Clinical characteristics and outcomes of children with cochlear implants who had preoperative residual hearing.

Cochlear implants (CI) candidacy criteria have expanded to include children with more residual hearing. This study explored the clinical profiles and outcomes of children with CIs who had preoperative residual hearing in at least one ear. A retrospective chart review was conducted to collect clinica...

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Published in:International Journal of Audiology Vol. 61; no. 2; pp. 108 - 119
Main Authors: Na, Eunjung, Toupin-April, Karine, Olds, Janet, Whittingham, JoAnne, Fitzpatrick, Elizabeth M.
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Feb 2022
Online Access:View this record in EBSCOhost
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      dt: Feb 2022
      vid: 61
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/14992027.2021.1893841
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        atl: Clinical characteristics and outcomes of children with cochlear implants who had preoperative residual hearing.
      aug:
        au:
          Na, Eunjung
          Toupin-April, Karine
          Olds, Janet
          Whittingham, JoAnne
          Fitzpatrick, Elizabeth M.
        affil: School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada
      sug:
        subj:
          Disease Attributes
          Outcome Assessment
          Cochlear Implant Methods
          Preoperative Period
          Hearing Physiology
          Hearing Loss, Sensorineural Surgery
          Hearing Disorders Surgery
          Human
          Retrospective Design
          Record Review
          Speech Perception
          Pretest-Posttest Design
          Clinical Assessment Tools
          Treatment Outcomes Trends
          Hearing Disorders Trends
          Infant
          Child, Preschool
          Child
          Adolescence
          Questionnaires
          Data Analysis Software
          Wilcoxon Rank Sum Test
          Descriptive Statistics
          Female
          Male
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Female
          Male
      ab: Cochlear implants (CI) candidacy criteria have expanded to include children with more residual hearing. This study explored the clinical profiles and outcomes of children with CIs who had preoperative residual hearing in at least one ear. A retrospective chart review was conducted to collect clinical characteristics and speech perception data. Pre- and post-CI auditory and speech perception data were analysed using a modified version of the Pediatric Ranked Order Speech Perception (PROSPER) score. This study included all children with residual hearing who received CIs in one Canadian paediatric centre from 1992 to 2018. A total of 100 of 389 (25.7%) children with CIs had residual hearing (median 77.6 dB HL, better ear). The proportion of children with residual hearing increased from 1992 to 2018. Children who had auditory behaviour and speech perception tests (n = 83) showed higher modified PROSPER scores post-CI compared to pre-CI. Phonologically Balanced Kindergarten (PBK) test scores were available for 71 children post-CI; 81.7% (58/71) of children achieved > 80% on the PBK. One in four children who received CIs had residual hearing, and most of them had severe hearing loss at pre-CI. These children showed a high level of speech perception with CIs.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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