Risk of Sudden Sensorineural Hearing Loss in Patients with Systemic Lupus Erythematosus: A Population-Based Cohort Study

doi:10.1159/000345512

CNU IR > College of Smart Living > Dept. of Hospital and Health (including master's program) > Periodical Articles > Item 310902800/27919

Please use this identifier to cite or link to this item: https://ir.cnu.edu.tw/handle/310902800/27919

Title:	Risk of Sudden Sensorineural Hearing Loss in Patients with Systemic Lupus Erythematosus: A Population-Based Cohort Study
Authors:	Lin, Charlene Lin, Shih-Wei Weng, Shih-Feng Lin, Yung-Song
Contributors:	醫務管理系
Keywords:	Sudden Deafness Systemic Lupus Erythematosus Autoimmune Disease Sudden Sensorineural Hearing Loss
Date:	2013
Issue Date:	2014-05-26 10:49:01 (UTC+8)
Publisher:	Karger
Abstract:	Sudden sensorineural hearing loss (SSHL) may be a manifestation of systemic vascular involvement in systemic lupus erythematosus (SLE) and may have an important impact on the health of patients with SLE. To investigate the risk of developing SSHL in patients with SLE, we conducted a population-based, retrospective cohort study from the Taiwan National Health Insurance Research Database. A total of 7168 patients diagnosed with SLE and 35840 control subjects without SLE were selected from claims made from 2001 to 2006. The incidence of SSHL was assessed and determined at the end of 2010. The incidence of SSHL was 2.22-fold higher in the SLE group than in the non-SLE group (6.52 vs. 2.93 per 10000 person-years), with an adjusted hazard ratio (HR) of 2.253 (95% confidence interval, CI = 1.407-3.608) calculated using a Cox proportional hazard regression model. Age was an independent risk factor for SSHL, with adjusted HRs of 2.103 for individuals aged >= 35 years compared with those 0-34 years. In the 0-34 age range, the incidence of developing SSHL was 4.27-fold (95% CI = 2.11-8.67) higher in the SLE group compared with the non-SLE group. In female patients, the incidence of developing SSHL was 2.19-fold ( 95% CI = 1.73-3.50) higher in the SLE group than in the non-SLE group. Systemic lupus erythematosus was significantly associated with an increased risk of developing SSHL. Scheduled auditory examinations for patients with SLE to assess the presence of chronic hearing impairment are advised to enable the early detection of SSHL. Copyright (C) 2012 S. Karger AG, Basel
Relation:	Audiology And Neuro-Otology, v.18 n.2, pp.95-100
Appears in Collections:	[Dept. of Hospital and Health (including master's program)] Periodical Articles

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