Benefits of a Hearing Registry: Cochlear Implant Candidacy in Quiet Versus Noise in 1,611 Patients.
Purpose: This retrospective study used a cochlear implant registry to determine how performing speech recognition candidacy testing in quiet versus noise influenced patient selection, speech recognition, and self-report outcomes. Method: Database queries identified 1,611 cochlear implant recipients...
| Publicado en: | American Journal of Audiology Vol. 29; no. 4; pp. 851 - 862 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Speech-Language-Hearing Association
Dec2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147523310&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147523310 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10590889 5KS jtl: American Journal of Audiology issn: 10590889 maglogo: N pubinfo: dt: Dec2020 vid: 29 iid: 4 pid: 42 pub: American Speech-Language-Hearing Association place: Rockville, Maryland artinfo: ui: 147523310 147523310 147523310 10.1044/2020_AJA-20-00055 147523310 ppf: 851 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Benefits of a Hearing Registry: Cochlear Implant Candidacy in Quiet Versus Noise in 1,611 Patients. aug: au: Dunn, Camille Miller, Sharon E. Schafer, Erin C. Silva, Christopher Gifford, René H. Grisel, Jedidiah J. affil: Department of Otolaryngology--Head and Neck Surgery, The University of Iowa, Iowa City sug: subj: Cochlear Implant Registries, Implant Speech Perception Patient Selection Noise Funding Source Human Scales United States Multicenter Studies Retrospective Design Quality of Life Male Female Middle Age Aged Aged, 80 and Over Descriptive Statistics Repeated Measures One-Way Analysis of Variance Data Analysis Software Questionnaires Paired T-Tests Post Hoc Analysis Self Report Hearing Disorders Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Purpose: This retrospective study used a cochlear implant registry to determine how performing speech recognition candidacy testing in quiet versus noise influenced patient selection, speech recognition, and self-report outcomes. Method: Database queries identified 1,611 cochlear implant recipients who were divided into three implant candidacy qualifying groups based on preoperative speech perception scores (≤ 40% correct) on the AzBio sentence test: quiet qualifying group, +10 dB SNR qualifying group, and +5 dB SNR qualifying group. These groups were evaluated for demographic and preoperative hearing characteristics. Repeated-measures analysis of variance was used to compare pre- and postoperative performance on the AzBio in quiet and noise with qualifying group as a between-subjects factor. For a subset of recipients, pre- to postoperative changes on the Speech, Spatial and Qualities of Hearing Scale were also evaluated. Results: Of the 1,611 patients identified as cochlear implant candidates, 63% of recipients qualified in quiet, 10% qualified in a +10 dB SNR, and 27% qualified in a +5 dB SNR. Postoperative speech perception scores in quiet and noise significantly improved for all qualifying groups. Across qualifying groups, the greatest speech perception improvements were observed when tested in the same qualifying listening condition. For a subset of patients, the total Speech, Spatial and Qualities of Hearing Scale ratings improved significantly as well. Conclusion: Patients who qualified for cochlear implantation in quiet or background noise test conditions showed significant improvement in speech perception and quality of life scores, especially when the qualifying noise condition was used to track performance. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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