Cochlear implant therapy improves the quality of life and social participation in the elderly: a prospective long-term evaluation.

Autor: Issing C; Department of Oto-Rhino-Laryngology, Goethe University Frankfurt, University Hospital, Frankfurt/Main, Germany. christian@issing.email., Loth AG; Department of Oto-Rhino-Laryngology, Goethe University Frankfurt, University Hospital, Frankfurt/Main, Germany., Sakmen KD; Department of Oto-Rhino-Laryngology, Goethe University Frankfurt, University Hospital, Frankfurt/Main, Germany., Guchlerner L; Department of Oto-Rhino-Laryngology, Goethe University Frankfurt, University Hospital, Frankfurt/Main, Germany., Helbig S; Department of Oto-Rhino-Laryngology, Goethe University Frankfurt, University Hospital, Frankfurt/Main, Germany., Baumann U; Department of Oto-Rhino-Laryngology, Goethe University Frankfurt, University Hospital, Frankfurt/Main, Germany., Pantel J; Working Group On Geriatric Medicine Specializing in Psychogeriatric Medicine and Clinical Gerontology, Institute of General Practice, Goethe University Frankfurt, Frankfurt/Main, Germany., Stöver T; Department of Oto-Rhino-Laryngology, Goethe University Frankfurt, University Hospital, Frankfurt/Main, Germany.
Jazyk: angličtina
Zdroj: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2024 Jul; Vol. 281 (7), pp. 3453-3460. Date of Electronic Publication: 2024 Feb 14.
DOI: 10.1007/s00405-023-08443-6
Abstrakt: Purpose: In recent years, the number of elderly cochlear implant (CI) candidates is continuously rising. In addition to the audiological improvement, other positive effects of CI treatment can also be observed in clinical routine. The "quality of life" as a parameter of success directly experienced by the patient is increasingly becoming the focus of clinical research. Although there are already clear indications of a rapid and significant improvement in quality of life, there is still a lack of systematic, prospectively collected longitudinal long-term data in patients over the age of 65.
Methods: This prospective longitudinal observational study included 31 patients between the age of 71 and 92 years who had first been treated unilaterally with a CI 6 years ago. In addition to free-field monosyllable recognition, quality of life was assessed using the World Health Organization Quality-of-Life Scale-old (WHOQL-OLD). The results were compared with the data from our previous study, in which we focused on the short- and medium-term effects on quality of life. In both studies, the same patient population was examined. In addition, these study data were compared with an age-matched average population.
Results: In speech recognition, there was no significant change from the control 6 months postoperatively compared with the results 6 years postoperatively. No significant changes occurred in the total quality of life score or any of the other six facets of quality of life when comparing the results 6 months postoperatively with the results 6 years postoperatively. In "Social participation", the CI patients even exceed the values of the age-matched average population 6 years after treatment.
Conclusion: Improvement in the quality of life and especially in social participation appears stable over many years in elderly patients after hearing rehabilitation with a CI.
(© 2024. The Author(s).)
Databáze: MEDLINE
Externí odkaz: