Comparison in clinical characteristics of sudden sensorineural hearing loss between patients with and without COVID-19
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    Abstract:

    Objective To explore the differences in clinical characteristics of sudden sensorineural hearing loss (SSNHL) between patients with coronavirus disease 2019 (COVID-19) and those without-COVID-19. Methods 31 SSNHL patients with COVID-19 who were hospitalized in a department during the COVID-19 epidemic period (from December 2022 to January 2023) were included as the study group, and 12 SSNHL patients without COVID-19 who received treatment during the non-COVID-19 epidemic period (from December 2021 to January 2022) were co-llected as the control group. Two groups of patients received standardized treatment, and their clinical characteristics and prognosis were compared. Clinical characteristics of SSNHL patients with COVID-19 during the COVID-19 epidemic period were analyzed. Results The time interval from patients developed COVID-19 to the onset of SSNHL in the study group was 3-30 days. The time interval from onset to consultation were 3 (1, 7) days and 5 (4, 6) days in the study group and the control group, respectively, with no significant difference (P>0.05). The average age of patients in the study group was (44.16±13.54) years, which was higher than that of the control group (35.23±9.24) years, and the difference was statistically significant (P<0.05). The hearing at damaged frequency of the study group improved by 6.5 (0.5, 24.5) dB after therapy, which was lower than that of the control group (36.0 [27.0, 38.0]dB), with statistically significant difference (P<0.05). There was a negative correlation of the interval of consultation with the average improvement level of hearing at damaged frequency (r=-0.318, P=0.033). The longer the interval, the less the hearing improvement and the worse the therapeutic effect. Correlation analysis was further conducted on the time interval from development of COVID-19 to SSNHL onset and the time interval of consultation in patients in the study group, which showed no correlation (r=-0.337, P=0.059). There was no statistically significant difference in the types and degree of SSNHL between two groups of patients (both P>0.05). After standardized treatment, the rate of ineffective patients in the study group was 56.25%, which was higher than that in the control group (15.38%), and the difference was statistically significant (P<0.05). Conclusion After adjusting the COVID-19 prevention and control policies, there are more hospitalized COVID-19 patients with SSNHL, with a higher proportion in patients of older age, with poorer efficacy, and ineffective treatment. The earlier the treatment for SSNHL patients, the better the effect can achieve. COVID-19 may be a potential inducement and/or etiological factor of SSNHL, and further research is needed.

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邓原,穆念念,周延贞,等. COVID-19突发性聋与非COVID-19突发性聋患者的临床特征比较[J].中国感染控制杂志英文版,2025,24(6):815-822. DOI:10.12138/j. issn.1671-9638.20256920.
DENG Yuan, MU Niannian, ZHOU Yanzhen, et al. Comparison in clinical characteristics of sudden sensorineural hearing loss between patients with and without COVID-19[J]. Chin J Infect Control, 2025,24(6):815-822. DOI:10.12138/j. issn.1671-9638.20256920.

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  • Received:August 27,2024
  • Revised:
  • Adopted:
  • Online: June 24,2025
  • Published: June 28,2025