Comparison of Auditory Outcomes between Inpatient- and Outpatient-Based Treatment in Sudden Sensorineural Hearing Loss
Objective: The primary treatment for sudden hearing loss is high-dose steroid therapy. In some countries, hospitalization has been taken for granted. Although most countries appear to treat sudden hearing loss on an outpatient basis, some other countries have considered hospitalization as necessary....
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| Veröffentlicht in: | Journal of clinical medicine 2022-05, Vol.11 (11), p.3123 |
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| creator | Lee, Hyun-Jin Park, Yesai Lee, Jeon-Mi Yoon, Chulyoung Kong, Tae-Hoon Jeon, Eunju |
| description | Objective: The primary treatment for sudden hearing loss is high-dose steroid therapy. In some countries, hospitalization has been taken for granted. Although most countries appear to treat sudden hearing loss on an outpatient basis, some other countries have considered hospitalization as necessary. Only a few studies have been conducted on the effect of hospitalization on hearing outcomes. Therefore, we compared the hearing outcome of inpatient- and outpatient-based treatments to determine whether hospitalization affects the recovery of sudden hearing loss. Methods: We conducted a retrospective case review of patients diagnosed with sudden sensorineural hearing loss (SSNHL). In total, 439 patients with SSNHL were enrolled and categorized as either inpatients (group I) or outpatients (group O). Pure-tone audiometry was initially performed before the treatment and 3 months post-treatment. “Recovery” was defined as a hearing gain of 15 dB HL and a final hearing of better than 25 dB. “No recovery” was defined as an improvement of hearing gain of 0.05). Conclusions: This retrospective study showed that inpatient treatment for sudden hearing loss is more beneficial for hearing improvement than outpatient treatment. The positive effect of inpati |
| doi_str_mv | 10.3390/jcm11113123 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9181492</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2674367932</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3243-5dec62bd979a2ef10a7777808290e960542a94e812a737a286ac16f3282ff5e33</originalsourceid><addsrcrecordid>eNpdkc1LJDEQxcPisorryfsS8CJI7yap7nxcBB10FQY8qOeQ6a52M0wnY9Kt-N-bwQ_GrUtS1C8vL3mEHHL2G8CwP8t24KWAC_hG9gRTqmKgYWdrv0sOcl6yUlrXgqsfZBcaqaFheo88zeKwdsnnGGjs6dnU-TGmF3ozjW0cMNMFjs-IgV6HtRs9hrGiLnSb-Ud_7jJ29C6hG4fSUx_o7dR15cwthhyTDzglt6JXWO4JD3Qec_5JvvdulfHgfd0n95cXd7Oran7z93p2Nq9aEDVUTYetFIvOKOME9pw5VUozLQxDI1lTC2dq1Fw4BcoJLV3LZQ9Ci75vEGCfnL7prqfFgF1b_BUrdp384NKLjc7br5Pg_9mH-GQN17w2oggcvwuk-DhhHu3gc4urlQsYp2yFVI3kDZOmoEf_ocs4pVCet6FqkMrARvDkjWpT-YeE_acZzuwmUrsVaaF_bfv_ZD8ChFckAp0E</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2674367932</pqid></control><display><type>article</type><title>Comparison of Auditory Outcomes between Inpatient- and Outpatient-Based Treatment in Sudden Sensorineural Hearing Loss</title><source>PubMed Central (Open Access)</source><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>EZB Electronic Journals Library</source><source>PubMed Central Open Access</source><creator>Lee, Hyun-Jin ; Park, Yesai ; Lee, Jeon-Mi ; Yoon, Chulyoung ; Kong, Tae-Hoon ; Jeon, Eunju</creator><creatorcontrib>Lee, Hyun-Jin ; Park, Yesai ; Lee, Jeon-Mi ; Yoon, Chulyoung ; Kong, Tae-Hoon ; Jeon, Eunju</creatorcontrib><description><![CDATA[Objective: The primary treatment for sudden hearing loss is high-dose steroid therapy. In some countries, hospitalization has been taken for granted. Although most countries appear to treat sudden hearing loss on an outpatient basis, some other countries have considered hospitalization as necessary. Only a few studies have been conducted on the effect of hospitalization on hearing outcomes. Therefore, we compared the hearing outcome of inpatient- and outpatient-based treatments to determine whether hospitalization affects the recovery of sudden hearing loss. Methods: We conducted a retrospective