[Analysis with the logistic regression mode to the audiologic and vestibular functions in Meniere's disease]. 2011

Shaojie Zhang, and Yong Liang, and Xiaolong Liu, and Jin Zhao
Department of Otorhinolaryngology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.

OBJECTIVE To investigate the clinical features, characteristic of cochlear and vestibular dysfunction in Meniere's disease (MD) by using the multiple factor Logistic regression analysis. METHODS The clinical data of 36 patients with the diagnosis of Meniere's disease according to 2006 Guiyang standard and 30 patients with peripheral vestibular disorders were investigated. All subjects received audiologic and vestibular assessments, including pure tone audiometry, Metz's recruitment test, electrocochleography (ECochG), auditory brainstem response (ABR), glycerol test, vestibular caloric test, head shaking nystagmus (HSN) and fukuda stepping test. The clinical features and audiovestibular tests in Meniere's disease were investigated by chi square test, and then analyzed by using the multiple factor Logistic regression mode. RESULTS (1) The fluctuating sensorineural hearing loss, the number of active symptoms, Tullio phenomenon,--SP/AP ratio, the Metz's recruitment test and the glycerol test demonstrated as the main characteristics in the discrimination between the MD group and non-MD group, the difference was statistically significant (P < 0.05). (2) The Logistic regression predictive equation for Meniere's disease was: Logit(p) = 9.443 + 3.110 X1 + 5.015 X2 + 2.506 X3 + 3.963 X4, in which the concomitant variables were curve of electrocochleography (EcochG) (X1), glycerol test (X2), the number of active symptoms (X3), the fluctuating sensorineural hearing loss (X4). The area under the ROC curve was 0.993. The percentage of correct prediction was 95.5%. CONCLUSIONS The clinical features of Meniere's disease are distinguished, combined with audiovestibular tests, which can be differentiated from other peripheral vestibular disorders. The multiple factor Logistic regression predictive equation for Meniere's disease is an auxiliary diagnosis method.

UI MeSH Term Description Entries
D008297 Male Males
D008575 Meniere Disease A disease of the inner ear (LABYRINTH) that is characterized by fluctuating SENSORINEURAL HEARING LOSS; TINNITUS; episodic VERTIGO; and aural fullness. It is the most common form of endolymphatic hydrops. Meniere's Disease,Meniere's Syndrome,Vertigo, Aural,Auditory Vertigo,Aural Vertigo,Ménière Disease,Ménière's Disease,Ménière's Vertigo,Otogenic Vertigo,Auditory Vertigos,Disease, Meniere,Disease, Meniere's,Disease, Ménière,Disease, Ménière's,Diseases, Ménière,Diseases, Ménière's,Meniere Syndrome,Menieres Disease,Menieres Syndrome,Ménière Diseases,Ménière Vertigo,Ménière's Diseases,Ménière's Vertigos,Ménières Disease,Ménières Vertigo,Otogenic Vertigos,Syndrome, Meniere's,Vertigo, Auditory,Vertigo, Ménière's,Vertigo, Otogenic,Vertigos, Auditory,Vertigos, Ménière's,Vertigos, Otogenic
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D001301 Audiometry, Pure-Tone Measurement of hearing based on the use of pure tones of various frequencies and intensities as auditory stimuli. Audiometry, Bekesy,Audiometry, Pure Tone,Bekesy Audiometry,Pure-Tone Audiometry
D014724 Vestibular Function Tests A number of tests used to determine if the brain or balance portion of the inner ear are causing dizziness. Function Test, Vestibular,Function Tests, Vestibular,Test, Vestibular Function,Tests, Vestibular Function,Vestibular Function Test

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