{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T10:53:50Z","timestamp":1765796030561,"version":"3.48.0"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T00:00:00Z","timestamp":1757548800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n This study aimed to investigate whether the Systematic Coronary Risk Estimation 2 and Systematic Coronary Risk Estimation 2\u2010Older Persons (SCORE 2 and SCORE 2\u2010OP) cardiovascular disease (CVD) risk scales can be used as prognostic factor for sudden sensorineural hearing loss (SSHL).<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Prospective observational study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Single\u2010center study.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The study included 62 patients diagnosed with SSHL. SCORE 2 and SCORE 2\u2010OP risks were calculated using the data collected from each participant. Patients were categorised into Green (low\u2013moderate) and Non\u2010Green (Yellow and Red, containing high and very high) risk groups. Recovery was categorised based on changes in pure\u2010tone average (PTA). Statistical analyses included Pearson's correlation, univariate and multivariate logistic regression and ROC curve analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A significantly higher proportion of patients in the Complete Recovery group had a Green SCORE risk classification (63.6%) than in the non\u2010complete recovery group (32.5%,\n p<\/jats:italic>\n \u2009=\u20090.018). The Green SCORE classification and lower pre\u2010treatment PTA levels were significantly associated with better recovery outcomes. In multivariate analysis, Green SCORE remained an independent predictor of complete recovery (OR\u2009=\u20094.052, 95% CI: 1.218\u201313.487,\n p<\/jats:italic>\n \u2009=\u20090.023). ROC analysis revealed moderate discriminative ability (AUC\u2009=\u20090.656,\n p<\/jats:italic>\n \u2009=\u20090.044; sensitivity, 63.6%; specificity, 67.5%), with a negative predictive value of 77.1%.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The SCORE2 and SCORE2\u2010OP cardiovascular risk scores, particularly the Green risk category, are valuable predictors of hearing recovery in SSHL. This finding has the potential to serve as a guide for clinicians, informing the adaptation of treatment intensity or the investigation of adjunctive therapies within populations characterised by elevated risk.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/coa.70034","type":"journal-article","created":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T02:33:56Z","timestamp":1757644436000},"page":"66-72","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["SCORE<\/scp>\n 2 and\n SCORE<\/scp>\n 2\u2010\n OP<\/scp>\n Risk Scales as Prognostic Factors After Sudden Idiopathic Hearing Loss"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8113-8831","authenticated-orcid":false,"given":"Mehmet Ali","family":"Say","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Department of Otorhinolaryngology Yalova University Yalova Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5427-3480","authenticated-orcid":false,"given":"Fahri","family":"\u00c7akan","sequence":"additional","affiliation":[{"name":"Department of Cardiology \u00c7orlu State Hospital Tekirda\u011f Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2242-9786","authenticated-orcid":false,"given":"Volkan Bilge","family":"Yi\u011fit","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Atat\u00fcrk State Hospital Zonguldak 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