TY - JOUR
T1 - Characteristics of hearing loss in patients with chronic kidney disease undergoing hemodialysis
AU - Izzattisselim, Sabrina
AU - Purnami, Nyilo
N1 - Publisher Copyright:
© 2020 Wolters Kluwer Medknow Publications. All rights reserved.
PY - 2020/1/1
Y1 - 2020/1/1
N2 - Background: Hearing loss in chronic kidney disease (CKD) patients undergoing hemodialysis (HD) is sensorineural and bilateral and occurs at high or low frequencies. Hearing loss in HD is caused by osmotic disorders, changes in fluid and electrolytes in the cochlea's endolymph, and possible exposure to membrane dialyzer. Objective: The objective of this study is to explain the characteristics of hearing loss in patients with CKD undergoing HD. Methods: This was a descriptive research using the secondary data from 20 ears in 10 CKD patients undergoing HD at the Airlangga University Hospital in September-October 2018. Results: Sensorineural hearing loss in 13 of 20 ears (65%) and bilateral in 6 pairs of ears (85.7%). The highest degree of hearing loss was mild in 11 of 20 ears (55%). The average hearing threshold is 32.1 dB. The average hearing threshold for each frequency is dome shaped. The highest average hearing threshold at a frequency of 8000 Hz is 44 dB. The refer results of DPOAE in 17 of the 20 ears (85%) refer result in four patients without hearing loss. The most refer results of DPOAE are obtained at a frequency of 4000 Hz. Conclusion: The most characteristic hearing loss is sensorineural, bilateral, and mild hearing threshold. The average hearing threshold graph forms a dome-shaped image that illustrates the hearing loss that can occur at high and low frequencies.
AB - Background: Hearing loss in chronic kidney disease (CKD) patients undergoing hemodialysis (HD) is sensorineural and bilateral and occurs at high or low frequencies. Hearing loss in HD is caused by osmotic disorders, changes in fluid and electrolytes in the cochlea's endolymph, and possible exposure to membrane dialyzer. Objective: The objective of this study is to explain the characteristics of hearing loss in patients with CKD undergoing HD. Methods: This was a descriptive research using the secondary data from 20 ears in 10 CKD patients undergoing HD at the Airlangga University Hospital in September-October 2018. Results: Sensorineural hearing loss in 13 of 20 ears (65%) and bilateral in 6 pairs of ears (85.7%). The highest degree of hearing loss was mild in 11 of 20 ears (55%). The average hearing threshold is 32.1 dB. The average hearing threshold for each frequency is dome shaped. The highest average hearing threshold at a frequency of 8000 Hz is 44 dB. The refer results of DPOAE in 17 of the 20 ears (85%) refer result in four patients without hearing loss. The most refer results of DPOAE are obtained at a frequency of 4000 Hz. Conclusion: The most characteristic hearing loss is sensorineural, bilateral, and mild hearing threshold. The average hearing threshold graph forms a dome-shaped image that illustrates the hearing loss that can occur at high and low frequencies.
KW - Audiometry
KW - chronic kidney disease
KW - distortion-product otoacoustic emission
KW - hemodialysis
KW - sensorineural hearing loss
UR - http://www.scopus.com/inward/record.url?scp=85081315834&partnerID=8YFLogxK
U2 - 10.4103/indianjotol.INDIANJOTOL_115_19
DO - 10.4103/indianjotol.INDIANJOTOL_115_19
M3 - Article
AN - SCOPUS:85081315834
SN - 0971-7749
VL - 26
SP - 43
EP - 46
JO - Indian Journal of Otology
JF - Indian Journal of Otology
IS - 1
ER -