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The Prevalence of Hearing Loss in Dialysis Patients

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Background: To define the prevalence of hearing loss in advanced stage chronic kidney disease (CKD) patients that undergo peritoneal dialysis or hemodialysis and to investigate the correlation of hearing loss to serum levels of urea and creatinine.

Methods: The prevalence of hearing loss was investigated in 79 CKD patients that undergo dialysis (hemo- or peritoneal) in comparison to 40 healthy controls. The participants were classified into three groups: Group 1 consisted of peritoneal dialysis patients, Group 2 was comprised of hemodialysis patients and Group 3 was the control group. Evaluation of hearing was performed using pure tone audiometry, while serum levels of urea and creatinine before and after the dialysis procedure were compared between the three groups and correlated to the degree of hearing loss.

Results: Number and percentage of cases affected by the bilateral, sensorineural hearing loss that is obvious at high frequencies were 9 (21.9%) in group 1; 16 (42.1%) in group 2; and 1 (2.5%) in group 3. Serum urea and creatinine levels were higher in Group 2 compared to Group 1 (p = 0.00). Hearing levels in terms of air and bone conduction thresholds were significantly worse in Group 2 (p = 0.00). Conclusion: Sensorineural hearing loss occurs more frequently in CKD patients that require dialysis than in normal controls, and hemodialysis patients are more likely to be affected than the peritoneal dialysis patients. Hearing levels must be closely monitored in dialysis patients.
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Document Type: Research Article

Publication date: September 1, 2012

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  • Acta Acustica united with Acustica, published together with the European Acoustics Association (EAA), is an international, peer-reviewed journal on acoustics. It publishes original articles on all subjects in the field of acoustics, such as general linear acoustics, nonlinear acoustics, macrosonics, flow acoustics, atmospheric sound, underwater sound, ultrasonics, physical acoustics, structural acoustics, noise control, active control, environmental noise, building acoustics, room acoustics, acoustic materials, acoustic signal processing, computational and numerical acoustics, hearing, audiology and psychoacoustics, speech, musical acoustics, electroacoustics, auditory quality of systems. It reports on original scientific research in acoustics and on engineering applications. The journal considers scientific papers, technical and applied papers, book reviews, short communications, doctoral thesis abstracts, etc. In irregular intervals also special issues and review articles are published.
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