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Sensorineural hearing loss in patients with chronic renal failure on hemodialysis in Basrah, Iraq

OBJECTIVES: The objective of this study is to determine the effect of hemodialysis on the hearing threshold in patients with chronic renal failure (CRF). MATERIALS AND METHODS: Fifty-nine patients with CRF on regular hemodialysis were followed up for 1 year with a pure-tone audiometric examination e...

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Autores principales: Saeed, Haider K., Al-Abbasi, Ahmed M., Al-Maliki, Shukryia K., Al-Asadi, Jasim N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6172904/
https://www.ncbi.nlm.nih.gov/pubmed/30305784
http://dx.doi.org/10.4103/tcmj.tcmj_149_17
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author Saeed, Haider K.
Al-Abbasi, Ahmed M.
Al-Maliki, Shukryia K.
Al-Asadi, Jasim N.
author_facet Saeed, Haider K.
Al-Abbasi, Ahmed M.
Al-Maliki, Shukryia K.
Al-Asadi, Jasim N.
author_sort Saeed, Haider K.
collection PubMed
description OBJECTIVES: The objective of this study is to determine the effect of hemodialysis on the hearing threshold in patients with chronic renal failure (CRF). MATERIALS AND METHODS: Fifty-nine patients with CRF on regular hemodialysis were followed up for 1 year with a pure-tone audiometric examination every 6 months. RESULTS: The mean age of the patients was 41.8 ± 9.2 years (range: 17–50 years). At the beginning of the study, 39 patients (66.1%) had sensorineural hearing loss (SNHL). During the 12-month follow-up, 6 more patients developed SNHL giving a point prevalence rate of 76.3% at the end of the study. The hearing loss was more evident in the higher frequencies. Of the studied patients, 64.4% showed deterioration of the hearing threshold. The mean hearing threshold at the beginning of the study was 29.2 ± 21.1 dB versus 36.9 ± 17.3 dB at the end of the study (P < 0.001). No significant relation was found between age, sex, serum electrolytes, blood urea, and duration of CRF and hearing loss. Multivariate analysis showed that the duration of hemodialysis was the only significant independent predictor of SNHL. CONCLUSION: SNHL is common in patients with CRF on hemodialysis. It was mild to moderate in the majority of patients. Hearing impairment was most obvious at the high frequencies. Most of the patients showed further deterioration in the hearing threshold with the duration of dialysis.
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spelling pubmed-61729042018-10-10 Sensorineural hearing loss in patients with chronic renal failure on hemodialysis in Basrah, Iraq Saeed, Haider K. Al-Abbasi, Ahmed M. Al-Maliki, Shukryia K. Al-Asadi, Jasim N. Tzu Chi Med J Original Article OBJECTIVES: The objective of this study is to determine the effect of hemodialysis on the hearing threshold in patients with chronic renal failure (CRF). MATERIALS AND METHODS: Fifty-nine patients with CRF on regular hemodialysis were followed up for 1 year with a pure-tone audiometric examination every 6 months. RESULTS: The mean age of the patients was 41.8 ± 9.2 years (range: 17–50 years). At the beginning of the study, 39 patients (66.1%) had sensorineural hearing loss (SNHL). During the 12-month follow-up, 6 more patients developed SNHL giving a point prevalence rate of 76.3% at the end of the study. The hearing loss was more evident in the higher frequencies. Of the studied patients, 64.4% showed deterioration of the hearing threshold. The mean hearing threshold at the beginning of the study was 29.2 ± 21.1 dB versus 36.9 ± 17.3 dB at the end of the study (P < 0.001). No significant relation was found between age, sex, serum electrolytes, blood urea, and duration of CRF and hearing loss. Multivariate analysis showed that the duration of hemodialysis was the only significant independent predictor of SNHL. CONCLUSION: SNHL is common in patients with CRF on hemodialysis. It was mild to moderate in the majority of patients. Hearing impairment was most obvious at the high frequencies. Most of the patients showed further deterioration in the hearing threshold with the duration of dialysis. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6172904/ /pubmed/30305784 http://dx.doi.org/10.4103/tcmj.tcmj_149_17 Text en Copyright: © 2018 Tzu Chi Medical Journal http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Saeed, Haider K.
Al-Abbasi, Ahmed M.
Al-Maliki, Shukryia K.
Al-Asadi, Jasim N.
Sensorineural hearing loss in patients with chronic renal failure on hemodialysis in Basrah, Iraq
title Sensorineural hearing loss in patients with chronic renal failure on hemodialysis in Basrah, Iraq
title_full Sensorineural hearing loss in patients with chronic renal failure on hemodialysis in Basrah, Iraq
title_fullStr Sensorineural hearing loss in patients with chronic renal failure on hemodialysis in Basrah, Iraq
title_full_unstemmed Sensorineural hearing loss in patients with chronic renal failure on hemodialysis in Basrah, Iraq
title_short Sensorineural hearing loss in patients with chronic renal failure on hemodialysis in Basrah, Iraq
title_sort sensorineural hearing loss in patients with chronic renal failure on hemodialysis in basrah, iraq
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6172904/
https://www.ncbi.nlm.nih.gov/pubmed/30305784
http://dx.doi.org/10.4103/tcmj.tcmj_149_17
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