case review of patients diagnosed with sudden sensorineural hearing loss (SSNHL). In total, 439 patients with SSNHL were enrolled and categorized as either inpatients (group I) or outpatients (group O). Pure-tone audiometry was initially performed before the treatment and 3 months post-treatment. “Recovery” was defined as a hearing gain of 15 dB HL and a final hearing of better than 25 dB. “No recovery” was defined as an improvement of hearing gain of <15 dB 3 months after treatment. To exclude the effect of the level of pretreatment hearing loss, we divided the patients into three subgroups based on their hearing level: <40 dB, 40−70 dB, and >70 dB. To assess the effect of the treatment modality, the patients were divided into three treatment subgroups: systemic steroids (SS), intratympanic steroids (ITS), and a combination of both (SS and ITS). Results: The pretreatment hearing level was significantly higher in group I (61.5 ± 25.4 dB) than in group O (50.3 ± 23.0 dB; p < 0.05). The hearing gain was significantly higher in group I (33.3 ± 24.4 dB) than in group O (24.0 ± 21.8 dB; p < 0.05). The “Recovery” ratio was significantly higher in group I (70.2%) than in group O (63.1%) (p < 0.05). A repeated measures ANOVA was performed to assess the statistical differences between hospitalization, treatment modalities, and pretreatment subgroups. The inpatient group showed a significant hearing improvement in all SSNHL patients (p < 0.05). There was a significant hearing improvement in the inpatient group with pretreatment hearing <40 and 40−70 dB (p < 0.05). There was no significant difference between the inpatient and outpatient groups in pretreatment hearing >70 dB (p > 0.05). Conclusions: This retrospective study showed that inpatient treatment for sudden hearing loss is more beneficial for hearing improvement than outpatient treatment. The positive effect of inpatient treatment appears to be significant in patients with a pretreatment hearing level of 70 dB or less.]]></description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm11113123</identifier><identifier>PMID: 35683508</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Ear diseases ; Hearing loss ; Hospitalization ; Patients ; Statistical analysis ; Steroids ; Variance analysis ; Vertigo</subject><ispartof>Journal of clinical medicine, 2022-05, Vol.11 (11), p.3123</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3243-5dec62bd979a2ef10a7777808290e960542a94e812a737a286ac16f3282ff5e33</citedby><cites>FETCH-LOGICAL-c3243-5dec62bd979a2ef10a7777808290e960542a94e812a737a286ac16f3282ff5e33</cites><orcidid>0000-0003-0162-1741 ; 0000-0003-1707-1297 ; 0000-0002-5612-5705 ; 0000-0003-2793-9045</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9181492/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9181492/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35683508$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Hyun-Jin</creatorcontrib><creatorcontrib>Park, Yesai</creatorcontrib><creatorcontrib>Lee, Jeon-Mi</creatorcontrib><creatorcontrib>Yoon, Chulyoung</creatorcontrib><creatorcontrib>Kong, Tae-Hoon</creatorcontrib><creatorcontrib>Jeon, Eunju</creatorcontrib><title>Comparison of Auditory Outcomes between Inpatient- and Outpatient-Based Treatment in Sudden Sensorineural Hearing Loss</title><title>Journal of clinical medicine</title><addtitle>J Clin Med</addtitle><description><![CDATA[Objective: The primary treatment for sudden hearing loss is high-dose steroid therapy. In some countries, hospitalization has been taken for granted. Although most countries appear to treat sudden hearing loss on an outpatient basis, some other countries have considered hospitalization as necessary. Only a few studies have been conducted on the effect of hospitalization on hearing outcomes. Therefore, we compared the hearing outcome of inpatient- and outpatient-based treatments to determine whether hospitalization affects the recovery of sudden hearing loss. Methods: We conducted a retrospective case review of patients diagnosed with sudden