The Outcome of Unilateral Cochlear Implantation in Adults: Speech Recognition, Health-Related Quality of Life and Level of Anxiety and Depression: a One- and Three-Year Follow-Up Study
| Autor: | Henrik Harder, Pia Bergman, Elina Mäki-Torkko, Björn Lyxell |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
cognition
Longitudinal study Speech recognition Oto-rino-laryngologi lcsh:Medicine Hospital Anxiety and Depression Scale Quality of life health-related quality of life cochlear implantation anxiety depression medicine otorhinolaryngologic diseases Effects of sleep deprivation on cognitive performance Profound hearing impairment Other Health Sciences Depression (differential diagnoses) Original Research business.industry lcsh:R lcsh:Otorhinolaryngology lcsh:RF1-547 Annan hälsovetenskap Otorhinolaryngology Anxiety medicine.symptom business Health Utilities Index |
| Zdroj: | International Archives of Otorhinolaryngology v.24 n.3 2020 International Archives of Otorhinolaryngology Fundação Otorrinolaringologia (FORL) instacron:FORL International Archives of Otorhinolaryngology, Vol 24, Iss 03, Pp e338-e346 (2020) International Archives of Otorhinolaryngology, Volume: 24, Issue: 3, Pages: 338-346, Published: 28 AUG 2020 |
| ISSN: | 1809-9777 |
| Popis: | Introduction Hearing impairment is a common disease worldwide, with a comprehensive impact, and cochlear implantation (CI) is an intervention for profound hearing impairment. Objective To study the outcome one and three years after unilateral CI on hearing, health-related quality of life and level of depression and anxiety, and the correlation between the outcomes. Second, to study whether age, gender, etiology, operated side, residual hearing or cognitive performance can predict the outcome. Methods A prospective longitudinal study including adults with profound postlingual hearing impairment, with respect to hearing (speech recognition), health-related quality of life (Health Utilities Index 3) and level of depression and anxiety (Hospital Anxiety and Depression scale), pre-CI, and one and three years post-CI. The total sample was composed of 40 participants (40% of men), with a mean age of 71 years. Results Speech recognition and the overall health-related quality of life improved one year post-CI (p = 0.000), without correlation (rho= 0.27), and with no difference three years post-CI. The hearing attribute (in the health-related quality of life instrument) improved one and three years post-CI (p = 0.000). The level of anxiety did not change one and three years post-CI. The level of depression improved one year post-CI (p = 0.036), and deteriorated three years post-CI (p = 0.031). Age, etiology, operated side, residual hearing and cognitive performance did not predict the outcome, but the female gender did significantly improve speech recognition compared with men (p = 0.009). Conclusion The CI significantly improved speech recognition, health-related quality of life and level of depression one year post-CI without mutual correlation, and women performed significantly better than men. There were no further improvements three years post-CI, apart from the hearing attribute. Funding Agencies|Swedish Research Council for health, Working Life and WelfareSwedish Research CouncilSwedish Research Council for Health Working Life & Welfare (Forte) [FAS dnr 2010-0761] |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|