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    Title: Recurrence of Idiopathic Sudden Sensorineural Hearing Loss: A Retrospective Cohort Study
    Authors: Wu, Che-Ming
    Lee, Kuan-Ji
    Chang, Shih-Lun
    Weng, Shih-Feng
    Lin, Yung-Song
    Contributors: 醫務管理系
    Keywords: Chronic renal disease
    Idiopathic sudden sensorineural hearing loss
    Date: 2014-12
    Issue Date: 2015-05-06 21:24:21 (UTC+8)
    Publisher: Lippincott Williams & Wilkins
    Abstract: 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
    Relation: Otology & Neurotology, v.35 n.10, pp.1736-1741
    Appears in Collections:[Dept. of Hospital and Health (including master's program)] Periodical Articles

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