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Published in: European Archives of Oto-Rhino-Laryngology 7/2020

01-07-2020 | Tinnitus | Miscellaneous

Investigation of the prognostic role of neutrophil-to-lymphocyte ratio in Idiopathic Sudden Sensorineural Hearing Loss based on propensity score matching: a retrospective observational study

Authors: Shiyuan Wu, Zaizai Cao, Fangling Shi, Bobei Chen

Published in: European Archives of Oto-Rhino-Laryngology | Issue 7/2020

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Abstract

Introduction

The aetiology, management and prognosis of idiopathic Sdden Sensorineural Hearing Loss (ISSNHL) are still uncertain despite adequate investigation.

Objective

We conducted the present study to investigate the possible relationship between the neutrophil-to-lymphocyte ratio (NLR) and the prognosis of ISSNHL based on PSM.

Methods

This was a retrospective observational study. Data and statistical analyses were performed using the SPSS statistical program (SPSS 19.0). PSM was performed using STATA (15.0).

Results

NLR = 3.42 was the cut-off value. After PSM, 84 pairs of patients were successfully matched. The number of patients in the effective group with the NLR < 3.42 and NLR < 3.42 were significantly different (P < 0.001).

Conclusion

The NLR is an inexpensive and reliable index to predict the ISSNHL. We hold the view that the NLR can be a reliable factor for clinical doctors to predict the prognosis in ISSNHL. To further prove that the NLR is a powerful prognostic factor in ISSNHL, larger prospective studies are required in the future.
Literature
1.
go back to reference Stachler RJ et al (2012) Clinical practice guideline: sudden hearing loss. Otolaryngol Head Neck Surg 146:S1–35PubMed Stachler RJ et al (2012) Clinical practice guideline: sudden hearing loss. Otolaryngol Head Neck Surg 146:S1–35PubMed
2.
go back to reference Chandrasekhar SS et al (2019) Clinical practice guideline: sudden hearing loss (update) executive summary. Otolaryngol Head Neck Surg 161:195–210PubMed Chandrasekhar SS et al (2019) Clinical practice guideline: sudden hearing loss (update) executive summary. Otolaryngol Head Neck Surg 161:195–210PubMed
3.
go back to reference Mosnier I et al (2011) Cardiovascular and thromboembolic risk factors in idiopathic sudden sensorineural hearing loss: a case-control study. Audiol Neuro-otol 16:55–66 Mosnier I et al (2011) Cardiovascular and thromboembolic risk factors in idiopathic sudden sensorineural hearing loss: a case-control study. Audiol Neuro-otol 16:55–66
4.
go back to reference Lin RJ, Krall R, Westerberg BD, Chadha NK, Chau JK (2012) Systematic review and meta-analysis of the risk factors for sudden sensorineural hearing loss in adults. Laryngoscope 122:624–635PubMed Lin RJ, Krall R, Westerberg BD, Chadha NK, Chau JK (2012) Systematic review and meta-analysis of the risk factors for sudden sensorineural hearing loss in adults. Laryngoscope 122:624–635PubMed
5.
go back to reference Bogaz EA, Maranhao AS, Inoue DP, Suzuki FA, Penido Nde O (2015) Variables with prognostic value in the onset of idiopathic sudden sensorineural hearing loss. Braz J Otorhinolaryngol 81:520–526PubMed Bogaz EA, Maranhao AS, Inoue DP, Suzuki FA, Penido Nde O (2015) Variables with prognostic value in the onset of idiopathic sudden sensorineural hearing loss. Braz J Otorhinolaryngol 81:520–526PubMed
6.
go back to reference Psillas G, Rizou A, Rachovitsas D, Tsiropoulos G, Constantinidis J (2019) Hearing outcome of low-tone compared to high-tone sudden sensorineural hearing loss. Int Arch Otorhinolaryngol 23:65–69PubMed Psillas G, Rizou A, Rachovitsas D, Tsiropoulos G, Constantinidis J (2019) Hearing outcome of low-tone compared to high-tone sudden sensorineural hearing loss. Int Arch Otorhinolaryngol 23:65–69PubMed
7.
go back to reference Attanasio G et al (2018) Prediction of hearing recovery in sudden deafness treated with intratympanic steroids. Acta Otorhinolaryngol Italica 38:453–459 Attanasio G et al (2018) Prediction of hearing recovery in sudden deafness treated with intratympanic steroids. Acta Otorhinolaryngol Italica 38:453–459
