The Efficacy of a Food Supplement in the Treatment of Tinnitus with Comorbid Headache: A Statistical and Machine Learning Analysis with a Literature Review.

IF 1.6 4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Zacharias Kalentakis, Georgios Feretzakis, Georgia Baxevani, Georgios Dritsas, Effrosyni Papatheodorou
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引用次数: 0

Abstract

Introduction: Tinnitus, the perception of sound without an external auditory stimulus, affects approximately 10-15% of the population and is often associated with significant comorbidities such as headaches. These conditions can severely impact the quality of life. The aim of this study was to evaluate the efficacy of a food supplement in reducing the symptoms of both tinnitus and headache in patients experiencing these conditions concurrently.

Methods: This prospective study included 32 patients (21 males and 11 females) aged between 23 and 68 years (mean age 49.38 years) who were experiencing both tinnitus and headache. The study assessed the impact of a food supplement on tinnitus and headache over a 90-day treatment period using three main instruments: the Tinnitus Handicap Inventory (THI), the Headache Impact Test (HIT-6), and a Visual Analog Scale (VAS) for discomfort. Statistical analyses, including paired t tests, were conducted to compare pre- and posttreatment scores. In the same dataset, Ridge Regression, a linear regression model with L2 regularization, was used to predict posttreatment scores (THI90, HIT90, VAS90).

Results: The results indicated a statistically significant reduction in all three measures after 90 days of treatment. The mean THI score decreased from 29.81 to 27.06 (p = 0.011), the mean HIT-6 score decreased from 50.41 to 48.75 (p = 0.019), and the mean VAS score for discomfort decreased from 7.63 to 7.13 (p = 0.033). The optimal Ridge Regression model was found with an "alpha" value of approximately 3.73. The performance metrics on the test set were as follows: Mean Squared Error (MSE) of 13.91 and an R-squared score of 0.61, indicating that the model explains approximately 61% of the variance in the posttreatment scores. These results indicate that pretreatment scores are significant predictors of posttreatment outcomes, and gender plays a notable role in predicting HIT and VAS scores posttreatment.

Conclusion: This study demonstrates that a food supplement is effective in reducing the symptoms of tinnitus and headache in patients suffering from both conditions. The significant improvements in THI, HIT-6, and VAS scores indicate a positive impact on patient quality of life. Further research with larger sample sizes and more detailed subgroup analyses is recommended to fully understand the differential impacts of treatment across various demographics.

一种食物补充剂对治疗合并头痛的耳鸣的疗效:统计与机器学习分析及文献综述。
导言 耳鸣是指在没有外部听觉刺激的情况下对声音的感知,约有 10%至 15%的人患有耳鸣,而且经常伴有头痛等严重并发症。这些疾病会严重影响生活质量。本研究的目的是评估一种食物补充剂在减轻同时患有耳鸣和头痛的患者的症状方面的功效。方法 这项前瞻性研究包括 32 名同时患有耳鸣和头痛的患者(21 名男性和 11 名女性),他们的年龄在 23 岁至 68 岁之间(平均年龄为 49.38 岁)。研究使用三种主要工具评估了食物补充剂在 90 天治疗期内对耳鸣和头痛的影响:耳鸣障碍量表 (THI)、头痛影响测试 (HIT-6) 和不适感视觉模拟量表 (VAS)。统计分析包括配对 t 检验,以比较治疗前后的得分。在同一数据集中,还使用了带有 L2 正则化的线性回归模型 Ridge Regression 来预测治疗后的评分(THI90、HIT90、VAS90)。结果 结果表明,治疗 90 天后,所有三项指标均有统计学意义上的显著下降。THI 平均得分从 29.81 分降至 27.06 分(p = 0.011),HIT-6 平均得分从 50.41 分降至 48.75 分(p = 0.019),VAS 平均不适感得分从 7.63 分降至 7.13 分(p = 0.033)。最佳岭回归模型的 α 值约为 3.73。测试集的性能指标如下:平均平方误差 (MSE) 为 13.91,R 方得分为 0.61,表明该模型可解释治疗后分数中约 61% 的方差。这些结果表明,治疗前的评分对治疗后的结果有显著的预测作用,而性别在预测治疗后的 HIT 和 VAS 评分方面起着显著的作用。结论 本研究表明,食物补充剂能有效减轻耳鸣和头痛患者的症状。THI、HIT-6 和 VAS 评分的明显改善表明,它对患者的生活质量产生了积极影响。建议进一步研究更大的样本量和更详细的亚组分析,以充分了解治疗对不同人群的不同影响。
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来源期刊
Audiology and Neuro-Otology
Audiology and Neuro-Otology 医学-耳鼻喉科学
CiteScore
3.20
自引率
6.20%
发文量
35
审稿时长
>12 weeks
期刊介绍: ''Audiology and Neurotology'' provides a forum for the publication of the most-advanced and rigorous scientific research related to the basic science and clinical aspects of the auditory and vestibular system and diseases of the ear. This journal seeks submission of cutting edge research opening up new and innovative fields of study that may improve our understanding and treatment of patients with disorders of the auditory and vestibular systems, their central connections and their perception in the central nervous system. In addition to original papers the journal also offers invited review articles on current topics written by leading experts in the field. The journal is of primary importance for all scientists and practitioners interested in audiology, otology and neurotology, auditory neurosciences and related disciplines.
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