Objective To analyze the relationship of social support with prognosis of hearing loss in the elderly. Methods Clinical data of 130 in- and out-patients (more than 60 years old) with hearing loss admitted in our hospital from January 2008 to December 2014 were collected in this study. Their chief complaints, time from onset to hospital admission, treatment compliance, prognosis and social support were analyzed. Results (1) Chief complaints. Besides hearing loss, tinnitus, and disable to hear clearly which were also common in young patients, some complaints which interfered family life or caused delay in business, such as turning TV volume louder and louder, failed to hear infant crying, and missing phone calling or door-knocking, were the chief complaints of the elder patients. But as the onset of hearing loss, only 22% elderly visited a doctor within a week. (2) Social support. The social support gained in elderly patients was significantly lower than that in normal healthy group and the younger patients group. Obvious differences were seen in the dimensions of subjective support and utilization of support. (3) Compliance. Because of insufficient medical insurance, inconvenient transportation and other reasons, the treatment compliance was poor in the elderly patients with hearing loss (only 49% of them choosing and complying with the treatment plan recommended by doctors, 30% discontinuing the treatment, and 21% giving up the intervention). (4) Prognosis. According to the results of pure tone auditory, when the treatment was over, only 5 cases got normal hearing, and 49 suffered slight, 40 moderate, 22 severe, and 14 profound hearing loss. Conclusion Due to the lack of knowledge on hearing healthcare and intervention for hearing disorder, and to the lack of medical costs, time to visit and other aspects, the elderly patients when suffering from hearing loss are not able to see a doctor in time, and are difficult to choose the best diagnosis and treatment program, even some of them discontinue or abandon intervention. As a result, the prognosis of hearing loss is influenced heavily.