8.
go back to reference Lee NH, Ban JH (2010) Is BPPV a prognostic factor in idiopathic sudden sensory hearing loss? Clin Exp Otorhinolaryngol 3:199PubMedPubMedCentral Lee NH, Ban JH (2010) Is BPPV a prognostic factor in idiopathic sudden sensory hearing loss? Clin Exp Otorhinolaryngol 3:199PubMedPubMedCentral
9.
go back to reference Kuhn M, Heman-Ackah SE, Shaikh JA, Roehm PC (2011) Sudden sensorineural hearing loss: a review of diagnosis, treatment, and prognosis. Trends Amplif 15:91–105PubMedPubMedCentral Kuhn M, Heman-Ackah SE, Shaikh JA, Roehm PC (2011) Sudden sensorineural hearing loss: a review of diagnosis, treatment, and prognosis. Trends Amplif 15:91–105PubMedPubMedCentral
10.
go back to reference Xie S et al (2018) Multivariate analysis of prognostic factors for idiopathic sudden sensorineural hearing loss treated with adjuvant hyperbaric oxygen therapy. Eur Arch Otorhinolaryngol 275:47–51PubMed Xie S et al (2018) Multivariate analysis of prognostic factors for idiopathic sudden sensorineural hearing loss treated with adjuvant hyperbaric oxygen therapy. Eur Arch Otorhinolaryngol 275:47–51PubMed
11.
go back to reference Cao Z et al (2018) Prognostic role of haematological indices in sudden sensorineural hearing loss: review and meta-analysis. Clin Chim Acta 483:104–111PubMed Cao Z et al (2018) Prognostic role of haematological indices in sudden sensorineural hearing loss: review and meta-analysis. Clin Chim Acta 483:104–111PubMed
12.
go back to reference Ohinata Y et al (1994) Blood viscosity and plasma viscosity in patients with sudden deafness. Acta Otolaryngol 114:601–607PubMed Ohinata Y et al (1994) Blood viscosity and plasma viscosity in patients with sudden deafness. Acta Otolaryngol 114:601–607PubMed
13.
go back to reference Bulgurcu S, Dikilitas B, Arslan IB, Cukurova I (2017) Neutrophil-to-lymphocyte and platelet-to-lymphocyte ratios in pediatric patients with idiopathic sudden hearing loss. J Int Adv Otol 13:217–220PubMed Bulgurcu S, Dikilitas B, Arslan IB, Cukurova I (2017) Neutrophil-to-lymphocyte and platelet-to-lymphocyte ratios in pediatric patients with idiopathic sudden hearing loss. J Int Adv Otol 13:217–220PubMed
14.
go back to reference Nonoyama H et al (2016) Red blood cell distribution width predicts prognosis in idiopathic sudden sensorineural hearing loss. Acta Otolaryngol 136:1137–1140PubMed Nonoyama H et al (2016) Red blood cell distribution width predicts prognosis in idiopathic sudden sensorineural hearing loss. Acta Otolaryngol 136:1137–1140PubMed
15.
go back to reference Siegel LG (1975) The treatment of idiopathic sudden sensorineural hearing loss. Otolaryngol Clin North Am 8:467–473PubMed Siegel LG (1975) The treatment of idiopathic sudden sensorineural hearing loss. Otolaryngol Clin North Am 8:467–473PubMed
16.
go back to reference Seo YJ, Jeong JH, Choi JY, Moon IS (2014) Neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio: novel markers for diagnosis and prognosis in patients with idiopathic sudden sensorineural hearing loss. Dis Markers 2014:702807PubMedPubMedCentral Seo YJ, Jeong JH, Choi JY, Moon IS (2014) Neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio: novel markers for diagnosis and prognosis in patients with idiopathic sudden sensorineural hearing loss. Dis Markers 2014:702807PubMedPubMedCentral
17.
go back to reference Mattox DE, Simmons FB (1977) Natural history of sudden sensorineural hearing loss. Ann Otol Rhinol Laryngol 86:463–480PubMed Mattox DE, Simmons FB (1977) Natural history of sudden sensorineural hearing loss. Ann Otol Rhinol Laryngol 86:463–480PubMed
18.
go back to reference Chen XH et al (2019) The natural history of labyrinthine hemorrhage in patients with sudden sensorineural hearing loss. Ear Nose Throat J 98:E13–E20PubMed Chen XH et al (2019) The natural history of labyrinthine hemorrhage in patients with sudden sensorineural hearing loss. Ear Nose Throat J 98:E13–E20PubMed
19.
go back to reference Fetterman BL, Saunders JE, Luxford WM (1996) Prognosis and treatment of sudden sensorineural hearing loss. Am J otol 17:529–536PubMed Fetterman BL, Saunders JE, Luxford WM (1996) Prognosis and treatment of sudden sensorineural hearing loss. Am J otol 17:529–536PubMed
