Factors impacting outcomes of cochlear implantation in children at two University centres in China: Multi-year analysis from the Paediatric Implanted Recipient Observational Study (P-IROS).

Autor:	Yu C; Department of Otolaryngology and Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, People's Republic of China., Luo J; Department of Otolaryngology and Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, Jinan, People's Republic of China.; Department of Auditory Implantation, Shandong Provincial ENT Hospital, Jinan, People's Republic of China., Zhong M; Department of Otolaryngology and Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, People's Republic of China., Wang R; Department of Otolaryngology and Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, Jinan, People's Republic of China.; Department of Auditory Implantation, Shandong Provincial ENT Hospital, Jinan, People's Republic of China., Chao X; Department of Otolaryngology and Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, Jinan, People's Republic of China.; Department of Auditory Implantation, Shandong Provincial ENT Hospital, Jinan, People's Republic of China., Qiu J; Department of Otolaryngology and Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, People's Republic of China., Xu L; Department of Otolaryngology and Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, Jinan, People's Republic of China.; Department of Auditory Implantation, Shandong Provincial ENT Hospital, Jinan, People's Republic of China., Graham PL; School of Mathematical and Physical Sciences, Macquarie University, Sydney, Australia., Psarros C; Cochlear Limited (Asia Pacific), Macquarie University, Sydney, Australia.
Jazyk:	angličtina
Zdroj:	Cochlear implants international [Cochlear Implants Int] 2024 Aug 06, pp. 1-14. Date of Electronic Publication: 2024 Aug 06.
DOI:	10.1080/14670100.2024.2382579
Abstrakt:	Objectives: To identify factors affecting functional hearing performance and quality of life (QoL) outcomes in paediatric cochlear implantation (CI) recipients at two University centres in mainland China. Methods: Two university centres in mainland China, part of the prospective longitudinal Paediatric Implanted Recipient Observational Study (P-IROS), contributed participant data. Participants were aged under 10 years at time of CI. Functional hearing performance and QoL measures were collected prior to device activation, and at 6-monthly intervals for 2 years post-implantation. Functional hearing endpoints including Categories of Auditory Performance-II (CAP-II) and QoL were evaluated and analysed using ordinal mixed-effects regression models. Results: Data were from 288 children with a mean age at implant of 2.74 years. Overall follow-up at 1 year was 59% and 51% at 2 years. Younger age at implantation (p<0.001) and hearing aid use preimplantation (p=0.026) were associated with significant benefit. Bilateral device users (both CI and bimodal) achieved significantly better functional hearing performance on the CAP-II than unilateral CI users (p<0.001). Slower functional hearing improvements were observed in those with lower parental expectations compared to higher expectations (p<0.001). QoL improved over time but followed a different initial trajectory between centres. Conclusion: All participants demonstrated significant improvements in auditory performance and QoL over time. Younger age at CI, and bilateral/bimodal device fitting contributed to earlier improvements. Other potential factors that could help inform families, professionals, and health authorities about choice of hearing device and educational supports required included aetiology of hearing loss and level of maternal education.
Databáze:	MEDLINE
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