Evidence map›Paper›PMID 40341148›Full record

ArticleBMJ open2025

Risk factors and Occurrence of Small vessel disease in Acute sensorineural hearing Loss In the Elderly: protocol for a multicentre cross-sectional study.

Fieke K Oussoren, Roeland B van Leeuwen, Tjard R Schermer, Erik F Hensen, Marc J W Lammers, Louise M N Poulsen, Joost J Kardux, Carla Colijn, Tjasse D Bruintjes

Abstract readMulticenter Study
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Fieke K OussorenDepartment of Otorhinolaryngology and Head and Neck Surgery, Leiden University Medical Center, Leiden, The Netherlands f.k.oussoren@lumc.nl.ORCID 0000-0001-9743-3715
Roeland B van LeeuwenApeldoorn Dizziness Centre, Gelre Hospitals, Apeldoorn, The Netherlands.
Tjard R SchermerDepartment of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands.
Erik F HensenDepartment of Otorhinolaryngology and Head and Neck Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Marc J W LammersDepartment of Otorhinolaryngology/Head and Neck Surgery, Antwerp University Hospital, Edegem, Belgium.
Louise M N PoulsenDepartment of Radiology, Gelre Hospitals, Apeldoorn, The Netherlands.
Joost J KarduxDepartment of Radiology, Gelre Hospitals, Apeldoorn, The Netherlands.
Carla ColijnApeldoorn Dizziness Centre, Gelre Hospitals, Apeldoorn, The Netherlands.
Tjasse D BruintjesApeldoorn Dizziness Centre, Gelre Hospitals, Apeldoorn, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aetiology of sudden sensorineural hearing loss (SSNHL) is not certain in a significant number of cases. In 8%-31% of posterior fossa infarctions, acute hearing or vestibular loss precedes neurological symptoms. Also, several retrospective cohort analyses have indicated a higher chance of experiencing a stroke after SSNHL compared with the general population. This higher incidence of stroke suggests vascular involvement in the pathophysiology of SSNHL. The aim of this study is to evaluate the association of cardiovascular disease and idiopathic SSNHL (iSSNHL) by investigating the presence of cardiovascular risk factors and cerebral small vessel disease (CSVD), in patients with iSSNHL and compare this to controls. METHOD AND ANALYSIS: In this multicentre cross-sectional study, the ROSALIE study, 205 patients aged 50 years or higher diagnosed with iSSNHL, and 205 controls who are either suspected of trigeminus neuralgia, hemifacial spasm, vestibular paroxysmia or have a cerebellopontine angle neoplasm will be included. The primary outcome is the difference in CSVD, measured by the degree of white matter hyperintensities according to the Fazekas scale and the presence of brain infarctions on MRI, between patients with iSSNHL and controls. The secondary outcome is the difference in prevalence of the cardiovascular risk factors: hypertension, hypercholesterolaemia, smoking status, body mass index and cardiovascular comorbidities; diabetes, stroke and myocardial infarction, between both cohorts. ETHICS AND DISSEMINATION: Ethics approval has been obtained by the institutional review boards of all participating hospitals. The Medical Research Involving Human Subjects Act does not apply to this study, as has been declared by the regional review board at Leiden University Hospital, registration number 22-3060.Patients will receive the standard diagnostic protocol for iSSNHL in the Netherlands, which consists of pure tone audiometric assessment before and after treatment with corticosteroids and an MRI of the cerebellopontine angle displaying the entire cerebrum. The data will not be available publicly but might be shared on a reasonable request.

Indexed as

Cerebral Small Vessel DiseasesHearing Loss, SensorineuralHearing Loss, SuddenAgedCardiovascular DiseasesCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedMulticenter Studies as TopicRisk FactorsAudiologyHead & neck imagingOTOLARYNGOLOGY

Identifiers

PMID40341148
PMCPMC12060885

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.