학술논문
Analysis of tinnitus severity and associated factors in patients with chronic otitis media in a low- to middle-income country.
Document Type
Article
Author
Source
Subject
*TINNITUS
*KRUSKAL-Wallis Test
*STATISTICS
*CEREBROSPINAL fluid otorrhea
*MIDDLE-income countries
*CONFIDENCE intervals
*ANALYSIS of variance
*CROSS-sectional method
*MULTIVARIATE analysis
*AGE distribution
*OTOSCOPY
*FISHER exact test
*SEVERITY of illness index
*CHOLESTEATOMA
*VAGINA
*LOW-income countries
*QUESTIONNAIRES
*QUALITY of life
*AUDIOMETRY
*DESCRIPTIVE statistics
*CHI-squared test
*ATOPIC dermatitis
*RESEARCH funding
*SOCIODEMOGRAPHIC factors
*STATISTICAL sampling
*ODDS ratio
*DATA analysis software
*LOGISTIC regression analysis
*DELIVERY (Obstetrics)
*OTITIS media
*EDUCATIONAL attainment
*DISEASE complications
*SYMPTOMS
*EVALUATION
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Language
ISSN
1499-2027
Abstract
This study aimed to describe the tinnitus severity in patients with chronic otitis media (COM) and describe the sociodemographic and clinical variables associated with tinnitus severity. Cross-sectional study. Two otology-referral centers in Bogotá (Colombia) were included. Sociodemographic, clinical associated factors and quality of life questionnaires were applied. Otoscopic evaluation and audiometric data were collected. About 231 adults with COM. Up to 51.5% of the patients reported severe tinnitus discomfort, 21.7% moderate discomfort, and 26.8% minor discomfort. Factor associated with increased tinnitus severity in patients with COM were older age (aOR: 1.02; 95% CI: 1.01–1.05), higher education (aOR: 2.24; 95% CI: 1.03–4.87), ear discharge during childhood (aOR: 1.88; 95% CI: 1.02–3.45), cholesteatoma in one ear (aOR: 2.26; 95% CI: 1.05–4.88), and pure-tone air average over 15 dB (aOR: 2.08; 95% CI: 1.28–3.36). Differences of 10-points in symptoms severity and 15-points in the total score of the "Chronic Suppurative Otitis Media Questionnaire-12" were found between the tinnitus severity groups. Our results highlight the need for further research on the associated factors of tinnitus severity on COM patients. COM patients with higher tinnitus severity presented worse audiometric results and worse quality of life outcomes. [ABSTRACT FROM AUTHOR]