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Increased risk of sudden sensorineural hearing loss in patients with depressive disorders: population-based cohort study

Published online by Cambridge University Press:  27 November 2015

C-S Lin
Affiliation:
Department of Otolaryngology, Chi-Mei Medical Center, Tainan, Taiwan, Republic of China
Y-S Lin
Affiliation:
Department of Otolaryngology, Chi-Mei Medical Center, Tainan, Taiwan, Republic of China
C-F Liu*
Affiliation:
Department of Otolaryngology, Chi-Mei Medical Center, Tainan, Taiwan, Republic of China Department of Nursing, Chung Hwa University of Medical Technology, Tainan, Taiwan, Republic of China
S-F Weng
Affiliation:
Department of Medical Research, Chi-Mei Medical Center, Tainan, Taiwan, Republic of China Department of Hospital and Health Care Administration, Chia-Nan University of Pharmacy and Science, Tainan, Taiwan, Republic of China
C Lin
Affiliation:
Department of Molecular and Cell Biology, University of California, Berkeley, USA
B-S Lin
Affiliation:
Institute of Imaging and Biomedical Photonics, National Chiao Tung University, Tainan, Taiwan, Republic of China
*
Address for correspondence: Dr Ching-Feng Liu, Department of Otolaryngology, Chi-Mei Medical Center, 901 Chung Hwa Road, Yung Kung, Tainan 710, Taiwan, ROC Fax: +886 6 281 2811 E-mail: ellery51.holmes@gmail.com

Abstract

Objectives:

To evaluate the incidence rates and risk of sudden sensorineural hearing loss among patients with depressive disorders.

Method:

Data for 27 547 patients with newly diagnosed depressive disorders and 27 547 subjects without depressive disorders between 2001 and 2008 were yielded from the Taiwan National Health Insurance Research Database. Sudden sensorineural hearing loss incidence at the end of 2011 was determined. Cumulative incidence and adjusted hazard ratio were computed.

Results:

Sudden sensorineural hearing loss incidence was 1.45 times higher in the depressive disorders group compared to the non-depressive disorders group (p = 0.0041), with an adjusted hazard ratio of 1.460. A significant increased risk of developing sudden sensorineural hearing loss was noted in patients with diabetes mellitus, chronic kidney disease and hyperlipidaemia (p < 0.05).

Conclusion:

The results suggest an increased risk of developing sudden sensorineural hearing loss in patients with depressive disorders. Co-morbidities such as diabetes mellitus, chronic kidney disease and hyperlipidaemia significantly aggravated the risk. Depressive disorders might be considered a risk factor for sudden sensorineural hearing loss. It remains to be seen whether control of depressive disorders can decrease the incidence of sudden sensorineural hearing loss in patients with depressive disorders.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2015 

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