Sensorineural hearing loss and risk of stroke: a systematic review and meta-analysis

Abstract The aim of this systematic review and meta-analysis study was to clarify the effects of sensorineural hearing loss (SNHL) on the incidence of stroke. In line with this, PubMed, Scopus, Web of Science, and ScienceDirect databases were searched using related keywords and MeSH terms from incep...

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Autores principales:	Masoud Khosravipour, Fatemeh Rajati
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/2fb927d5c0454e5fbdf8c5c6e59384db
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spelling	oai:doaj.org-article:2fb927d5c0454e5fbdf8c5c6e59384db2021-12-02T14:42:01ZSensorineural hearing loss and risk of stroke: a systematic review and meta-analysis10.1038/s41598-021-89695-22045-2322https://doaj.org/article/2fb927d5c0454e5fbdf8c5c6e59384db2021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-89695-2https://doaj.org/toc/2045-2322Abstract The aim of this systematic review and meta-analysis study was to clarify the effects of sensorineural hearing loss (SNHL) on the incidence of stroke. In line with this, PubMed, Scopus, Web of Science, and ScienceDirect databases were searched using related keywords and MeSH terms from inception to March 1, 2020. Out of the 1961 initial records, eight cohort studies comprising 4,564,202 participants were included, and their qualities were assessed using the Newcastle-Ottawa Scale (NOS). Then, the random-effects model was used to pool HR (95% CI) for risk of stroke; and heterogeneity was presented with I2 index. Subgroup analysis and publication bias tests were performed, and the pooled HR (95% CI) of stroke in SNHL was estimated as 1.31 (1.08, 1.53) for the unadjusted model and 1.33 (1.18, 1.49) for the adjusted model. Subgroup analysis indicates a significantly higher risk of stroke in patients with sudden SNHL (SSNHL) in comparison to age-related HL (ARHL) both in the unadjusted model, [HR = 1.46; 95% CI (1.08, 1.63)] versus [HR = 1.14; 95% CI (0.64, 1.65)], and in the adjusted model, [HR = 1.44; 95% CI (1.15, 1.74)] versus [HR = 1.29; 95% CI (1.24, 1.34)]. Our study showed that patients with SNHL face a higher risk of stroke than those without SNHL. It is necessary to perform hematologic and neurological examinations to help clinicians detect patients who are potentially at risk for stroke.Masoud KhosravipourFatemeh RajatiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Masoud Khosravipour Fatemeh Rajati Sensorineural hearing loss and risk of stroke: a systematic review and meta-analysis
description	Abstract The aim of this systematic review and meta-analysis study was to clarify the effects of sensorineural hearing loss (SNHL) on the incidence of stroke. In line with this, PubMed, Scopus, Web of Science, and ScienceDirect databases were searched using related keywords and MeSH terms from inception to March 1, 2020. Out of the 1961 initial records, eight cohort studies comprising 4,564,202 participants were included, and their qualities were assessed using the Newcastle-Ottawa Scale (NOS). Then, the random-effects model was used to pool HR (95% CI) for risk of stroke; and heterogeneity was presented with I2 index. Subgroup analysis and publication bias tests were performed, and the pooled HR (95% CI) of stroke in SNHL was estimated as 1.31 (1.08, 1.53) for the unadjusted model and 1.33 (1.18, 1.49) for the adjusted model. Subgroup analysis indicates a significantly higher risk of stroke in patients with sudden SNHL (SSNHL) in comparison to age-related HL (ARHL) both in the unadjusted model, [HR = 1.46; 95% CI (1.08, 1.63)] versus [HR = 1.14; 95% CI (0.64, 1.65)], and in the adjusted model, [HR = 1.44; 95% CI (1.15, 1.74)] versus [HR = 1.29; 95% CI (1.24, 1.34)]. Our study showed that patients with SNHL face a higher risk of stroke than those without SNHL. It is necessary to perform hematologic and neurological examinations to help clinicians detect patients who are potentially at risk for stroke.
format	article
author	Masoud Khosravipour Fatemeh Rajati
author_facet	Masoud Khosravipour Fatemeh Rajati
author_sort	Masoud Khosravipour
title	Sensorineural hearing loss and risk of stroke: a systematic review and meta-analysis
title_short	Sensorineural hearing loss and risk of stroke: a systematic review and meta-analysis
title_full	Sensorineural hearing loss and risk of stroke: a systematic review and meta-analysis
title_fullStr	Sensorineural hearing loss and risk of stroke: a systematic review and meta-analysis
title_full_unstemmed	Sensorineural hearing loss and risk of stroke: a systematic review and meta-analysis
title_sort	sensorineural hearing loss and risk of stroke: a systematic review and meta-analysis
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/2fb927d5c0454e5fbdf8c5c6e59384db
work_keys_str_mv	AT masoudkhosravipour sensorineuralhearinglossandriskofstrokeasystematicreviewandmetaanalysis AT fatemehrajati sensorineuralhearinglossandriskofstrokeasystematicreviewandmetaanalysis
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Sensorineural hearing loss and risk of stroke: a systematic review and meta-analysis

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