a Department of Otorhinolaryngology , University of Groningen, University Medical Center Groningen , Groningen , Netherlands.
b Graduate School of Medical Sciences , Cognitive Neurosciences Center, University of Groningen , Groningen , Netherlands.
Int J Audiol. 2019 Jul;58(7):434-440. doi: 10.1080/14992027.2019.1600058. Epub 2019 Apr 15.
We conducted a retrospective review of medical records of tinnitus patients at a tertiary ENT clinic in Groningen, Netherlands. Our goal was to identify factors that differentiated the intermittent subgroup from the larger continuous group with chronic tinnitus. Tinnitus-related factors such as hearing loss, emotional aspects, and demographics were used to advance our understanding of the subgroups. We analysed the data using descriptive statistics and binomial logistic regression, supplemented by random forests classification. Patients presenting with tinnitus visiting the tinnitus clinic. We examined 1575 medical intake records obtained at a tertiary ENT hospital. Duration, total Tinnitus Handicap Inventory (THI), and THI Functional subscale scores differed significantly between the two groups. Increasing age and higher THI Emotional subscale scores were associated with an increased likelihood of intermittent tinnitus. Increases in duration, depressive scores and THI Functional and Catastrophic subscale scores, decreased the likelihood of intermittent tinnitus. Results from this study dissociate the factors affecting those with intermittent and those with continuous tinnitus and point to potentially different mechanisms underlying the two conditions.
我们对荷兰格罗宁根一家三级耳鼻喉科诊所的耳鸣患者的病历进行了回顾性分析。我们的目标是确定区分间歇性亚组与更大的慢性耳鸣连续组的因素。使用耳鸣相关因素,如听力损失、情绪方面和人口统计学因素,来深入了解亚组。我们使用描述性统计和二项逻辑回归分析数据,并辅以随机森林分类。
患者因耳鸣到耳鸣诊所就诊。我们检查了在一家三级耳鼻喉科医院获得的 1575 份医疗记录。两组之间的持续时间、总耳鸣残疾量表(THI)和 THI 功能子量表评分差异显著。年龄增长和更高的 THI 情绪子量表评分与间歇性耳鸣的可能性增加相关。持续时间、抑郁评分以及 THI 功能和灾难性子量表评分的增加降低了间歇性耳鸣的可能性。
这项研究的结果区分了影响间歇性和持续性耳鸣的因素,并指出这两种情况可能有不同的潜在机制。