sensorineural hearing loss (SSNHL). In total, 439 patients with SSNHL were enrolled and categorized as either inpatients (group I) or outpatients (group O). Pure-tone audiometry was initially performed before the treatment and 3 months post-treatment. “Recovery” was defined as a hearing gain of 15 dB HL and a final hearing of better than 25 dB. “No recovery” was defined as an improvement of hearing gain of <15 dB 3 months after treatment. To exclude the effect of the level of pretreatment hearing loss, we divided the patients into three subgroups based on their hearing level: <40 dB, 40−70 dB, and >70 dB. To assess the effect of the treatment modality, the patients were divided into three treatment subgroups: systemic steroids (SS), intratympanic steroids (ITS), and a combination of both (SS and ITS). Results: The pretreatment hearing level was significantly higher in group I (61.5 ± 25.4 dB) than in group O (50.3 ± 23.0 dB; p < 0.05). The hearing gain was significantly higher in group I (33.3 ± 24.4 dB) than in group O (24.0 ± 21.8 dB; p < 0.05). The “Recovery” ratio was significantly higher in group I (70.2%) than in group O (63.1%) (p < 0.05). A repeated measures ANOVA was performed to assess the statistical differences between hospitalization, treatment modalities, and pretreatment subgroups. The inpatient group showed a significant hearing improvement in all SSNHL patients (p < 0.05). There was a significant hearing improvement in the inpatient group with pretreatment hearing <40 and 40−70 dB (p < 0.05). There was no significant difference between the inpatient and outpatient groups in pretreatment hearing >70 dB (p > 0.05). Conclusions: This retrospective study showed that inpatient treatment for sudden hearing loss is more beneficial for hearing improvement than outpatient treatment. The positive effect of inpatient treatment appears to be significant in patients with a pretreatment hearing level of 70 dB or less.]]></description><subject>Ear diseases</subject><subject>Hearing loss</subject><subject>Hospitalization</subject><subject>Patients</subject><subject>Statistical analysis</subject><subject>Steroids</subject><subject>Variance analysis</subject><subject>Vertigo</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkc1LJDEQxcPisorryfsS8CJI7yap7nxcBB10FQY8qOeQ6a52M0wnY9Kt-N-bwQ_GrUtS1C8vL3mEHHL2G8CwP8t24KWAC_hG9gRTqmKgYWdrv0sOcl6yUlrXgqsfZBcaqaFheo88zeKwdsnnGGjs6dnU-TGmF3ozjW0cMNMFjs-IgV6HtRs9hrGiLnSb-Ud_7jJ29C6hG4fSUx_o7dR15cwthhyTDzglt6JXWO4JD3Qec_5JvvdulfHgfd0n95cXd7Oran7z93p2Nq9aEDVUTYetFIvOKOME9pw5VUozLQxDI1lTC2dq1Fw4BcoJLV3LZQ9Ci75vEGCfnL7prqfFgF1b_BUrdp384NKLjc7br5Pg_9mH-GQN17w2oggcvwuk-DhhHu3gc4urlQsYp2yFVI3kDZOmoEf_ocs4pVCet6FqkMrARvDkjWpT-YeE_acZzuwmUrsVaaF_bfv_ZD8ChFckAp0E</recordid><startdate>20220531</startdate><enddate>20220531</enddate><creator>Lee, Hyun-Jin</creator><creator>Park, Yesai</creator><creator>Lee, Jeon-Mi</creator><creator>Yoon, Chulyoung</creator><creator>Kong, Tae-Hoon</creator><creator>Jeon, Eunju</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0162-1741</orcidid><orcidid>https://orcid.org/0000-0003-1707-1297</orcidid><orcidid>https://orcid.org/0000-0002-5612-5705</orcidid><orcidid>https://orcid.org/0000-0003-2793-9045</orcidid></search><sort><creationdate>20220531</creationdate><title>Comparison of Auditory Outcomes between Inpatient- and Outpatient-Based Treatment in Sudden Sensorineural Hearing Loss</title><author>Lee, Hyun-Jin ; Park, Yesai ; Lee, Jeon-Mi ; Yoon, Chulyoung ; Kong, Tae-Hoon ; Jeon, Eunju</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3243-5dec62bd979a2ef10a7777808290e960542a94e812a737a286ac16f3282ff5e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Ear diseases</topic><topic>Hearing loss</topic><topic>Hospitalization</topic><topic>Patients</topic><topic>Statistical analysis</topic><topic>Steroids</topic><topic>Variance analysis</topic><topic>Vertigo</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Hyun-Jin</creatorcontrib><creatorcontrib>Park, Yesai</creatorcontrib><creatorcontrib>Lee, Jeon-Mi</creatorcontrib><creatorcontrib>Yoon, Chulyoung</creatorcontrib><creatorcontrib>Kong, Tae-Hoon</creatorcontrib><creatorcontrib>Jeon, Eunju</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health