Characteristics of tinnitus found in anemia patients and analysis of population-based survey
- Authors
- Sunwoo, Woongsang; Lee, Doh Young; Lee, Ji Young; Lee, Minhyung; Kang, Young; Park, Min-Hyun; Kim, Young Ho
- Issue Date
- Dec-2018
- Publisher
- ELSEVIER SCI LTD
- Keywords
- Tinnitus; Anemia; Age; Hemoglobin; Pulsatile
- Citation
- AURIS NASUS LARYNX, v.45, no.6, pp.1152 - 1158
- Journal Title
- AURIS NASUS LARYNX
- Volume
- 45
- Number
- 6
- Start Page
- 1152
- End Page
- 1158
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/3016
- DOI
- 10.1016/j.anl.2018.04.001
- ISSN
- 0385-8146
- Abstract
- Objective: This study analyzed the characteristics of tinnitus identified in anemia patients with cohort- and population-based studies in a single institute and suggests a management algorithm. Methods: Fifty patients who were treated for anemia and referred for tinnitus treatment were included in a single institute retrospective study. Characteristics of tinnitus were investigated in a correlation analysis with demographic and audiologic parameters. For the population-based study, data from the Korea National Health and Nutrition Examination Survey collected between 2010 and 2011 were analyzed. The study population consisted of 11,402 individuals aged 20-97 years with complete tinnitus-related data. The prevalence of tinnitus in anemia patients was investigated using the questionnaire, and associations between tinnitus and blood/urine parameters were evaluated by binary logistic regression analysis. Results: In a single-institute study, patients with non-pulsatile tinnitus were significantly older and their initial hemoglobin was higher than those with pulsatile tinnitus (p = 0.001, 0.008, respectively). In pulsatile tinnitus, age and difference between initial and post-treatment hemoglobin were significantly associated with a subjective improvement in tinnitus (p = 0.002, 0.016, respectively). There were no significant audiologic or hematologic parameters associated with the improvement of non-pulsatile tinnitus. In the population-based study, there was no significant correlation between anemia and tinnitus (p = 0.064). In a multivariate analysis, age was the only parameter associated with tinnitus in participants with anemia. Conclusion: The therapeutic strategy and prognosis of tinnitus in anemia patients differ according to the characteristics of tinnitus and the severity of anemia. (C) 2018 Elsevier B.V. All rights reserved.
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