Necessity of admission to improve the hearing-recovery rate in idiopathic sudden sensorineural hearing loss

作者：Kim Min Jae; Heo Kyung Wook; Jeon Pil Hyun; Lee Jae Jun^*; Lee Jun Ho^*

来源：Acta Oto-Laryngologica, 2018, 138(4): 357-362.

DOI：10.1080/00016489.2017.1397744

• Sudden hearing loss
• patient admission
• personal satisfaction
• correction of hearing impairment

Objectives: The purpose of this study was to determine the prognostic potential of admission of a patient for idiopathic sudden sensorineural hearing loss (ISSNHL). Study design: Retrospective clinical study. Methods: We conducted a retrospective study of 301 patients with ISSNHL. The patients were divided into a study (57 patients at out-patients department (OPD) based treatment, using systemic steroids and intra-tympanic (IT) steroid injection) and a control groups (301 patients at admission, using systemic steroids and IT steroid injection). We compared the success rate (15 dB cut off), Siegel's criteria and hearing gain decibels between two groups. Results: The overall recovery rate of the OPD based treatment group (29.8%) was poor than that of the admission group (52.9%) (p = .002). The odd ratio of OPD based treatment factor was 2.035 when the OPD based treatment and poor prognostic factors were analyzed at logistic regression test (Duration of delayed treatment, 1.073; average hearing loss level, 0.972) (p = .041). Conclusion: Admission must be strongly recommended when the patients with ISSNHL asked about the necessity of admission. We hypothesized that resting, getting out of their social stress, and relief of anxiety might be helpful to their hearing recoveries.

• 出版日期2018