Medical collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Hyun-Jin</au><au>Park, Yesai</au><au>Lee, Jeon-Mi</au><au>Yoon, Chulyoung</au><au>Kong, Tae-Hoon</au><au>Jeon, Eunju</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of Auditory Outcomes between Inpatient- and Outpatient-Based Treatment in Sudden Sensorineural Hearing Loss</atitle><jtitle>Journal of clinical medicine</jtitle><addtitle>J Clin Med</addtitle><date>2022-05-31</date><risdate>2022</risdate><volume>11</volume><issue>11</issue><spage>3123</spage><pages>3123-</pages><issn>2077-0383</issn><eissn>2077-0383</eissn><abstract><![CDATA[Objective: The primary treatment for sudden hearing loss is high-dose steroid therapy. In some countries, hospitalization has been taken for granted. Although most countries appear to treat sudden hearing loss on an outpatient basis, some other countries have considered hospitalization as necessary. Only a few studies have been conducted on the effect of hospitalization on hearing outcomes. Therefore, we compared the hearing outcome of inpatient- and outpatient-based treatments to determine whether hospitalization affects the recovery of sudden hearing loss. Methods: We conducted a retrospective case review of patients diagnosed with sudden sensorineural hearing loss (SSNHL). In total, 439 patients with SSNHL were enrolled and categorized as either inpatients (group I) or outpatients (group O). Pure-tone audiometry was initially performed before the treatment and 3 months post-treatment. “Recovery” was defined as a hearing gain of 15 dB HL and a final hearing of better than 25 dB. “No recovery” was defined as an improvement of hearing gain of <15 dB 3 months after treatment. To exclude the effect of the level of pretreatment hearing loss, we divided the patients into three subgroups based on their hearing level: <40 dB, 40−70 dB, and >70 dB. To assess the effect of the treatment modality, the patients were divided into three treatment subgroups: systemic steroids (SS), intratympanic steroids (ITS), and a combination of both (SS and ITS). Results: The pretreatment hearing level was significantly higher in group I (61.5 ± 25.4 dB) than in group O (50.3 ± 23.0 dB; p < 0.05). The hearing gain was significantly higher in group I (33.3 ± 24.4 dB) than in group O (24.0 ± 21.8 dB; p < 0.05). The “Recovery” ratio was significantly higher in group I (70.2%) than in group O (63.1%) (p < 0.05). A repeated measures ANOVA was performed to assess the statistical differences between hospitalization, treatment modalities, and pretreatment subgroups. The inpatient group showed a significant hearing improvement in all SSNHL patients (p < 0.05). There was a significant hearing improvement in the inpatient group with pretreatment hearing <40 and 40−70 dB (p < 0.05). There was no significant difference between the inpatient and outpatient groups in pretreatment hearing >70 dB (p > 0.05). Conclusions: This retrospective study showed that inpatient treatment for sudden hearing loss is more beneficial for hearing improvement than outpatient treatment. The positive effect of inpatient treatment appears to be significant in patients with a pretreatment hearing level of 70 dB or less.]]></abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>35683508</pmid><doi>10.3390/jcm11113123</doi><orcidid>https://orcid.org/0000-0003-0162-1741</orcidid><orcidid>https://orcid.org/0000-0003-1707-1297</orcidid><orcidid>https://orcid.org/0000-0002-5612-5705</orcidid><orcidid>https://orcid.org/0000-0003-2793-9045</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Ear diseases Hearing loss Hospitalization Patients Statistical analysis Steroids Variance analysis Vertigo |
| title | Comparison of Auditory Outcomes between Inpatient- and Outpatient-Based Treatment in Sudden Sensorineural Hearing Loss |
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