20.
go back to reference Chen CY, Halpin C, Rauch SD (2003) Oral steroid treatment of sudden sensorineural hearing loss: a ten year retrospective analysis. Otol neurotol 24:728–733PubMed Chen CY, Halpin C, Rauch SD (2003) Oral steroid treatment of sudden sensorineural hearing loss: a ten year retrospective analysis. Otol neurotol 24:728–733PubMed
21.
go back to reference Lawrence R, Thevasagayam R (2015) Controversies in the management of sudden sensorineural hearing loss: an evidence-based review. Clin Otolaryngol 40:176–182PubMed Lawrence R, Thevasagayam R (2015) Controversies in the management of sudden sensorineural hearing loss: an evidence-based review. Clin Otolaryngol 40:176–182PubMed
22.
go back to reference Haynes DS, O'Malley M, Cohen S, Watford K, Labadie RF (2007) Intratympanic dexamethasone for sudden sensorineural hearing loss after failure of systemic therapy. Laryngoscope 117:3–15PubMed Haynes DS, O'Malley M, Cohen S, Watford K, Labadie RF (2007) Intratympanic dexamethasone for sudden sensorineural hearing loss after failure of systemic therapy. Laryngoscope 117:3–15PubMed
23.
go back to reference Kitoh R et al (2017) Nationwide epidemiological survey of idiopathic sudden sensorineural hearing loss in Japan. Acta Otolaryngol 137:S8–S16PubMed Kitoh R et al (2017) Nationwide epidemiological survey of idiopathic sudden sensorineural hearing loss in Japan. Acta Otolaryngol 137:S8–S16PubMed
24.
go back to reference Umesawa M et al (2017) Relationships among drinking and smoking habits, history of diseases, body mass index and idiopathic sudden sensorineural hearing loss in Japanese patients. Acta Otolaryngol 137:S17–S23PubMed Umesawa M et al (2017) Relationships among drinking and smoking habits, history of diseases, body mass index and idiopathic sudden sensorineural hearing loss in Japanese patients. Acta Otolaryngol 137:S17–S23PubMed
25.
go back to reference Balde AI et al (2017) Safety analysis of laparoscopic endoscopic cooperative surgery versus endoscopic submucosal dissection for selected gastric gastrointestinal stromal tumors: a propensity score-matched study. Surg Endosc 31:843–851PubMed Balde AI et al (2017) Safety analysis of laparoscopic endoscopic cooperative surgery versus endoscopic submucosal dissection for selected gastric gastrointestinal stromal tumors: a propensity score-matched study. Surg Endosc 31:843–851PubMed
26.
go back to reference Balde AI et al (2017) Propensity score analysis of recurrence for neutrophil-to-lymphocyte ratio in colorectal cancer. J Surg Res 219:244–252PubMed Balde AI et al (2017) Propensity score analysis of recurrence for neutrophil-to-lymphocyte ratio in colorectal cancer. J Surg Res 219:244–252PubMed
28.
go back to reference Wyss R, Girman CJ, LoCasale RJ, Brookhart AM, Sturmer T (2013) Variable selection for propensity score models when estimating treatment effects on multiple outcomes: a simulation study. Pharmacoepidemiol Drug Saf 22:77–85PubMed Wyss R, Girman CJ, LoCasale RJ, Brookhart AM, Sturmer T (2013) Variable selection for propensity score models when estimating treatment effects on multiple outcomes: a simulation study. Pharmacoepidemiol Drug Saf 22:77–85PubMed
29.
go back to reference Merchant SN, Durand ML, Adams JC (2008) Sudden deafness: is it viral? ORL 70:52–60 (discussion 60–52) PubMed Merchant SN, Durand ML, Adams JC (2008) Sudden deafness: is it viral? ORL 70:52–60 (discussion 60–52) PubMed
30.
go back to reference Garcia-Berrocal JR et al (2005) Immunologic work-up study for inner ear disorders: looking for a rational strategy. Acta Otolaryngol 125:814–818PubMed Garcia-Berrocal JR et al (2005) Immunologic work-up study for inner ear disorders: looking for a rational strategy. Acta Otolaryngol 125:814–818PubMed
31.
go back to reference Toubi E et al (2004) Immune-mediated disorders associated with idiopathic sudden sensorineural hearing loss. Ann Otol Rhinol Laryngol 113:445–449PubMed Toubi E et al (2004) Immune-mediated disorders associated with idiopathic sudden sensorineural hearing loss. Ann Otol Rhinol Laryngol 113:445–449PubMed
