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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/28664


    標題: Recurrence of Idiopathic Sudden Sensorineural Hearing Loss: A Retrospective Cohort Study
    作者: Wu, Che-Ming
    Lee, Kuan-Ji
    Chang, Shih-Lun
    Weng, Shih-Feng
    Lin, Yung-Song
    貢獻者: 醫務管理系
    關鍵字: Chronic renal disease
    Diabetes
    Hypercholesterolemia
    Hypertension
    Idiopathic sudden sensorineural hearing loss
    Stroke
    日期: 2014-12
    上傳時間: 2015-05-06 21:24:21 (UTC+8)
    出版者: Lippincott Williams & Wilkins
    摘要: Objective: To explore the recurrence rate of idiopathic sudden sensorineural hearing loss (ISSNHL). Design: Using the Taiwan Longitudinal Health Insurance Database, we compared in a retrospective cohort study 45,715 patients with ISSNHL between January 2001 and December 2006 with 45,715 age-, gender-, and comorbidity-matched controls without ISSNHL. We followed each patient from 180 days after the initial diagnosis until the end of 2009 and evaluated the incidence of ISSNHL for 3 years minimum. Results: The cumulative incidence of ISSNHL recurrence was 4.99%. Cox proportional hazard regressions showed that the 50-to 64-year-old age group had a higher adjusted hazard ratio (1.59; 95% confidence interval: 1.40-1.81) than did the 0- to 34-year-old age group. Different comorbidities did not significantly affect the incidence of ISSNHL relapse. Conclusions: The risk of an ISSNHL relapse in patients with a history of ISSNHL was higher than was the risk of a first occurrence of ISSNHL in the Controls. We suggest that physicians counsel patients with a history of ISSNHL to seek medical attention if they have hearing impairments because they may also have a high risk of an ISSNHL relapse. Evidence Level: 2B
    Appears in Collections:[醫務管理系(所)] 期刊論文

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