Mesh : Humans COVID-19 / complications epidemiology Vertigo / epidemiology etiology Male Female Middle Aged Hearing Loss / epidemiology etiology SARS-CoV-2 Adult Pandemics Aged Prevalence Severity of Illness Index Pneumonia, Viral / complications epidemiology Coronavirus Infections / complications epidemiology Risk Factors Betacoronavirus

来  源:   DOI:10.1097/MD.0000000000038819   PDF(Pubmed)

Abstract:
The COVID-19 pandemic, caused by the novel coronavirus SARS-CoV-2, has manifested with respiratory symptoms and a spectrum of extra-pulmonary complications. Emerging evidence suggests potential impacts on the auditory and vestibular systems, but the extent and nature of these effects in recovered individuals remain unclear. This study aimed to investigate the prevalence and severity of vertigo and hearing impairment in individuals who have recovered from COVID-19 and to identify potential risk factors associated with these sensory symptoms. A cohort of 250 recovered COVID-19 patients was assessed. Standardized questionnaires, including the Dizziness Handicap Inventory and the Vertigo Symptom Scale, were used to evaluate vertigo. Hearing assessment was conducted using pure-tone audiometry, speech audiometry, tympanometry, and oto-acoustic emissions testing. Logistic regression analysis was performed to assess the association between COVID-19 severity and the occurrence of sensory symptoms, controlling for confounding variables such as age and comorbidities. Of the participants, 10% reported vertigo, varying severity. Hearing assessments revealed that most participants had normal hearing, with an average speech discrimination score of 94.6. Logistic regression analysis indicated a significant association between severe COVID-19 and an increased likelihood of vertigo (OR 2.11, 95% CI 1.02-4.35, P = .043) and hearing impairment (OR 3.29, 95% CI 1.60-6.78, P = .002). This study suggests a significant association between COVID-19 severity and vertigo and hearing impairment prevalence. The findings underscore the importance of sensory symptom assessment in the post-recovery phase of COVID-19, highlighting the need for comprehensive healthcare approaches to manage long-term sequelae.
摘要:
COVID-19大流行,由新型冠状病毒SARS-CoV-2引起,表现为呼吸道症状和一系列肺外并发症。新出现的证据表明对听觉和前庭系统的潜在影响,但这些影响在康复个体中的程度和性质仍不清楚。这项研究旨在调查从COVID-19中康复的个体的眩晕和听力障碍的患病率和严重程度,并确定与这些感觉症状相关的潜在危险因素。对250名康复的COVID-19患者进行了评估。标准化问卷,包括头晕障碍量表和眩晕症状量表,用于评估眩晕。听力评估使用纯音测听法进行,言语测听,鼓室测压,和声声发射测试。Logistic回归分析COVID-19严重程度与感觉症状发生的关系,控制年龄和合并症等混杂变量。在参与者中,10%报告眩晕,不同的严重程度。听力评估显示,大多数参与者听力正常,平均言语歧视评分为94.6分。Logistic回归分析显示,重度COVID-19与眩晕(OR2.11,95%CI1.02-4.35,P=0.043)和听力损害(OR3.29,95%CI1.60-6.78,P=0.002)的可能性增加存在显著关联。这项研究表明,COVID-19严重程度与眩晕和听力障碍患病率之间存在显着关联。这些发现强调了感觉症状评估在COVID-19恢复后阶段的重要性,强调了需要全面的医疗保健方法来管理长期后遗症。
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