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      Factores asociados a un mayor grado de incapacidad por acúfenos en pacientes del servicio de Otorrinolaringología de una Clínica en Lima Translated title: Associated factors to a high degree of disability due to tinnitus in the Otorhinolaryngology service’s patients of a Clinic in Lima

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          Abstract

          RESUMEN Objetivo: Identificar los factores asociados a un mayor grado de incapacidad por acúfenos en pacientes del servicio de Otorrinolaringología en una clínica de Lima-Perú. El estudio: La muestra estuvo conformada por 100 pacientes que manifestaron sufrir de acufenos, a quienes se les aplicó el cuestionario Tinnitus Handicap Inventory (THI). Para el análisis comparativo se usó el test de Chi-Square o Kruskal-Wallis. Para determinar la asociación entre las variables de estudio se usaron modelos de regresión de Poisson, con intervalos de confianza al 95%. Hallazgos: El 94% de los participantes presentaron algún grado de incapacidad por acufenos, 40% de grado severo. Por cada año cumplido aumenta 7% la probabilidad de padecer incapacidad grave por acufenos, mientras que ser hipertenso y tener depresión aumentan esta probabilidad en 8 y 4.8 veces respectivamente. Conclusiones: La edad, la Hipertensión y la depresión son factores asociados a un mayor grado de incapacidad por acúfenos.

          Translated abstract

          ABSTRACT Objective: The goal of this investigation was to determine the factors associated with a higher degree of disability due to tinnitus in patients of the otorhinolaryngology service in a clinic in Lima-Peru. The study: The sample consisted of 100 patients who reported suffering from tinnitus, to whom the Tinnitus Handicap Inventory (THI) questionnaire was applied. For the comparative analysis, either the Chi-Square or the Kruskal-Wallis test was used. To determine the association between the study variables, Poisson regression models were used, with 95% confidence intervals. Findings: Of the participants, 94% exhibited some degree of disability due to tinnitus. For 40% of the patients the disability was found to be severe. For every subsequent year of age, the probability of suffering from severe disability due to tinnitus increases by 7%, while being hypertensive and having depression increased this probability by 8 and 4.8 times, respectively. Conclusions: age, hypertension and depression are factors associated with a higher degree of disability due to tinnitus.

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          Most cited references20

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          Prevalence and characteristics of tinnitus among US adults.

          Tinnitus is common; however, few risk factors for tinnitus are known. We examined cross-sectional relations between several potential risk factors and self-reported tinnitus in 14,178 participants in the 1999-2004 National Health and Nutrition Examination Surveys, a nationally representative database. We calculated the prevalence of any and frequent (at least daily) tinnitus in the overall US population and among subgroups. Logistic regression was used to calculate odds ratios (OR) and 95% confidence intervals (CI) after adjusting for multiple potential confounders. Approximately 50 million US adults reported having any tinnitus, and 16 million US adults reported having frequent tinnitus in the past year. The prevalence of frequent tinnitus increased with increasing age, peaking at 14.3% between 60 and 69 years of age. Non-Hispanic whites had higher odds of frequent tinnitus compared with other racial/ethnic groups. Hypertension and former smoking were associated with an increase in odds of frequent tinnitus. Loud leisure-time, firearm, and occupational noise exposure also were associated with increased odds of frequent tinnitus. Among participants who had an audiogram, frequent tinnitus was associated with low-mid frequency (OR 2.37; 95% CI, 1.76-3.21) and high frequency (OR 3.00; 95% CI, 1.78-5.04) hearing impairment. Among participants who were tested for mental health conditions, frequent tinnitus was associated with generalized anxiety disorder (OR 6.07; 95% CI, 2.33-15.78) but not major depressive disorder (OR 1.58; 95% CI, 0.54-4.62). The prevalence of frequent tinnitus is highest among older adults, non-Hispanic whites, former smokers, and adults with hypertension, hearing impairment, loud noise exposure, or generalized anxiety disorder. Prospective studies of risk factors for tinnitus are needed. Published by Elsevier Inc.
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            Guidelines for the grading of tinnitus severity: the results of a working group commissioned by the British Association of Otolaryngologists, Head and Neck Surgeons, 1999.

            Tinnitus is a common experience with up to one third of the adult population experiencing it at some time in their life. Less than 1% of the adult population have tinnitus of sufficient severity to affect their quality of life seriously (although up to 8% may seek medical advice about it). Much of the severity of tinnitus relates to the individuals' psychological response to the abnormal tinnitus signal. The prevalence of tinnitus increases in association with high frequency hearing loss. There is, unfortunately, no diagnostic test that either confirms the presence of tinnitus or its severity. Currently there is no satisfactory severity grading system. A five-point severity grading scheme is therefore proposed and the entry criteria detailed. The five severity points are: slight, mild, moderate, severe and catastrophic. Categorization as 'severe' or 'catastrophic' should be, by epidemiological definition, very rare. General guidance, theory and evidential support are contained within.
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              Global Prevalence and Incidence of Tinnitus : A Systematic Review and Meta-analysis

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                Author and article information

                Journal
                rcmhnaaa
                Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
                Rev. Cuerpo Med. HNAAA
                Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo (Chiclayo, , Peru )
                2225-5109
                2227-4731
                January 2023
                : 16
                : 1
                : 88-93
                Affiliations
                [1] Lima orgnameUniversidad Peruana Unión orgdiv1Facultad de ciencias de la Salud orgdiv2Escuela de medicina Peru
                Article
                S2227-47312023000100012 S2227-4731(23)01600100012
                10.35434/rcmhnaaa.2023.161.1492
                8f8c4a05-e03f-4c25-b2f1-3689fe0863e2

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 26 December 2022
                : 28 April 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 20, Pages: 6
                Product

                SciELO Peru

                Categories
                Comunicación Corta

                Tinnitus,Hypertension,Depression,THI,Acúfenos,Incapacidad,Hipertensión arterial,Depresión,Disability

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