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Updated: Jan 18, 2026
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Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
Published on: January 25, 2016
19.8K
SCORE 2 and SCORE 2-OP Risk Scales as Prognostic Factors After Sudden Idiopathic Hearing Loss
Mehmet Ali Say1, Fahri Çakan2, Volkan Bilge Yiğit3
1Faculty of Medicine, Department of Otorhinolaryngology, Yalova University, Yalova, Turkey.
Summary
Cardiovascular risk scores, specifically the Green risk category from SCORE 2 and SCORE 2-OP, predict hearing recovery in sudden sensorineural hearing loss (SSHL). Lower risk is linked to better outcomes, guiding clinical treatment intensity.
Area of Science:
- Cardiology
- Otolaryngology
- Public Health
Background:
- Sudden sensorineural hearing loss (SSHL) is an otologic emergency with variable recovery rates.
- Predictive factors for SSHL recovery are crucial for guiding treatment strategies.
- Cardiovascular disease (CVD) risk scores have not been extensively evaluated as prognostic indicators for SSHL.
Purpose of the Study:
- To assess the utility of the Systematic Coronary Risk Estimation 2 (SCORE 2) and SCORE 2-Older Persons (SCORE 2-OP) risk scales as prognostic factors for SSHL.
- To determine if cardiovascular risk stratification can predict hearing recovery in patients with SSHL.
Main Methods:
- A prospective observational study was conducted involving 62 patients diagnosed with SSHL.
- SCORE 2 and SCORE 2-OP risks were calculated, categorizing patients into Green (low-moderate) and Non-Green (high/very high) risk groups.
- Hearing recovery was assessed by changes in pure-tone average (PTA); statistical analyses included logistic regression and ROC curve analysis.
Main Results:
- Patients with complete hearing recovery were significantly more likely to have a Green SCORE risk classification (63.6%) compared to those with incomplete recovery (32.5%, p=0.018).
- Green SCORE classification and lower pre-treatment PTA were independently associated with better recovery outcomes.
- Multivariate analysis confirmed Green SCORE as an independent predictor of complete recovery (OR=4.052, p=0.023).
Conclusions:
- The SCORE 2 and SCORE 2-OP cardiovascular risk scores, particularly the Green risk category, are valuable predictors of hearing recovery in SSHL.
- This finding can guide clinicians in adjusting treatment intensity or exploring adjunctive therapies for high-risk SSHL populations.
- Integrating cardiovascular risk assessment may improve prognostic accuracy for SSHL patients.
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