Hostname: page-component-745bb68f8f-f46jp Total loading time: 0 Render date: 2025-01-10T22:51:05.422Z Has data issue: false hasContentIssue false

Sensorineural hearing loss in stroke: an age-matched retrospective study

Published online by Cambridge University Press:  03 January 2025

Sam J Neilson*
Affiliation:
Department of Stroke Medicine, NHS Greater Glasgow and Clyde, Glasgow, UK
Paul Sooby
Affiliation:
Department of Otolaryngology, NHS Greater Glasgow and Clyde, Glasgow, UK
Xuya Huang
Affiliation:
Department of Stroke Medicine, NHS Greater Glasgow and Clyde, Glasgow, UK
Georgios Kontorinis
Affiliation:
Department of Otolaryngology, NHS Greater Glasgow and Clyde, Glasgow, UK
*
Corresponding author: Sam Neilson; Email: [email protected]

Abstract

Objective

To compare characteristics between stroke populations with and without sensorineural hearing loss (SNHL) and assess the impact of SNHL on stroke outcome.

Methods

A retrospective study of patients admitted with stroke was carried out. Patients were divided into two groups, where group A were diagnosed with SNHL and group B were without SNHL. Baseline age, gender, vascular risk factors and disability were compared. Logistic regression analyses were performed with three-month mortality and SNHL as dependent variables.

Results

A total of 631 admissions were reviewed, with mean age 79.2 years, including 305 patients with SNHL and 326 without. More severe disability was more prevalent in patients with SNHL. Sensorineural hearing loss was not associated with increased mortality (odds ratio = 1.1, 95 per cent confidence interval = 0.7–2.0, p = 0.668). Hypertension was present in 210 (68.9 per cent) with SNHL versus 189 (58 per cent) without SNHL (p = 0.005). Small-vessel disease aetiology was more prevalent in SNHL 51 (16.7 per cent) versus 30 (9.2 per cent) without SNHL (p = 0.005).

Conclusion

Sensorineural hearing loss appears to have an association with stroke of small-vessel disease aetiology and hypertension. Sensorineural hearing loss does not affect three-month mortality but is associated with increased disability.

Type
Main Article
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Sam Neilson takes responsibility for the integrity of the content of the paper

References

Lin, FR, Thorpe, R, Gordon-Salant, S, Ferrucci, L. Hearing loss prevalence and risk factors among older adults in the United States. J Gerontol A Biol Sci Med Sci 2011;66:582–90CrossRefGoogle ScholarPubMed
Lee, H, Sohn, S-I, Jung, D-K, Cho, Y-W, Lim, J-G, Yi, S-D et al. Sudden deafness and anterior inferior cerebellar artery infarction. Stroke 2002;33:2807–12CrossRefGoogle ScholarPubMed
Khosravipour, M, Rajati, F. Sensorineural hearing loss and risk of stroke: a systematic review and meta-analysis. Sci Rep 2021;11:11021CrossRefGoogle ScholarPubMed
Lin, H-C, Chao, P-Z, Lee, H-C. Sudden sensorineural hearing loss increases the risk of stroke: a 5-year follow-up study. Stroke 2008;39:2744–8CrossRefGoogle ScholarPubMed
Gopinath, B, Schneider, J, Rochtchina, E, Leeder, SR, Mitchell, P. Association between age-related hearing loss and stroke in an older population. Stroke 2009;40:1496–8CrossRefGoogle Scholar
Kamil, RJ, Betz, J, Powers, BB, Pratt, S, Kritchevsky, S, Ayonayon, HN et al. Association of hearing impairment with incident frailty and falls in older adults. J Aging Health 2016;28:644–60CrossRefGoogle ScholarPubMed
Young, MJ, Regenhardt, RW, Leslie-Mazwi, TM, Stein, MA. Disabling stroke in persons already with a disability: ethical dimensions and directives. Neurology 2020;94:306–10CrossRefGoogle ScholarPubMed
Brott, T, Adams, HP Jr, Olinger, CP, Marler, JR, Barsan, WG, Biller, J et al. Measurements of acute cerebral infarction: a clinical examination scale. Stroke 1989;20:864–70CrossRefGoogle ScholarPubMed
Rankin, J. Cerebral vascular accidents in patients over the age of 60: II. Prognosis. Scott Med J 1957;2:200–15CrossRefGoogle ScholarPubMed
Van Swieten, J, Koudstaal, P, Visser, M, Schouten, H, Van Gijn, J. Interobserver agreement for the assessment of handicap in stroke patients. Stroke 1988;19:604–7CrossRefGoogle ScholarPubMed
Adams, HP Jr, Bendixen, BH, Kappelle, LJ, Biller, J, Love, BB, Gordon, DL et al. Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treatment. Stroke 1993;24:3541CrossRefGoogle Scholar
Gattringer, T, Posekany, A, Niederkorn, K, Knoflach, M, Poltrum, B, Mutzenbach, S et al. Predicting early mortality of acute ischemic stroke: score-based approach. Stroke 2019;50:349–56CrossRefGoogle Scholar
Chau, JK, Lin, JR, Atashband, S, Irvine, RA, Westerberg, BD. Systematic review of the evidence for the etiology of adult sudden sensorineural hearing loss. Laryngoscope 2010;120:1011–21CrossRefGoogle ScholarPubMed
Lee, H. Recent advances in acute hearing loss due to posterior circulation ischemic stroke. J Neurol Sci 2014;338:23–9CrossRefGoogle ScholarPubMed
Deal, JA, Betz, J, Yaffe, K, Harris, T, Purchase-Helzner, E, Satterfield, S et al. Hearing impairment and incident dementia and cognitive decline in older adults: the health ABC study. J Gerontol A Biol Sci Med Sci 2016;72:703–9Google Scholar
Eckert, MA, Kuchinsky, SE, Vaden, KI, Cute, SL, Spampinato, MV, Dubno, JR. White matter hyperintensities predict low frequency hearing in older adults. J Assoc Res Otolaryngol 2013;14:425–33CrossRefGoogle ScholarPubMed
Yévenes-Briones, H, Caballero, FF, Struijk, EA, Rey-Martinez, J, Montes-Jovellar, L, Graciani, A et al. Association between hearing loss and impaired physical function, frailty, and disability in older adults: a cross-sectional study. JAMA Otolaryngol Head Neck Surg 2021;147:951–8CrossRefGoogle ScholarPubMed
Formby, C, Phillips, D, Thomas, R. Hearing loss among stroke patients. Ear Hear 1987;8:326–32CrossRefGoogle ScholarPubMed
Winstein, CJ, Stein, J, Arena, R, Bates, B, Cherney, LR, Cramer, SC et al. Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2016;47:e98169CrossRefGoogle ScholarPubMed
Gopinath, B, Schneider, J, McMahon, CM, Teber, E, Leeder, SR, Mitchell, P. Severity of age-related hearing loss is associated with impaired activities of daily living. Age Ageing 2012;41:195200CrossRefGoogle ScholarPubMed