背景:耳鸣是一种复杂且异质性的疾病,已被确定为COVID-19的常见表现。为了全面了解COVID-19感染后个体的耳鸣症状,我们在中国人群中进行了一项名为“中国耳鼻喉症状调查”的在线调查。
目的:我们的目的是调查中国人群感染COVID-19后的耳鸣和耳部相关症状,目的是为改善医疗保健提供坚实的经验基础。CENTSS的研究结果有助于在长期COVID的背景下制定强化的耳鸣管理策略。通过更好地了解导致COVID-19患者耳鸣的因素,医疗保健提供者可以定制干预措施,以满足受影响患者的特定需求。此外,这项研究为研究COVID-19感染的长期后果及其相关耳鸣症状奠定了基础.
方法:定量,在线,采用横断面调查研究设计,探讨COVID-19大流行对中国耳鸣患者的影响.通过旨在确定耳鸣的存在及其影响的在线问卷收集数据。描述性统计用于分析个体的人口统计学特征,COVID-19感染相关的耳部症状,以及耳鸣的认知和情感含义。单变量和多变量逻辑回归分析用于建立人口学特征之间的横断面基线关联模型。噪声暴露,教育水平,健康和生活方式因素,和耳鸣的发生。
结果:在2022年12月19日至2023年2月1日之间,我们从代表24个地区的1262名中国参与者那里获得了回复,平均年龄37岁。其中,540例患者(42.8%)报告在COVID-19感染后出现与耳朵相关的症状。这些患者中只有114名(9%)专门针对其耳朵症状寻求医疗护理,而426人(33.8%)没有寻求住院治疗.在COVID-19感染后经历的所有耳朵相关症状中,耳鸣是最普遍和最有影响的症状。在受访者中,女性参与者(688/888,77.78%),年轻人(<30岁),受教育程度较低的人,居住在中国西部的参与者,有耳鼻咽喉科疾病史的人更有可能在COVID-19感染后发生耳鸣。
结论:总之,耳鸣是COVID-19感染期间最常见的耳部相关症状。发现感染COVID-19后出现耳鸣的个体认知和情绪健康状况较差。COVID-19感染后患者的不同耳朵相关症状可能提示病毒侵入耳朵的各个部位。因此,随着临床服务的恢复,监测和管理COVID-19引起的听力相关变化至关重要。
BACKGROUND: Tinnitus is a complex and heterogeneous disease that has been identified as a common manifestation of COVID-19. To gain a comprehensive understanding of tinnitus symptoms in individuals following COVID-19 infection, we conducted an online survey called the
China Ear Nose and Throat Symptom Survey in the COVID-19 Pandemic (CENTSS) among the Chinese population.
OBJECTIVE: Our objective was to investigate tinnitus and ear-related symptoms after COVID-19 infection in the Chinese population, with the aim of providing a solid empirical foundation for improved health care. The findings from CENTSS can contribute to the development of enhanced management strategies for tinnitus in the context of long COVID. By gaining a better understanding of the factors contributing to tinnitus in individuals with COVID-19, health care providers can tailor interventions to address the specific needs of affected patients. Furthermore, this study serves as a basis for research on the long-term consequences of COVID-19 infection and its associated tinnitus symptoms.
METHODS: A quantitative, online, cross-sectional survey study design was used to explore the impact of the COVID-19 pandemic on experiences with tinnitus in
China. Data were collected through an online questionnaire designed to identify the presence of tinnitus and its impacts. Descriptive statistics were used to analyze individuals\' demographic characteristics, COVID-19 infection-related ear symptoms, and the cognitive and emotional implications of tinnitus. Univariable and multivariable logistic regression analyses were used to model the cross-sectional baseline associations between demographic characteristics, noise exposure, educational level, health and lifestyle factors, and the occurrence of tinnitus.
RESULTS: Between December 19, 2022, and February 1, 2023, we obtained responses from 1262 Chinese participants representing 24 regions, with an average age of 37 years. Among them, 540 patients (42.8%) reported experiencing ear-related symptoms after COVID-19 infection. Only 114 (9%) of these patients sought medical attention specifically for their ear symptoms, while 426 (33.8%) did not seek hospital care. Tinnitus emerged as the most prevalent and impactful symptom among all ear-related symptoms experienced after COVID-19 infection. Of the respondents, female participants (688/888, 77.78%), younger individuals (<30 years), individuals with lower education levels, participants residing in western
China, and those with a history of otolaryngology diseases were more likely to develop tinnitus following COVID-19 infection.
CONCLUSIONS: In summary, tinnitus was identified as the most common ear-related symptom during COVID-19 infection. Individuals experiencing tinnitus after COVID-19 infection were found to have poorer cognitive and emotional well-being. Different ear-related symptoms in patients post-COVID-19 infection may suggest viral invasion of various parts of the ear. It is therefore crucial to monitor and manage hearing-related changes resulting from COVID-19 as clinical services resume.