Association between meteorological factors and audiogram configurations in patients with sudden sensorineural hearing loss: a cross-sectional study

Objective We aimed to determine the association between meteorological factors and sudden sensorineural hearing loss (SSNHL) audiogram configurations.Design Retrospective review of medical records from 1 October 2007 to 31 December 2018.Setting A tertiary hospital.Participants 510 patients with SSNH...

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Main Authors: Xin Ma, Lisheng Yu, Jilei Zhang, Shangwei Ji, Yuanyuan Jing
Format: Article
Language:English
Published: BMJ Publishing Group 2021-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/12/e045768.full
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author Xin Ma
Lisheng Yu
Jilei Zhang
Shangwei Ji
Yuanyuan Jing
author_facet Xin Ma
Lisheng Yu
Jilei Zhang
Shangwei Ji
Yuanyuan Jing
author_sort Xin Ma
collection DOAJ
description Objective We aimed to determine the association between meteorological factors and sudden sensorineural hearing loss (SSNHL) audiogram configurations.Design Retrospective review of medical records from 1 October 2007 to 31 December 2018.Setting A tertiary hospital.Participants 510 patients with SSNHL who had data on the exact date of SSNHL onset and underwent audiological evaluation within 14 days were included.Primary and secondary outcome measures Daily values of meteorological factors, including maximum and minimum temperature, mean temperature and its day-to-day change, diurnal temperature range, atmospheric pressure, mean and maximum wind speed and relative humidity, and seasonal distributions.Results Among the 510 patients (259 women (50.8%); mean (SD) age, 46.4 (15.5) years), 108 (21.2%) displayed ascending patterns, 143 (28.0%) displayed descending patterns, 129 (25.3%) displayed flat patterns and 130 (25.5%) displayed profound patterns of audiograms. The diurnal temperature range on the day of SSNHL onset in patients with profound patterns was significantly higher than that in patient with ascending (mean difference (MD), 2.2°C; 95% CI, 0.7°C to 3.7°C; p=0.001) and descending (MD, 1.5°C; 95% CI, 0.1°C to 2.9°C; p=0.031) patterns. The relative humidity was the highest on the day of SSNHL onset in patients with ascending patterns and showed a significant difference compared with that in patients with profound patterns (MD, 8.0%; 95% CI, 0.7% to 15.3%; p=0.026). Seasonal distribution did not differ among patients with different audiogram configurations.Conclusions Profound audiogram patterns correlated with high diurnal temperature range, while ascending audiogram patterns correlated with high relative humidity in patients with SSNHL. No correlation was observed between seasons and audiogram configurations.
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spelling doaj-art-c5f5552fab0844d6af33b7afeeec0d202025-08-20T02:38:54ZengBMJ Publishing GroupBMJ Open2044-60552021-12-01111210.1136/bmjopen-2020-045768Association between meteorological factors and audiogram configurations in patients with sudden sensorineural hearing loss: a cross-sectional studyXin Ma0Lisheng Yu1Jilei Zhang2Shangwei Ji3Yuanyuan Jing4Department of Clinical Psychology, The Third Xiangya Hospital, Central South University, Changsha, Hunan, ChinaOtorhinolaryngology Department, Peking University People`s Hospital, Beijing, ChinaOtorhinolaryngology Department, Peking University People`s Hospital, Beijing, ChinaBeijing Jishuitan Hospital, Beijing, ChinaOtorhinolaryngology Department, Peking University People`s Hospital, Beijing, ChinaObjective We aimed to determine the association between meteorological factors and sudden sensorineural hearing loss (SSNHL) audiogram configurations.Design Retrospective review of medical records from 1 October 2007 to 31 December 2018.Setting A tertiary hospital.Participants 510 patients with SSNHL who had data on the exact date of SSNHL onset and underwent audiological evaluation within 14 days were included.Primary and secondary outcome measures Daily values of meteorological factors, including maximum and minimum temperature, mean temperature and its day-to-day change, diurnal temperature range, atmospheric pressure, mean and maximum wind speed and relative humidity, and seasonal distributions.Results Among the 510 patients (259 women (50.8%); mean (SD) age, 46.4 (15.5) years), 108 (21.2%) displayed ascending patterns, 143 (28.0%) displayed descending patterns, 129 (25.3%) displayed flat patterns and 130 (25.5%) displayed profound patterns of audiograms. The diurnal temperature range on the day of SSNHL onset in patients with profound patterns was significantly higher than that in patient with ascending (mean difference (MD), 2.2°C; 95% CI, 0.7°C to 3.7°C; p=0.001) and descending (MD, 1.5°C; 95% CI, 0.1°C to 2.9°C; p=0.031) patterns. The relative humidity was the highest on the day of SSNHL onset in patients with ascending patterns and showed a significant difference compared with that in patients with profound patterns (MD, 8.0%; 95% CI, 0.7% to 15.3%; p=0.026). Seasonal distribution did not differ among patients with different audiogram configurations.Conclusions Profound audiogram patterns correlated with high diurnal temperature range, while ascending audiogram patterns correlated with high relative humidity in patients with SSNHL. No correlation was observed between seasons and audiogram configurations.https://bmjopen.bmj.com/content/11/12/e045768.full
spellingShingle Xin Ma
Lisheng Yu
Jilei Zhang
Shangwei Ji
Yuanyuan Jing
Association between meteorological factors and audiogram configurations in patients with sudden sensorineural hearing loss: a cross-sectional study
BMJ Open
title Association between meteorological factors and audiogram configurations in patients with sudden sensorineural hearing loss: a cross-sectional study
title_full Association between meteorological factors and audiogram configurations in patients with sudden sensorineural hearing loss: a cross-sectional study
title_fullStr Association between meteorological factors and audiogram configurations in patients with sudden sensorineural hearing loss: a cross-sectional study
title_full_unstemmed Association between meteorological factors and audiogram configurations in patients with sudden sensorineural hearing loss: a cross-sectional study
title_short Association between meteorological factors and audiogram configurations in patients with sudden sensorineural hearing loss: a cross-sectional study
title_sort association between meteorological factors and audiogram configurations in patients with sudden sensorineural hearing loss a cross sectional study
url https://bmjopen.bmj.com/content/11/12/e045768.full
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AT jileizhang associationbetweenmeteorologicalfactorsandaudiogramconfigurationsinpatientswithsuddensensorineuralhearinglossacrosssectionalstudy
AT shangweiji associationbetweenmeteorologicalfactorsandaudiogramconfigurationsinpatientswithsuddensensorineuralhearinglossacrosssectionalstudy
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