2022, Number 2
<< Back Next >>
Rev Cubana Med Gen Integr 2022; 38 (2)
Effects of tinnitus on the quality of life and its associated factors in adult patients
Marín MD, Soto A
Language: Spanish
References: 30
Page:
PDF size: 444.16 Kb.
ABSTRACT
Introduction:
Tinnitus is a highly prevalent condition that can affect the quality of life of patients.
Objective:
To assess the quality of life and its associated factors in adult patients with tinnitus.
Methods:
Cross-sectional and analytical study carried out with a population that included adult patients with tinnitus symptoms attended in the otorhinolaryngology service of a reference hospital in Lima, Peru. The effect of tinnitus on quality of life was measured using the Tinnitus Handicap Inventory.
Results:
The study included 151 patients with tinnitus: 31.2 % were male and the mean age was 66 years, while 17.2 % and 23.1 % of patients with tinnitus had a history of depressive disorders and anxiety disorders, respectively. Of tinnitus patients, 85.4% and 62.2% had hearing loss and headache, respectively. The Tinnitus Handicap Inventory showed a median value of 26 (interquartile: 8-50), a minimum value of 0, and a maximum value of 100. Of the patients, 101 (66.8 %) had mild to moderate disability due to tinnitus, while 50 (33 %) had moderate to severe disability. In multivariate analysis, anxiety (OR=2.59; 95 % CI: 1.14-5.9; P= 0.02), hearing loss (OR= 12.9; 95 % CI: 1.65-102.1; P= 0.01) and headache (OR= 2.61; 95 % CI 1.18-5.8; p= 0.01) were found to be associated with moderate to severe disability due to tinnitus.
Conclusions:
Adult patients with tinnitus frequently had moderate to severe impairment of their quality of life. Factors associated with moderate to severe disability due to tinnitus were anxiety, headache, and hearing loss.
REFERENCES
Shargorodsky J, Curhan G, Farwell W. Prevalence and characteristics of tinnitus among US adults. Am J Med. 2010 [acceso: 11/11/2018];123:711-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/20670725/1.
Young S, Ju J, Hyung J, Sung E, Won S, Nae S. Comparison of tinnitus and psychological aspects between the younger and older adult patients with tinnitus. Auris Nasus Larynx. 2017 [acceso: 11/11/2018];44:147-51. Disponible en: https://pubmed.ncbi.nlm.nih.gov/271320672.
Langguth B, Kreuzer P, Kleinjung T, Ridder D. Tinnitus: causes and clinical management. Lancet Neurol. 2013 [acceso: 11/11/2018];12:920-30. Disponible en: https://pubmed.ncbi.nlm.nih.gov/23948178/3.
Baguley D, Mcferran D, Hall D. Tinnitus. Lancet. 2013 [acceso: 11/11/2018];382:1600-7. Disponible en: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)60142-7/fulltext4.
Macedo L, Ramos A, Pereira E. Characterization of tinnitus in the elderly and its posible related disorders. Braz J Otorhinolaryngol. 2009 [acceso: 11/12/2018];75:249-55. Disponible en: https://www.sciencedirect.com/science/article/pii/S18088694153078625.
Ho K, Hwan S, Won J, Yi H, Yup K, Seok Y. Prevalence and Associated Factors of Tinnitus: Data From the Korean National Health and Nutrition Examination Survey 2009-2011. J Epidemiol. 2014 [acceso: 11/12/2018];24:417-26. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4150014/6.
Mahboubi H, Oliaei S, Kiumehr S, Dwabe S, Djalilian HR. The prevalence and characteristics of tinnitus in the youth population of the United States. Laryngoscope. 2013 [acceso: 11/12/2018];123:2001-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/23606449/7.
Tunkel D, Bauer C, Sun G, Rosenfeld R, Chandrasekhar S, Cunningham E, et al. Clinical Practice Guideline: Tinnitus. Otolaryngol Head Neck Surg. 2014 [acceso: 11/12/2018]; 151: S1-40. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25273878/8.
Stouffer J, Tyler R. Characterization of tinnitus by tinnitus patients. J Speech Hear Disord. 1990 [acceso: 11/12/2018];55:439-53. Disponible en: https://pubmed.ncbi.nlm.nih.gov/2381186/9.
Hérbert S, Fournier P. Clinical Validation of a New Tinnitus Assessment Technology. Front Neurol. 2017 [acceso: 11/12/2018];8:1-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28270792/10.
Teixeira AR, Rosito LP, Gonçalves AK, Nunes MG, Dornelles S, Olchik MR. Tinnitus in Elderly Individuals: Discomfort and Impact in the Quality of Life. Int Arch Otorhinolaryngol. 2017 [acceso: 03/02/2019];21:66-71. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28050210/11.
Park R, Moon J. Prevalence and risk factors of tinnitus: The Korean National Health and Nutrition Examination Survey 2010-2011, a cross-sectional study. Clin. Otolaryngol. 2014 [acceso: 03/02/2019];39:89-94. Disponible en: https://pubmed.ncbi.nlm.nih.gov/24612912/12.
