Comparison of sensorineural hearing loss characteristics in different hemodialysis vascular accesses

  • Behieh Kohansal ORCID Mail Department of Audiology, School of Rehabilitation, Arak University of Medical Sciences, Arak, Iran
  • Nasser Saeedi ORCID Department of Internal Medicine, School of Medicine, Arak University of Medical Sciences, Arak, Iran
  • Moeinoddin Hossein Beigi ORCID Department of Audiology, School of Rehabilitation, Arak University of Medical Sciences, Arak, Iran
  • Azam Moslemi ORCID Department of Biostatistics, School of Medicine, Arak University of Medical Sciences, Arak, Iran
  • Akram Valizadeh ORCID Department of Speech-language Therapy, School of Rehabilitation, Arak University of Medical Sciences, Arak, Iran
Keywords:
Sensorineural hearing loss, vascular access, chronic renal failure, hemodialysis

Abstract

Background and Aim: Sensorineural hearing loss (SNHL) is one of the complications in hemodialysis patients. Vascular access (VA) represents a lifeline for these patients affecting their life quality and clinical outcomes. Arteriovenous fistula is the gold standard of VAs with minor complications and better hemodialysis adequacy. There is no study investigating hearing differences in hemodialysis VAs. Hence, this study aimed to compare SNHL characteristics amongst hemodialysis VAs.
Methods: This cross-sectional study conducted on 64 patients aged 18−60 years received regular hemodialysis in 2019. Demographic data and comorbid conditions were recorded based on patients’ case records and electronic databases. After a physical examination, otoscopy, tympanometry, and conventional audiometry, patients were divided into fistula (n = 26), permanent catheter (n = 36), and temporary catheter (n = 2) groups according to vascular access type.
Results: Prevalence rate of SNHL was 63.89%, 50% and 50% in the permanent catheter, fistula and temporary catheter groups, respectively. Most patients had mild sloping-SNHL in the permanent catheter and fistula groups as against moderate degree in the other group. There was no significant difference in hearing thresholds, degree and audiogram shape among VA groups. No significant relation was found between age, sex, hemodialysis duration and disease duration with hearing loss in all groups (p > 0.05).
Conclusion: More patients had SNHL in permanent catheter group. Vascular access types, longer duration of hemodialysis and disease duration do not seem to be associated with SNHL. However, further investigation is needed to clarify the relationship.

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Published
2020-11-11
How to Cite
1.
Kohansal B, Saeedi N, Hossein Beigi M, Moslemi A, Valizadeh A. Comparison of sensorineural hearing loss characteristics in different hemodialysis vascular accesses. Aud Vestib Res. 29(4):227-234.
Section
Research Article(s)