32.
go back to reference Seidman MD, Quirk WS, Shirwany NA (1999) Mechanisms of alterations in the microcirculation of the cochlea. Ann N Y Acad Sci 884:226–232PubMed Seidman MD, Quirk WS, Shirwany NA (1999) Mechanisms of alterations in the microcirculation of the cochlea. Ann N Y Acad Sci 884:226–232PubMed
33.
go back to reference Goodhill V (1971) Sudden deafness and round window rupture. Laryngoscope 81:1462–1474PubMed Goodhill V (1971) Sudden deafness and round window rupture. Laryngoscope 81:1462–1474PubMed
34.
go back to reference 2nd Pullen FW (1972) Round window membrane rupture: a cause of sudden deafness. Trans Am Acad Ophthalmol Otolaryngol 76:1444–1450PubMed 2nd Pullen FW (1972) Round window membrane rupture: a cause of sudden deafness. Trans Am Acad Ophthalmol Otolaryngol 76:1444–1450PubMed
35.
go back to reference Maier W, Fradis M, Kimpel S, Schipper J, Laszig R (2008) Results of exploratory tympanotomy following sudden unilateral deafness and its effects on hearing restoration. Ear Nose Throat J 87:438–451PubMed Maier W, Fradis M, Kimpel S, Schipper J, Laszig R (2008) Results of exploratory tympanotomy following sudden unilateral deafness and its effects on hearing restoration. Ear Nose Throat J 87:438–451PubMed
36.
go back to reference Masuda M et al (2012) Correlations of inflammatory biomarkers with the onset and prognosis of idiopathic sudden sensorineural hearing loss. Otol neurotol 33:1142–1150PubMed Masuda M et al (2012) Correlations of inflammatory biomarkers with the onset and prognosis of idiopathic sudden sensorineural hearing loss. Otol neurotol 33:1142–1150PubMed
37.
go back to reference Fujioka M et al (2006) Proinflammatory cytokines expression in noise-induced damaged cochlea. J Neurosci Res 83:575–583PubMed Fujioka M et al (2006) Proinflammatory cytokines expression in noise-induced damaged cochlea. J Neurosci Res 83:575–583PubMed
38.
go back to reference Papa A et al (2008) Predictive value of elevated neutrophil-lymphocyte ratio on cardiac mortality in patients with stable coronary artery disease. Clin Chim Acta Int J Clin Chem 395:27–31 Papa A et al (2008) Predictive value of elevated neutrophil-lymphocyte ratio on cardiac mortality in patients with stable coronary artery disease. Clin Chim Acta Int J Clin Chem 395:27–31
39.
go back to reference Kuyumcu ME et al (2012) The evaluation of neutrophil-lymphocyte ratio in Alzheimer's disease. Dement Geriatr Cogn Disord 34:69–74PubMed Kuyumcu ME et al (2012) The evaluation of neutrophil-lymphocyte ratio in Alzheimer's disease. Dement Geriatr Cogn Disord 34:69–74PubMed
40.
go back to reference Chen TM, Lin CC, Huang PT, Wen CF (2012) Neutrophil-to-lymphocyte ratio associated with mortality in early hepatocellular carcinoma patients after radiofrequency ablation. J Gastroenterol Hepatol 27:553–561PubMed Chen TM, Lin CC, Huang PT, Wen CF (2012) Neutrophil-to-lymphocyte ratio associated with mortality in early hepatocellular carcinoma patients after radiofrequency ablation. J Gastroenterol Hepatol 27:553–561PubMed
41.
go back to reference Sertoglu E, Kayadibi H, Uyanik M (2015) Comment on "Neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio: novel markers for diagnosis and prognosis in patients with idiopathic sudden sensorineural hearing loss". Dis Markers 2015:745879PubMedPubMedCentral Sertoglu E, Kayadibi H, Uyanik M (2015) Comment on "Neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio: novel markers for diagnosis and prognosis in patients with idiopathic sudden sensorineural hearing loss". Dis Markers 2015:745879PubMedPubMedCentral
Metadata
Title
Investigation of the prognostic role of neutrophil-to-lymphocyte ratio in Idiopathic Sudden Sensorineural Hearing Loss based on propensity score matching: a retrospective observational study
Authors
Shiyuan Wu
Zaizai Cao
Fangling Shi
Bobei Chen
Publication date
01-07-2020
Publisher
Springer Berlin Heidelberg
Keyword
Tinnitus
Published in
European Archives of Oto-Rhino-Laryngology / Issue 7/2020
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-020-05905-z

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