Factors that influence outcomes in cochlear implantation in adults, based on patient related characteristics - a retrospective study
| Autor: | Véronique J. C. Kraaijenga, Wilko Grolman, Adriana L. Smit, Inge Stegeman, G.A. van Zanten, Jeanet J M Smilde |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Speech perception Adolescent Hearing loss Hearing Loss Sensorineural medicine.medical_treatment Audiology 03 medical and health sciences 0302 clinical medicine Cochlear implant otorhinolaryngologic diseases Journal Article Humans Medicine 030223 otorhinolaryngology Aged Retrospective Studies Aged 80 and over business.industry Retrospective cohort study Middle Aged Missing data medicine.disease Cochlear Implantation Treatment Outcome Otorhinolaryngology Speech Perception Etiology Otosclerosis Female Sensorineural hearing loss medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Clinical Otolaryngology, 41(5), 585–592. Wiley-Blackwell |
| ISSN: | 1749-4478 |
| Popis: | OBJECTIVE: Outcomes in speech perception following cochlear implantation in adults vary widely. Many studies have been carried out to identify and quantify factors that influence outcomes. This paper adds a new dimension to pre-existing literature. DESIGN: Single center retrospective cohort study. SETTING: University Medical Center Utrecht, The Netherlands. PARTICIPANTS: 428 adults with bilateral severe-to-profound sensorineural hearing loss, unilaterally implanted between February 1988 and March 2014. MAIN OUTCOME MEASURES: Univariable and multivariable linear regression analyses was carried out to identify factors that may influence outcomes from cochlear implantation. Consonant-vowel-consonant' word scores (CNCs) were recorded pre- and post-implant and were used as outcome measures in two groups of patients (pre- and postlingually deafened adults). As an added dimension, multiple imputation was implemented and evaluated to tackle 4% (17/407) missing data. RESULTS: For postlinguals, pre-implant speech perception score and age at onset of deafness are positive predictors and meningitis and otosclerosis as cause of deafness are negative predictors of post-implant speech perception. This model accounted for 26% of variance. For prelinguals, pre-implant speech perception score is the only strong positive predictor (Beta 0.524; p |
| Databáze: | OpenAIRE |
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