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Eficácia do protocolo IMPETUS em doentes com acufenos crónicos: estudo randomizado e controlado
2010
Introduction: Tinnitus is a major symptom in medical daily practice with a prevalence in general population estimated to be around 1O to 15%. Nearly 2O% of these persons report significant impact of tinnitus in their lives with interference in personal, professional and social functioning, forcing them to search health care advice. The usual specialized management, as done by otolaryngologists, does not include a psychosomatic evaluation in the initial assessment, as there is not enough scientific evidence to justify such intervention. Hypothesis: Chronic tinnitus sufferers, with great impact on quality of life, will benefit from a combined interdisciplinary approach with both otolaryngological and psychosomatic inter- ventions (IMPETUS Protocol). Methods: Portuguese version of Mini-TQ (Mini-TQ-pv) and Visual Analog Scale (VAS), from O to 1O, were administered consecutively to the first 55 patients assessed for the first time with chronic tinnitus (> 6 mo) in the Tinnitus Outpatient Clinic of the Otolaryngology Department. Patients with Mini-TQ-pv scores above 7I24 were randomly divided in two branches - one group was referred to Psychosomatic evaluation while the other kept the exclusive Otolaryngological intervention. For comparison of quantitative variables in the same subgroup of the sample it was used the non parametric test of Wilcoxon. Results: The sample consisted of 55 patients, 34 women and 21 men. Mean age was 62,18 years (range, 38-82 yr). Initial Mini-TQ-pv and VAS scores were respectively 14,65±5,595 and 5,93±1,73O. In the group of patients submitted to the combined interdisciplinary (otolaryngological and psychosomatic) approach there was a statistically significative reduction of the Mini-TQ-pv scores (16,74±4,7O3 to 14,O7±5,158, p
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