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 [acceso: 03/02/2019];20:271-6. Disponible en: https://pubmed.ncbi.nlm.nih.gov/20501961/13.
Peña A. Evaluación de la incapacidad provocada por el tinnitus: homologación lingüística nacional del Tinnitus Handicap Inventory (THI). Rev. Otorrinolaringol. Cir. Cabeza Cuello 2006 [acceso: 03/02/2019];66:232-35. Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-4816200600030000914.
Der C, Alzérreca E, San Martín J, Román L, Zamorano I, Malhue J, et al. National linguistic validation of the Tinnitus Handicap Inventory (THI). Assessment of disability caused by tinnitus in chilean Spanish-speaking population. Int Tinnitus J. 2012 [acceso: 03/02/2019];17:148-51. Disponible en: https://pubmed.ncbi.nlm.nih.gov/24333886/15.
Alves P, Cunha F, Tsuneo E, Alves F, Freitas F. Tinnitus hándicap inventory: cross-cultural adaptation to Brazilian Portuguese. Pro Fono; 2005 [acceso: 03/02/2019];17:303-10. Disponible en: https://pubmed.ncbi.nlm.nih.gov/16389787/16.
Herráiz C, Hernández J, Plaza G, Tapia M, De los Santos G. Evaluación de la incapacidad en pacientes con acúfenos. Acta Otorrinolaringol Esp. 2001 [acceso: 03/02/2019];52:534-38. Disponible en: https://www.elsevier.es/es-revista-acta-otorrinolaringologica-espanola-102-articulo-evaluacion-incapacidad-pacientes-con-acufenos-S000165190178247717.
Newman C, Jacobson G, Spitzer J. Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg. 1996 [acceso: 03/02/2019];122:143-8. Disponible em: https://pubmed.ncbi.nlm.nih.gov/8630207/18.
Ukaegbe O, Orji F, Ezeanolue B, Akpeh J, Okorafor L. Tinnitus and its Effect on the Quality of Life of Sufferers: A Nigerian Cohort Study. Otolaryngology Head Neck Surg. 2017 [acceso: 23/05/2019];157:690-95. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28695761/19.
Moreira A, Facco C, Simone B, Cristoff K, Stechman J, Ribas V. The impact of tinnitus on the quality of life in patient with temporomandibular dysfunction. Int Tinnitus J. 2016 [acceso: 23/05/2019];20(1):24-30. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27488990/20.
Degeest S, Corthals P, Dhooge I, Keppler H. The impact of tinnitus characteristics and associated variables on tinnitus-related handicap. J Laryngol Otol. 2016 [acceso: 23/05/2019];130(1):25-31. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26584711/21.
Barake R, Abou S, Ziade G, Zaytoun G, Bassim M. Adaptation of the Arabic Version of the Tinnitus Handicap Inventory. Otolaryngol Head Neck Surg. 2016 [acceso: 23/05/2019];154(3):508-12. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26671903/22.
House L, Bishop C, Spankovich C, Su D, Valle K, Schweinfurth J. Tinnitus and its risk factors in African Americans: The Jackson Heart Study. Laryngoscope. 2018 [acceso: 23/05/2019];128(7):1668-75. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29193110/23.
Declaración de Helsinski de la AMM-Principios éticos para las investigaciones médicas en seres humanos. 2013 [acceso: 15/03/2022]. Disponible en: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/24.
Aazh H, Lammaing K, Moore B. Factors related to tinnitus and hyperacusis hándicap in older people. Int J Audiol. 2017 [acceso: 23/05/2019];56:677-84. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28625091/25.
Sunilkumar I. Prevalence of and risk factors for tinnitus and tinnitus-related handicap in a College-Aged population. Ear & Hearing. 2017 [acceso: 23/05/2019];20:1-10. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29068861/26.
Hu J, Xu J, Streelman M, Xu H, Guthrie O. The Correlation of the Tinnitus Handicap Inventory with Depression and Anxiety in Veterans with Tinnitus. Int J Otolaryngol. 2015 [acceso: 23/09/2019];1-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26697070/27.
Yang H, Cai Y, Guo H, Xiong H, Sun Y, Huang X, et al. Prevalence and factors associated with tinnitus: data from adult residents in Guangdong province, South of China. Int J Audiol. 2018 [acceso: 23/09/2019];57:1-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30261769/28.
Guichard E, Montagni I, Tzourio C, Kurth T. Association Between Headaches and Tinnitus in Young Adults: Cross-Sectional Study. Headache. 2016 [acceso: 23/09/2019];56:987-94. Disponible en: https://headachejournal.onlinelibrary.wiley.com/doi/abs/10.1111/head.1284529.
Kim H, Lee H, An S, Sim S, Park B, Kim S, et al. Analysis of the Prevalence and Associated Risk Factors of Tinnitus in Adults. PLoS ONE. 2015 [acceso: 23/05/2019];10:1-15. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4447366/30.