TY - JOUR
T1 - Effect of N-acetyl-cysteine in prevention of noise-induced hearing loss
T2 - a systematic review and meta-analysis of randomized controlled trials
AU - Chang, Po Hsiung
AU - Liu, Chia Wei
AU - Hung, Shih Han
AU - Kang, Yi No
N1 - Publisher Copyright:
Copyright © 2021 Termedia & Banach.
PY - 2022
Y1 - 2022
N2 - Introduction: Noise-induced hearing loss is one of the most prevalent causes of hearing impairment and occupational diseases. Although multiple factors lead to noise-induced hearing loss, prevention and protection strategies remain limited. Studies in the past decade have employed antioxidants, especially N-acetyl-cysteine, to prevent noise-induced hearing loss. Therefore, this systematic review and meta-analysis of randomized controlled trials evaluated the effect of N-acetyl-cysteine on the prevention of noise-induced hearing loss. Material and methods: This systematic review and meta-analysis included relevant studies from the Cochrane Library, EMBASE, PubMed, ScienceDirect, Scopus, and Web of Science by using related terms. The study only included randomized controlled trials in meta-analyses and assessed the quality of the identified randomized controlled trials by using the Cochrane Risk of Bias tool. Two authors extracted and calculated data on characteristics and hearing threshold. The results are presented as weighted mean difference (WMD) with 95% confidence interval (CI). Results: This study identified five randomized controlled trials that randomized 1,115 patients into N-acetyl-cysteine and control groups. The meta-analysis evidenced that N-acetyl-cysteine has greater protective effects against hearing threshold shifts than the control in the 0 to 4 kHz (WMD = –3.39, 95% CI: –6.56 to –0.22) and 0 to 6 kHz (MD = –3.49, 95% CI: –6.57 to –0.41) subgroups. Conclusions: The present review and meta-analysis recommends that N-acetyl-cysteine may be considered as an option for protective therapy for noise-induced hearing loss. Nonetheless, larger randomized controlled trials are requisite for further investigation and verification.
AB - Introduction: Noise-induced hearing loss is one of the most prevalent causes of hearing impairment and occupational diseases. Although multiple factors lead to noise-induced hearing loss, prevention and protection strategies remain limited. Studies in the past decade have employed antioxidants, especially N-acetyl-cysteine, to prevent noise-induced hearing loss. Therefore, this systematic review and meta-analysis of randomized controlled trials evaluated the effect of N-acetyl-cysteine on the prevention of noise-induced hearing loss. Material and methods: This systematic review and meta-analysis included relevant studies from the Cochrane Library, EMBASE, PubMed, ScienceDirect, Scopus, and Web of Science by using related terms. The study only included randomized controlled trials in meta-analyses and assessed the quality of the identified randomized controlled trials by using the Cochrane Risk of Bias tool. Two authors extracted and calculated data on characteristics and hearing threshold. The results are presented as weighted mean difference (WMD) with 95% confidence interval (CI). Results: This study identified five randomized controlled trials that randomized 1,115 patients into N-acetyl-cysteine and control groups. The meta-analysis evidenced that N-acetyl-cysteine has greater protective effects against hearing threshold shifts than the control in the 0 to 4 kHz (WMD = –3.39, 95% CI: –6.56 to –0.22) and 0 to 6 kHz (MD = –3.49, 95% CI: –6.57 to –0.41) subgroups. Conclusions: The present review and meta-analysis recommends that N-acetyl-cysteine may be considered as an option for protective therapy for noise-induced hearing loss. Nonetheless, larger randomized controlled trials are requisite for further investigation and verification.
KW - antioxidants
KW - N-acetyl-cysteine
KW - noise-induced hearing loss
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U2 - 10.5114/aoms/109126
DO - 10.5114/aoms/109126
M3 - Review article
AN - SCOPUS:85142934474
SN - 1734-1922
VL - 18
SP - 1535
EP - 1541
JO - Archives of Medical Science
JF - Archives of Medical Science
IS - 6
ER -