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Framingham risk score is associated with hearing outcomes in patients with idiopathic sudden sensorineural hearing loss

Published online by Cambridge University Press:  19 May 2020

Y-S Chang ,
S Park ,
M K Lee ,
Y C Rah  and
J Choi
Y-S Chang
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Korea University College of Medicine, Korea University Ansan Hospital, Ansan, Republic of Korea
S Park
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Korea University College of Medicine, Korea University Ansan Hospital, Ansan, Republic of Korea
M K Lee
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Korea University College of Medicine, Korea University Ansan Hospital, Ansan, Republic of Korea
Y C Rah
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Korea University College of Medicine, Korea University Ansan Hospital, Ansan, Republic of Korea
J Choi*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Korea University College of Medicine, Korea University Ansan Hospital, Ansan, Republic of Korea
*
Author for correspondence: Dr June Choi, Department of Otorhinolaryngology – Head and Neck Surgery, Korea University College of Medicine, 123, Jeokgeum-ro (Gojan-dong), Danwon-gu, Ansan-si, Gyeonggi-do15355, Republic of Korea E-mail: mednlaw@korea.ac.kr Fax: +81 31 412 5174
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Abstract

Objective

To assess the Framingham risk score as a prognostic tool for idiopathic sudden sensorineural hearing loss patients.

Methods

Medical records were reviewed for unilateral idiopathic sudden sensorineural hearing loss patients between January 2010 and October 2017. The 10-year risk of developing cardiovascular disease was calculated. Patients were subdivided into groups: group 1 – Framingham risk score of less than 10 per cent (n = 28); group 2 – score of 10 to less than 20 per cent (n = 6); and group 3 – score of 20 per cent or higher (n = 5).

Results

Initial pure tone average and Framingham risk score were not significantly associated (p = 0.32). Thirteen patients in group 1 recovered completely (46.4 per cent), but none in groups 2 and 3 showed complete recovery. Initial pure tone average and Framingham risk score were significantly associated in multivariable linear regression analysis (R2 = 0.36). The regression coefficient was 0.33 (p = 0.003) for initial pure tone average and −0.67 (p = 0.005) for Framingham risk score.

Conclusion

Framingham risk score may be useful in predicting outcomes for idiopathic sudden sensorineural hearing loss patients, as those with a higher score showed poorer hearing recovery.

Keywords

Hearing Loss, SuddenRisk AssessmentSteroidsTreatment Outcome
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 5 , May 2020 , pp. 419 - 423
Copyright
Copyright © JLO (1984) Limited, 2020

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Footnotes

Dr J Choi takes responsibility for the integrity of the content of the paper

Presented at the International Congress of Otorhinolaryngology – Head and Neck Surgery (‘ICORL-HNS’) in conjunction with 93rd Annual Congress of Korean Society of Otorhinolaryngology – Head and Neck Surgery, 25–28 April 2019, Seoul, Korea.

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