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Hearing function and chronic renal failure

D W Johnson, R H Mathog

    The Annals of Otology, Rhinology, and Laryngology
    |January 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Patients with chronic renal failure undergoing hemodialysis often experience high-frequency hearing loss. This auditory deficit can appear early and may be unrelated to dialysis-related physiological changes or lipid levels.

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    Area of Science:

    • Nephrology
    • Audiology
    • Otolaryngology

    Background:

    • Chronic renal failure (CRF) affects multiple organ systems.
    • Hearing impairment is a potential complication in patients with CRF.
    • The audiological profile in CRF patients requires further investigation.

    Purpose of the Study:

    • To assess the prevalence and characteristics of hearing loss in patients with CRF.
    • To investigate the relationship between hearing deficits and hemodialysis parameters.
    • To explore potential etiological factors for hearing loss in this population.

    Main Methods:

    • Audiometric evaluation of hearing threshold levels in 61 patients undergoing chronic hemodialysis.
    • Age and sex adjustments for hearing threshold data.

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  • Monitoring of transient hearing fluctuations during dialysis events.
  • Analysis of correlations with biochemical markers (Na, K, Ca, BUN, creatinine, glucose), blood pressure, weight, and lipid profiles (triglycerides, cholesterol).

    • Main Results:

    • A significant high-frequency hearing deficit was observed in patients with CRF.
    • Hearing loss was noted early in the course of hemodialysis for some patients.
    • Transient hearing fluctuations occurred during dialysis but were not linked to measured physiological or biochemical changes.
    • No significant association was found between hearing loss and triglyceride or cholesterol levels.

    Conclusions:

    • Chronic hemodialysis is associated with a high-frequency hearing deficit in patients with chronic renal failure.
    • The auditory loss appears early and its etiology may be multifactorial, extending beyond dialysis-related factors or hyperlipidemia.