Vestibular dysfunction in adolescents and young adults after kidney transplant

Klagenberg, Karlin Fabianne; Zeigelboim, Bianca Simone; Liberalesso, Paulo Breno Noronha; Sylvestre, Lucimary de Castro; Marques, Jair Mendes; Carvalho, Hugo Amilton Santos de; Cardoso, Rafaella Cristyne

doi:10.5935/0946-5448.20130019

Cited by 4 publications

(3 citation statements)

References 11 publications

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“…It can also be associated with the noisy environment of the dialysis unit. Equally, another study recorded dizziness among 50.0% of CKD patients which supports the findings of this study 28…”

Section: Discussionsupporting

confidence: 91%

Hearing impairment among chronic kidney disease patients on haemodialysis at a tertiary hospital in Ghana

Boateng¹,

Boafo²,

Osafo³

et al. 2019

Ghana Medical Journal

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SummaryBackgroundChronic kidney disease is a major public health challenge, globally. Inadequate excretion of metabolic waste products by the kidneys results in circulation of these toxic materials in the body. This can cause damage to tissues and organ systems including the auditory system which can lead to hearing loss.AimThe study was aimed at determining the prevalence, degrees and types of hearing impairment among Chronic kidney disease patients on haemodialysis in Ghana.MethodsA case-control study involving 50 Chronic Kidney disease patients and 50 age and gender-matched control group was carried out at the Korle Bu Teaching Hospital (KBTH). A structured questionnaire was administered to obtain basic socio-demographic data and case history of the participants. Audiological assessment was performed using a test battery comprising otoscopy, tympanometry and pure tone audiometry in a soundproof booth.ResultsHigher hearing thresholds were recorded across all the frequencies tested among the case group than the control group (p < 0.05) in both ears. Only sensorineural hearing loss was identified among the cases. The prevalence of hearing loss was 32% among the case group and 12% among the control group. No significant association was observed between hearing loss and duration of Chronic kidney disease (p = 0.16), gender of Chronic kidney disease patient and hearing loss (p = 0.88), and duration of Chronic kidney disease and degree of hearing loss (p=0.31).ConclusionOur study showed that Chronic Kidney disease patients on haemodialysis are at higher risk of experiencing hearing loss.FundingNone declared

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Section: Discussionsupporting

confidence: 91%

Hearing impairment among chronic kidney disease patients on haemodialysis at a tertiary hospital in Ghana

Boateng¹,

Boafo²,

Osafo³

et al. 2019

Ghana Medical Journal

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“…Also, the short period of intervention has to be considered (12-weeks) as inefficient to promote changes in other systems associated to the postural control. Yet, it has also been suggested that although important in the performance of body balance, the lower-extremity force is not sufficient condition for the maintenance of balance (28).…”

Section: Discussionmentioning

confidence: 99%

Intradialytic exercise and postural control in patients with chronic kidney disease undergoing hemodialysis

et al. 2017

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Introduction: Exercise promotes physiological improvements that reflect better quality of life and survival among chronic kidney disease patients. However, little is known about the effect of exercise on postural control of hemodialysis patients. Objective: To evaluate the effect of intradialytic aerobic exercise on postural balance in patients on hemodialysis. Methods: a pilot study with seven individuals was conducted at the Hemodialysis Center of Bauru State Hospital. The Berg Balance Scale evaluated balance and postural balance was evaluated by the force platform Advance Mechanical Technology Inc. (AMTI -AccuGait). Trunk mean sway amplitude in the anterior-posterior (AP) and medial-lateral (ML) directions and mean velocity in the AP and ML directions were assessed. Secondary outcomes about functional capacity and body composition (DEXA) were evaluated. The aerobic exercise was performed with a ergometric bicycle during the first two hours of hemodialysis session for 50-60 minutes (BORG >12), three times a week for 12-weeks. Results: Four men and three women, 52.86 ± 11.08 years, participated in the study. There was no difference between pre and post-test of postural balance outcomes. Although the results were not statistically

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“…These include hypertension, diabetes, electrolytes derangement, the use of nephrotoxic and ototoxic drugs and haemodialysis (a treatment option for chronic kidney disease). [7][8][9] The role of haemodialysis in the causation of sensorineural hearing loss (SNHL) is controversial. 10,11 Some authors have reported reduction in hearing threshold after haemodialysis while others are of the opinion that there was no relation between the two.…”

Section: Introductionmentioning

confidence: 99%

Hearing threshold of patients with chronic kidney disease undergoing haemodialysis

Fufore

Kirfi

Salisu

et al. 2021

Int J Otorhinolaryngol Head Neck Surg

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Background: Chronic kidney disease (CKD) has been recognised as a serious public health issue due to its many associated complications, including hearing loss (HL). The study aimed to determine the hearing threshold of adult patients with CKD undergoing haemodialysis.Methods: This was a prospective, hospital-based study of patients with CKD undergoing haemodialysis in a tertiary hospital in Kaduna, carried out between December 2017 and November 2018. Ethical approval and informed consent were obtained. Data was analysed using SPSS version 20. Statistical analysis was with t test and Chi square and level of significance was set at p<0.05.Results: Thirty patients with CKD undergoing haemodialysis were age and sex matched with 30 controls (CKD patients not on dialysis). Mean age for subjects and controls were 44.6±14.3 and 41.7±12.5, respectively. Mean right ear pure tone average (PTAv) among subjects and the controls were 32.7±9.6 and 25.6±6.2, respectively. Mean left ear PTAv among subjects and controls were 33.3±9.7 and 25.8±6.2, respectively. Hearing loss was present in 73.3% and 41.7% among the subjects and controls respectively (p<0.001). Of the 22 ears of subjects that had ≤10 sessions of dialysis, 13 (59.1%) ears had HL and of the 38 ears that had >10 sessions of dialysis, 30 (78.9%) ears had HL. The difference between hearing threshold and sessions of dialysis was statistically significant (p=0.001).Conclusions: Hearing thresholds of CKD patients on dialysis was higher than those not on dialysis. Haemodialysis significantly affects the hearing thresholds of CKD patients.

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Vestibular dysfunction in adolescents and young adults after kidney transplant

Cited by 4 publications

References 11 publications

Hearing impairment among chronic kidney disease patients on haemodialysis at a tertiary hospital in Ghana

Hearing impairment among chronic kidney disease patients on haemodialysis at a tertiary hospital in Ghana

Intradialytic exercise and postural control in patients with chronic kidney disease undergoing hemodialysis

Hearing threshold of patients with chronic kidney disease undergoing haemodialysis

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