Auditory function assessment in patients with chronic obstructive pulmonary disease.

Eid, Hoda A; Eltrawy, Heba H; Kabil, Shaimaa E; Abou-Elhassan, Hanaa A; Abdelshafy, Rania; Aboseif, Ahmed; Albalsha, Abdullah M; Omar, Fawzy M; Heggy, Mohamed; Ibrahim, Mostafa A; Moursi, Ashraf; Elbwab, Ahmed F; Atef, Moaz; Kabil, Ahmed E.

Afiliação

Eid HA; Faculty of Medicine, Department of Chest Diseases, Al-Azhar University, Cairo, Egypt.
Eltrawy HH; Faculty of Medicine, Department of Chest Diseases, Al-Azhar University, Cairo, Egypt.
Kabil SE; Faculty of Medicine, Department of ENT, Al-Azhar University, Cairo, Egypt.
Abou-Elhassan HA; Faculty of Medicine, Department of Community and Occupational Medicine, Al-Azhar University, Cairo, Egypt.
Abdelshafy R; Faculty of Medicine, Department of ENT, Al-Azhar University, Cairo, Egypt.
Aboseif A; Faculty of Medicine, Department of Chest Diseases, Al-Azhar University, Cairo, Egypt.
Albalsha AM; Faculty of Medicine, Department of Chest Diseases, Al-Azhar University, Cairo, Egypt.
Omar FM; Faculty of Medicine, Department of Chest Diseases, Al-Azhar University, Cairo, Egypt.
Heggy M; Faculty of Medicine, Department of ENT, Al-Azhar University, Cairo, Egypt.
Ibrahim MA; Faculty of Medicine, Department of ENT, Al-Azhar University, Cairo, Egypt.
Moursi A; Faculty of Medicine, Internal Medicine Department, Al-Azhar University, Cairo, Egypt.
Elbwab AF; Faculty of Medicine, Internal Medicine Department, Al-Azhar University, Cairo, Egypt.
Atef M; Faculty of Medicine, Department of Chest Diseases, Al-Azhar University, Cairo, Egypt.
Kabil AE; Faculty of Medicine, Department of Chest Diseases, Al-Azhar University, Cairo, Egypt.

SAGE Open Med ; 11: 20503121231216212, 2023.

Article em En | MEDLINE | ID: mdl-38050624

ABSTRACT

Background:

Chronic obstructive pulmonary disease is a multisystem disease with multiple comorbidities. Hearing is dependent on the cochlear functions that may be affected by oxygenation. Affection of hearing is problematic and represents a major concern that should be seriously investigated as an important comorbidity in chronic obstructive pulmonary disease patients.

The current study was carried out at Al-Azhar University Hospitals, Cairo, from 1 August 2021 to 2022, including 120 participants. In addition to the control group (60 healthy participants), there were two study groups chronic obstructive pulmonary disease patients with respiratory failure group (30 patients) and non-respiratory failure group (30 patients). Hearing functions were studied using pure tone audiometry, and auditory brain stem response.

There was statistically significant hearing impairment in chronic obstructive pulmonary disease patients in comparison to control group. The hearing impairment was more significant in chronic obstructive pulmonary disease with respiratory failure group in comparison to chronic obstructive pulmonary disease without respiratory failure group. The auditory impairment shows a negative interrelationship with oxygen tension (PaO2) and a positive interrelationship with the smoking index.

Hearing affection was meaningfully higher among chronic obstructive pulmonary disease patients and more prominent in patients with respiratory failure. Hypoxia results in deterioration of pure tone audiometry and increased absolute and interpeak latencies in auditory brain stem response. At every frequency, the mean pure tone audiometry thresholds were higher for chronic obstructive pulmonary disease groups than control group albeit remaining in the mild to moderate area of hearing loss. Retro-cochlear affection was suggested among patients with chronic obstructive pulmonary disease as evidenced with the prolongation of auditory brain stem response waves latencies.

Palavras-chave

COPD; auditory brainstem response; hearing loss; hypoxia

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2023 Tipo de documento: Article