Title Correlation Between the Prognosis of Sudden Total Deafness and the Peripheral Blood Inflammation Markers
Authors Diao, Tongxiang
Ke, Yujie
Zhang, Junbo
Jing, Yuanyuan
Ma, Xin
Affiliation Peking Univ, Peoples Hosp, Dept Otolaryngol, Head & Neck Surg, Beijing, Peoples R China
Peking Univ First Hosp, Dept Otolaryngol, Head & Neck Surg, Beijing, Peoples R China
Keywords SENSORINEURAL HEARING-LOSS
TO-LYMPHOCYTE RATIO
CARDIOVASCULAR RISK
PARAMETERS
Issue Date 15-Jun-2022
Publisher FRONTIERS IN NEUROLOGY
Abstract ObjectiveTo analyze the correlation between prognosis of sudden total deafness (STD) and peripheral blood inflammation markers including white blood cell count (WBC), monocytes, neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), fibrinogen (FIB). Methods125 patients with STD who were hospitalized in our department from 2014 to 2019 were enrolled. The general physical conditions, clinical manifestations, pure tone audiometry, imaging examination, and peripheral blood inflammation markers were collected, and all patients were divided into effective and ineffective two groups according to the degree of hearing recovery at the time of discharge. Then binary logistic regression was used to analyze the correlation between multiple factors and prognosis, meanwhile the receiver operating characteristic (ROC) curve was used to evaluate the predictive value of the above prognostic factors. ResultsCompared with the ineffective group, patients in the effective group were younger and have higher PLR level and lower FIB levels. Age and PLR are independent prognostic factors. Taking age <= 56 years old, PLR >142.6 as the standard to predict the prognosis of patients with STD has the largest AUC with the potential effective rate reaching 78.1%. ConclusionsAge and PLR are independent prognostic factors for patients with STD. The younger the age and the higher the PLR, the better the prognosis. Clinically, the prognosis of patients with STD can be evaluated by the patient's age and PLR level, which is of great significance to predict the prognosis of patients with STD.
URI http://hdl.handle.net/20.500.11897/648453
ISSN 1664-2295
DOI 10.3389/fneur.2022.927235
Indexed SCI(E)
Appears in Collections: 人民医院
第一医院

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