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Neurocognition of Aged Patients With Chronic Tinnitus: Focus on Mild Cognitive Impairment
- Source :
- Clinical and Experimental Otorhinolaryngology, Vol 13, Iss 1, Pp 8-14 (2020), Clinical and Experimental Otorhinolaryngology
- Publication Year :
- 2020
- Publisher :
- Korean Society of Otorhinolaryngology-Head and Neck Surgery, 2020.
-
Abstract
- Objectives. To investigate the neurocognition of aged patients with chronic tinnitus and reveal the possible association between tinnitus severity and cognitive function, with attention to mild cognitive impairment (MCI).Methods. Fifty-eight elderly patients (≥65 years old) with chronic tinnitus (≥6 months) were prospectively enrolled in this study. All patients assessed the neurocognitive batteries including the Korean version of the patient health questionnaire-9 (K-PHQ-9), the Lawton instrumental activities of daily living scale (K-IADL), and the Montreal cognitive assessment (MoCA-K). After initial evaluation to exclude moderate or severe cognitive impairment by a psychiatrist, the patients were classified into two groups: MCI and non-MCI, according to the MoCA-K scores (cutoff value, 22/23). All patients underwent audiological examinations including psychoacoustic tests of tinnitus.Results. Of 58 patients, 10 (17.2%) met the MCI criteria. The tinnitus handicap inventory (THI) score in the MCI group was significantly higher than that in the non-MCI group. Based on multivariate regression analysis, a significant association between tinnitus severity and MoCA-K score was also detected. Specifically, bothersome tinnitus (THI score ≥30) was closely linked to the presence of MCI. Meanwhile, the impact of MCI on both K-PHQ-9 and K-IADL scores was not evident in patients with chronic tinnitus.Conclusion. Tinnitus severity appears to be a potential independent determinant for predicting the MCI, suggesting the underlying mechanism between chronic tinnitus and cognitive deficit. Given that MCI highly links to dementia, the evaluation of cognitive functions in aged patients with chronic tinnitus need to be considered at the initial assessment of tinnitus.
- Subjects :
- medicine.medical_specialty
Activities of daily living
lcsh:Medicine
Audiology
behavioral disciplines and activities
03 medical and health sciences
0302 clinical medicine
mild cognitive impairment
mental disorders
medicine
otorhinolaryngologic diseases
Dementia
tinnitus
030223 otorhinolaryngology
Cognitive deficit
business.industry
lcsh:R
Montreal Cognitive Assessment
Cognition
montreal cognitive assessment
medicine.disease
lcsh:Otorhinolaryngology
lcsh:RF1-547
Aged patients
Otorhinolaryngology
Surgery
Original Article
medicine.symptom
business
Neurocognitive
human activities
030217 neurology & neurosurgery
Tinnitus
Subjects
Details
- Language :
- English
- ISSN :
- 20050720 and 19768710
- Volume :
- 13
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Clinical and Experimental Otorhinolaryngology
- Accession number :
- edsair.doi.dedup.....b71f44e755922b9d00017f7a5feabbed