Eldeeb Mirhan, Eldeeb Dalia, Elsherif Mayada
Department of Otorhinolaryngology, Audiovestibular Medicine Unit, Faculty of Medicine, Alexandria University, Al Sultan Hussein Street, Al Khartoum Square, Al Azareeta, Alexandria, 21111, Egypt.
Public Health and Community Medicine Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
J Egypt Public Health Assoc. 2023 Sep 18;98(1):18. doi: 10.1186/s42506-023-00143-7.
According to National Institute for Health and Care Excellence (NICE), UK, common audiovestibular symptoms of COVID-19 include dizziness, tinnitus, and otalgia. The pathogenesis of otologic disorders ranges from direct damage to the inner ear structures to immune-mediated damage. Since the start of the pandemic, the prevalence of audiovestibular symptoms linked to COVID-19 has not been thoroughly investigated in Egypt. Our objective is to study and analyze the prevalence of the audiovestibular symptoms in the Egyptian population with history of COVID-19 infection.
A cross-sectional study was conducted among Egyptian adults on the presence and nature of the audiovestibular manifestations in COVID-19 patients. An online questionnaire was used. The questionnaire was developed using Google Form. It was disseminated to the target population through social platforms from October 2021 till February 2022.
Data from 245 respondents were collected through online assessment of a convenient sample. The following de novo audiovestibular symptoms were experienced by the participants: Vertigo 20.8%, hearing loss 13.9%, tinnitus 12.7% and ear fullness 11.4%. No correlation was found between the investigations done (D-Dimer, CT chest) and the audiovestibular symptoms.
Audiovestibular symptoms are fairly common among COVID-19 patients, with higher prevalence, particularly of vertigo, in our study sample compared to the literature. It is recommended that patients with audiovestibular symptoms undergo early testing so that prompt interventions can be taken.
根据英国国家卫生与临床优化研究所(NICE)的数据,新冠病毒病(COVID-19)常见的视听前庭症状包括头晕、耳鸣和耳痛。耳科疾病的发病机制范围从内耳结构的直接损伤到免疫介导的损伤。自疫情开始以来,埃及尚未对与COVID-19相关的视听前庭症状的患病率进行过全面调查。我们的目标是研究和分析有COVID-19感染史的埃及人群中视听前庭症状的患病率。
对埃及成年人进行了一项横断面研究,以了解COVID-19患者视听前庭表现的存在情况和性质。使用了在线问卷。该问卷通过谷歌表单制作。从2021年10月至2022年2月通过社交平台分发给目标人群。
通过对方便样本的在线评估收集了245名受访者的数据。参与者出现了以下新发的视听前庭症状:眩晕20.8%、听力损失13.9%、耳鸣12.7%和耳闷11.4%。所做的检查(D-二聚体、胸部CT)与视听前庭症状之间未发现相关性。
视听前庭症状在COVID-19患者中相当常见,与文献相比,在我们的研究样本中患病率更高,尤其是眩晕。建议有视听前庭症状的患者尽早进行检查,以便能够及时采取干预措施。