Clinical and sociodemographic characteristics of patients with tinnitus at specialized unit in Medellín

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Andrea Moreno T
Nathalie Cristina Arboleda Villa
Damian Martinez S
Margarita Schwarz L
Dandis J Mendoza C
Alejandra Garrido A

Abstract

Introduction: Taking into account the impact of tinnitus on the quality of life, this study seeks to describe the characteristics of this specific population.


Objective: This study aimed to describe the sociodemographic and clinical characteristics of patients diagnosed with tinnitus attending a clinic in Medellin, Colombia.


Methods:  Study of patients referred to Otorhinolaryngology and Otology Specialist Center (ORLANT clinic) in Medellin in one year. Determining variables as socio-demographics and medical history.


Results: 61 patients were assessed. 59% were male, with a mean age of 52.5 years. The median time of symptoms was 24 months. The results associated with tinnitus features were: 54.1% had symptoms referable to both ears and 78.7% reported high pitch noise. According to THI, 59% of patients described moderately distressing tinnitus. 67,2% reported spinning sensation and 80.3% imbalance or instability. As to comorbidities: 23% of the population had high blood pressure, only 5 patients received ototoxic drugs and 21.3% had a diagnosis of a psychiatric disorder. 34.4% had chronic noise exposure and 8.2% sudden hearing loss. as for associations with audiometry findings: 65.5% had a previous diagnosis of hearing loss, 52.5% in both ears, 54.1% had sensorineural type.


Conclusion: The most common characteristics of tinnitus were bilateral presentation, duration greater than 3 months, high pitch noise and moderate intensity. Finding similar characteristics to those described in other populations.


Clinical relevance: Understanding the peculiarities of patients with tinnitus make an approach to propose specifically targeted prevention and treatment measures.

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How to Cite
1.
Moreno T A, Arboleda Villa NC, Martinez S D, Schwarz L M, Mendoza C DJ, Garrido A A. Clinical and sociodemographic characteristics of patients with tinnitus at specialized unit in Medellín. Acta otorrinolaringol cir cabeza cuello [Internet]. 2021Jul.2 [cited 2024Jul.3];49(2):105 - 111. Available from: https://revista.acorl.org.co/index.php/acorl/article/view/537
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References

Baguley D, McFerran D, Hall D. Tinnitus. Lancet. 2013;382(9904):1600-7. doi: 10.1016/S0140-6736(13)60142-7

Jastreboff PJ. Phantom auditory perception (tinnitus): mechanisms of generation and perception. Neurosci Res. 1990;8(4):221-54. doi: 10.1016/0168-0102(90)90031-9

Tunkel DE, Bauer CA, Sun GH, Rosenfeld RM, Chandrasekhar SS, Cunningham ER Jr, et al. Clinical practice guideline: tinnitus.Otolaryngol Head Neck Surg. 2014;151(2 Suppl):S1-S40. doi:10.1177/0194599814545325

Langguth B, Kreuzer PM, Kleinjung T, De Ridder D.Tinnitus: causes and clinical management. Lancet Neurol. 2013;12(9):920-930. doi: 10.1016/S1474-4422(13)70160-1

Heller AJ. Classification and epidemiology of tinnitus.Otolaryngol Clin North Am. 2003;36(2):239-48. doi: 10.1016/s0030-6665(02)00160-3

Gibrin PCD, Melo JJ, Marchiori LL de M. Prevalência de queixa de zumbido e prováveis associações com perda auditiva, diabetes mellitus e hipertensão arterial em pessoas idosas.

CoDAS. 2013;25(2):176–80.

Oiticica J, Bittar RS. Tinnitus prevalence in the city of São Paulo. Braz J Otorhinolaryngol. 2015;81(2):167-76. doi:10.1016/j.bjorl.2014.12.004

Folmer RL, Griest SE. Tinnitus and insomnia. Am J Otolaryngol. 2000;21(5):287-93. doi: 10.1053/ajot.2000.9871

McCormack A, Edmondson-Jones M, Somerset S, Hall D.A systematic review of the reporting of tinnitus prevalence and severity. Hear Res. 2016;337:70-9. doi: 10.1016/j.heares.2016.05.009

Michikawa T, Nishiwaki Y, Kikuchi Y, Saito H, Mizutari K, Okamoto M, et al. Prevalence and factors associated with tinnitus: a community-based study of Japanese elders. J Epidemiol. 2010;20(4):271-6. doi: 10.2188/jea.je20090121

Baigi A, Oden A, Almlid-Larsen V, Barrenäs ML, Holgers KM. Tinnitus in the general population with a focus on noise and stress: a public health study. Ear Hear. 2011;32(6):787-9. doi:10.1097/AUD.0b013e31822229bd 12. Shargorodsky J, Curhan GC, Farwell WR. Prevalence and characteristics of tinnitus among US adults. Am J Med. 2010;123(8):711-8. doi: 10.1016/j.amjmed.2010.02.015

Hall DA, Láinez MJ, Newman CW, Sanchez TG, Egler M,Tennigkeit F, et al. Treatment options for subjective tinnitus: self reports from a sample of general practitioners and ENT physicians within Europe and the USA. BMC Health Serv Res. 2011;11:302. doi: 10.1186/1472-6963-11-302

Sindhusake D, Golding M, Newall P, Rubin G, Jakobsen K, Mitchell P. Risk factors for tinnitus in a population of older adults: the blue mountains hearing study. Ear Hear. 2003;24(6):501-7. doi: 10.1097/01.AUD.0000100204.08771.3D

Sindhusake D, Golding M, Wigney D, Newall P, Jakobsen K,Mitchell P. Factors predicting severity of tinnitus: a populationbased assessment. J Am Acad Audiol. 2004;15(4):269-80. doi:

3766/jaaa.15.4.2

Ferreira LM, Ramos Júnior AN, Mendes EP. Characterization of tinnitus in the elderly and its possible related disorders. Braz J Otorhinolaryngol. 2009;75(2):249-55. doi: 10.1016/s1808-

(15)30786-2

Peña Martínez A. Evaluación de la incapacidad provocada por el tinnitus: homologación lingüística nacional del

Tinnitus Handicap Inventory (THI). Rev. Otorrinolaringol. Cir. Cabeza Cuello. 2006;66(3):232-35. doi: 10.4067/S0718-

Dottor Dotor LL, Álvarez Santos LN, Rivera Tello JC, Rodríguez Jiménez YM. Aplicación del inventario de

discapacidad del tinnitus en usuarios de IPS en Bucaramanga. Rev Colomb Rehabil. 2017;13(1):118-23. doi: 10.30788/

RevColReh.v13.n1.2014.37

Job A, Cardinal F, Michel H, Klein C, Ressiot E, Gauthier J. Tinnitus and Associated Handicaps in the French Mountain

Artillery: Assessment by the Tinnitus Handicap Inventory. Mil Med. 2018;183(9-10):e302-e306. doi: 10.1093/milmed/usy042

Skarzynski PH, Rajchel JJ, Gos E, Dziendziel B, KutybaJ, Bienkowska K, et al. A revised grading system for

the Tinnitus Handicap Inventory based on a large clinical population. Int J Audiol. 2020;59(1):61-67. doi:

1080/14992027.2019.1664778