Document Detail

'Acoustic shock': A new occupational disease? Observations from clinical and medico-legal practice.
MedLine Citation:
PMID:  25201133     Owner:  NLM     Status:  In-Data-Review    
DESIGN: Cases were identified from medicolegal and clinical practice. Case notes, including General Practitioner and occupational health records where available, were scrutinised and information on demographics and medical history obtained. Patients underwent interview, examination, and pure-tone audiometry.
STUDY SAMPLE: Thirty cases were included. Eighteen (60%) were female. Mean age was 41.6 years.
RESULTS: There was a range of otological symptoms (mean 3.2 per patient), most commonly tinnitus which was present in 27 (90%), accompanied by diverse non-otological symptoms. Twenty-one (70%) had previous oto-pathology, 19 (63%) psychopathology, and five (17%) head injury. Examination was normal in 28 (93%), as was audiometry in 13 (43%). Eleven (50%) smoked. Hearing loss was not necessarily a feature.
CONCLUSIONS: The condition known as 'acoustic shock' injury is a complex disorder producing a range of symptoms with psychological overlay. However, there is often little clinical evidence of pathology and it has not been adequately defined as yet. By further characterization, epidemiology and aetiology can be better understood.
William Parker; Victoria Parker; Glynn Parker; Andrew Parker
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of audiology     Volume:  53     ISSN:  1708-8186     ISO Abbreviation:  Int J Audiol     Publication Date:  2014 Oct 
Date Detail:
Created Date:  2014-09-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101140017     Medline TA:  Int J Audiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  764-9     Citation Subset:  IM    
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