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Original Article

Profiling intermittent tinnitus: a retrospective review

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Pages 434-440 | Received 16 Jan 2019, Accepted 20 Mar 2019, Published online: 15 Apr 2019
 

Abstract

Objective: We conducted a retrospective review of medical records of tinnitus patients at a tertiary ENT clinic in Groningen, Netherlands. Our goal was to identify factors that differentiated the intermittent subgroup from the larger continuous group with chronic tinnitus.

Design: Tinnitus-related factors such as hearing loss, emotional aspects, and demographics were used to advance our understanding of the subgroups. We analysed the data using descriptive statistics and binomial logistic regression, supplemented by random forests classification.

Study sample: Patients presenting with tinnitus visiting the tinnitus clinic. We examined 1575 medical intake records obtained at a tertiary ENT hospital.

Results: Duration, total Tinnitus Handicap Inventory (THI), and THI Functional subscale scores differed significantly between the two groups. Increasing age and higher THI Emotional subscale scores were associated with an increased likelihood of intermittent tinnitus. Increases in duration, depressive scores and THI Functional and Catastrophic subscale scores, decreased the likelihood of intermittent tinnitus.

Conclusions: Results from this study dissociate the factors affecting those with intermittent and those with continuous tinnitus and point to potentially different mechanisms underlying the two conditions.

Acknowledgments

The authors would like to thank Cris Lanting for his help in setting up the code for the random forest analysis. We would also like to thank Rosemarie Arnold for setting up and maintaining the database from which the data were drawn.

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

This work was supported by a travel research grant from the Nederlandse Organisatie voor Wetenschappelijk Onderzoek (NWO); and Illinois International Programmes, University of Illinois; and American Tinnitus Association (ATA); and Stichting Steunfonds Audiologie.