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The inner ear dysfunction in hemodialysis patients
The Tohoku Journal of Experimental Medicine
|December 1, 1981
Summary
Hemodialysis patients frequently experience hearing loss and vestibular dysfunction. However, inner ear issues in these patients were not correlated with common blood markers or disease progression during treatment.
Area of Science:
- Nephrology
- Audiology
- Otolaryngology
Background:
- Chronic kidney disease patients undergoing hemodialysis are at risk for sensorineural complications.
- Inner ear dysfunction, including hearing loss and vestibular impairment, can significantly impact quality of life.
Purpose of the Study:
- To investigate the prevalence of hearing and vestibular dysfunction in patients undergoing hemodialysis.
- To explore potential correlations between inner ear dysfunction and clinical parameters in hemodialysis patients.
Main Methods:
- Audiological and vestibular function tests were administered to 229 patients undergoing hemodialysis.
- Patient data including hematocrit, blood urea nitrogen, and serum creatinine levels were analyzed.
Main Results:
- Hearing impairment was detected in 137 patients (106 bilateral, 31 unilateral).
- Vestibular dysfunction was identified in 83 patients; 60 patients had both cochlear and vestibular impairment.
- No significant correlations were found between inner ear dysfunction and hematocrit, BUN, or serum creatinine levels.
- Hearing loss did not appear to worsen progressively during hemodialysis therapy.
Conclusions:
- Inner ear dysfunction is common in hemodialysis patients.
- The etiology of inner ear dysfunction in this population may not be directly linked to standard biochemical markers or disease progression during hemodialysis.