Loss. | journal=Ann Intern Med | year= 2020 | volume= 173 | issue= 11 | pages= ITC81-ITC96 | pmid=33253610 | doi=10.7326/AITC202012010 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=33253610 }}</ref><ref name="pmid23337978">{{cite journal| author=Lin FR, Yaffe K, Xia J, Xue QL, Harris TB, Purchase-Helzner E | display-authors=etal| title=Hearing loss and cognitive decline in older adults. | journal=JAMA Intern Med | year= 2013 | volume= 173 | issue= 4 | pages= 293-9 | pmid=23337978 | doi=10.1001/jamainternmed.2013.1868 | pmc=3869227 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23337978 }} [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=&cmd=prlinks&id=23842726 Review in: Evid Based Nurs. 2014 Apr;17(2):60-1]</ref> | ||
*Worse [[quality of life]] | *Worse [[quality of life]] | ||
*[[Depression]] | *[[Depression]] | ||
*[[Social isolation]] | *[[Social isolation]] | ||
*Functional decline | *Functional decline | ||
| Line 20: | Line 21: | ||
*[[Dementia]] | *[[Dementia]] | ||
=== | ===Prognosis=== | ||
The prognosis for hearing recovery for [[idiopathic]] [[Sensorineural hearing loss|SSNHL]] depends on a variety of things including the severity of [[hearing loss]], the shape of the [[audiogram]], age of onset, presence of [[vertigo]], and presence or absence of other risk factors.<ref name="pmid21606048">{{cite journal| author=Kuhn M, Heman-Ackah SE, Shaikh JA, Roehm PC| title=Sudden sensorineural hearing loss: a review of diagnosis, treatment, and prognosis. | journal=Trends Amplif | year= 2011 | volume= 15 | issue= 3 | pages= 91-105 | pmid=21606048 | doi=10.1177/1084713811408349 | pmc=4040829 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21606048 }}</ref><ref name="pmid31452421">{{cite journal| author=Huafeng Y, Hongqin W, Wenna Z, Yuan L, Peng X| title=Clinical characteristics and prognosis of elderly patients with idiopathic sudden sensorineural hearing loss. | journal=Acta Otolaryngol | year= 2019 | volume= 139 | issue= 10 | pages= 866-869 | pmid=31452421 | doi=10.1080/00016489.2019.1641218 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=31452421 }}</ref> | |||
The prognosis for hearing recovery for [[idiopathic]] [[Sensorineural hearing loss|SSNHL]] | |||
[[ | Prognosis can be predicted according to the slope of the [[audiogram]] taken at the start of hearing difficulty (low-[[frequency]] losses do better than high-[[frequency]] losses), Inflammatory markers, [[Erythrocyte sedimentation rate|erythrocyte sedimentation rates]], hearing at 8 kHz, in some cases, it depends on [[speech discrimination]] scores and spatial disorientation symptoms.<ref name="pmid889223">{{cite journal| author=Mattox DE, Simmons FB| title=Natural history of sudden sensorineural hearing loss. | journal=Ann Otol Rhinol Laryngol | year= 1977 | volume= 86 | issue= 4 Pt 1 | pages= 463-80 | pmid=889223 | doi=10.1177/000348947708600406 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=889223 }}</ref> | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Geriatrics]] | [[Category:Geriatrics]] | ||
[[Category:Communication disorders]] | [[Category:Communication disorders]] | ||
Latest revision as of 08:40, 6 May 2021
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Overview
Different factors contribute to prognosis of hearing loss and psychological complications associated with deafness are a big concern for physicians.
Natural History, Complications and Prognosis
Natural History
65% of patients with sudden idiopathic sensorineural hearing loss recover completely within 14 days, independent of any type of medical or surgical treatment. There is a fundamental difference in the behavior of apical and basal cochlea losses recovery and hearing recovery is always better at low than at high frequencies.
Complications
Age-related hearing loss has been associated with[1][2]
- Worse quality of life
- Depression
- Social isolation
- Functional decline
- Fall risk
- Increased hospitalization
- Increase Health care use
- Accelerated Cognitive decline
- Dementia
Prognosis
The prognosis for hearing recovery for idiopathic SSNHL depends on a variety of things including the severity of hearing loss, the shape of the audiogram, age of onset, presence of vertigo, and presence or absence of other risk factors.[3][4]
Prognosis can be predicted according to the slope of the audiogram taken at the start of hearing difficulty (low-frequency losses do better than high-frequency losses), Inflammatory markers, erythrocyte sedimentation rates, hearing at 8 kHz, in some cases, it depends on speech discrimination scores and spatial disorientation symptoms.[5]
References
- ↑ Nieman CL, Oh ES (2020). "Hearing Loss". Ann Intern Med. 173 (11): ITC81–ITC96. doi:10.7326/AITC202012010. PMID 33253610 Check
|pmid=value (help). - ↑ Lin FR, Yaffe K, Xia J, Xue QL, Harris TB, Purchase-Helzner E; et al. (2013). "Hearing loss and cognitive decline in older adults". JAMA Intern Med. 173 (4): 293–9. doi:10.1001/jamainternmed.2013.1868. PMC 3869227. PMID 23337978. Review in: Evid Based Nurs. 2014 Apr;17(2):60-1
- ↑ Kuhn M, Heman-Ackah SE, Shaikh JA, Roehm PC (2011). "Sudden sensorineural hearing loss: a review of diagnosis, treatment, and prognosis". Trends Amplif. 15 (3): 91–105. doi:10.1177/1084713811408349. PMC 4040829. PMID 21606048.
- ↑ Huafeng Y, Hongqin W, Wenna Z, Yuan L, Peng X (2019). "Clinical characteristics and prognosis of elderly patients with idiopathic sudden sensorineural hearing loss". Acta Otolaryngol. 139 (10): 866–869. doi:10.1080/00016489.2019.1641218. PMID 31452421.
- ↑ Mattox DE, Simmons FB (1977). "Natural history of sudden sensorineural hearing loss". Ann Otol Rhinol Laryngol. 86 (4 Pt 1): 463–80. doi:10.1177/000348947708600406. PMID 889223.