359 Standardised Management Guidelines of Sudden Sensorineural Hearing Loss for Departmental Use

Abstract Introduction Sudden sensorineural hearing loss (SSNHL) remains a condition of unknown aetiology with low incidence 20 cases per 100,000 year. This has led to lack consensus on overall management as there are no NICE guidelines. Trends in aimed at attempting find an identifiable cause and treat accordingly. Method A double loop audit performed East Surrey Hospital looked the loss. The first retrospective data over 7 years identifying how patients this diagnosis were managed by assessing following 6 parameters: Pure tone audiometry test performed, Oral steroids, tympanic injection, autoimmune blood screen, MRI booked, outpatient follow up appointment given. inconsistent those design algorithm for standardised ensuring all parameters covered. was implemented three-year period performed. Results Between 2010–2017, diagnosed having SSNHL. Only 1 patient comprehensively department 2018 suggesting be according within 72hrs diagnosis. From 2018–2020,14 had algorithm. There 92% compliance. Conclusions Although current guidelines, is great benefit sudden departmental ensures that pertinent investigations medications administered timely manner.