Hearing assessment in Egyptian children with chronic renal failure on regular hemodialysis and renal transplantation children

Ther Apher Dial. 2022 Oct;26(5):960-968. doi: 10.1111/1744-9987.13783. Epub 2021 Dec 30.

Abstract

Introduction: Hearing impairment is frequent in patients with end-stage renal disease (ESRD). We aimed to assess the prevalence of hearing impairment in children on regular hemodialysis and renal transplantation.

Materials and methods: Transient-evoked otoacoustic emissions (TEOAEs) has been done for 80 children on regular hemodialysis and 40 with renal transplant.

Results: In hemodialysis group, TEOAEs showed that 53.8% children had hearing affection, it was significantly related to dialysis duration, dialysis adequacy, vascular access infection, hepatitis C virus (HCV) infection, and ototoxic drugs (p = 0.001, 0.037, 0.011, 0.004, 0.030, 0.007, and 0.044, respectively). In renal transplant group hearing impairment was 25%. There was significant relation with period of dialysis before transplantation and biopsy proved rejection (p = 0.008, <0.001, respectively).

Conclusion: Hearing impairment is a common finding in ESRD patients. Thus audiological assessment must be done in these patients.

Keywords: Egyptian children; chronic renal failure; hearing assessment; hemodialysis; renal transplantation.

MeSH terms

  • Child
  • Egypt / epidemiology
  • Hearing
  • Hearing Loss* / diagnosis
  • Hearing Loss* / epidemiology
  • Hepacivirus
  • Hepatitis C*
  • Humans
  • Kidney Failure, Chronic* / complications
  • Kidney Failure, Chronic* / epidemiology
  • Kidney Failure, Chronic* / therapy
  • Kidney Transplantation*
  • Renal Dialysis
  • Renal Insufficiency, Chronic*