AI Article Synopsis
- The study investigates cochlear implantation outcomes in elderly patients over 80 years old, focusing on their speech recognition performance and device usage post-surgery.
- Analysis of patient data showed significant improvements in speech recognition scores after implantation, with the average daily device use being around 10.9 hours.
- Results indicate that while age at the time of implantation does not significantly affect performance, patients with preoperative dementia exhibited reduced auditory benefits, suggesting that active use of the device correlates positively with better outcomes.
Article Abstract
Objective: To examine device datalogging characteristics and postoperative performance in the very elderly CI users.
Methods: Retrospective chart review of postoperative speech recognition outcomes and datalogging characteristics in patients older than 80 years old who underwent cochlear implantation and remain active users with longer than 6 months post-activation follow-up.
Resultss: The mean age at implantation was 84.8 ± 3.8 years old. Pre- and post-operative AzBio sentences in quiet scores were 12.4 ± 16.4% and 53.0 ± 23.5%, respectively ( < .001). Pre- and post-operative consonant-nucleus-consonant (CNC) word scores were 9.4 ± 12.8% and 40.5 ± 20.7%, respectively ( < .001). A nonsignificant negative correlation was noted between the age of implantation and postoperative CNC words and AzBio sentence performance. Significantly decreased performance was noted in the subpopulation with a preoperative diagnosis of dementia. Mean daily use was 10.9 h per day. When available the mean daily usage distribution was 16% speech in noise, 19.1% speech, 51% quiet, 3.8% music, and 9.6% noise. A significant positive correlation was noted between daily use and AzBio sentence and CNC word performance.
Conclusions: Very elderly patients have significant postoperative auditory performance benefits after CI. Mean daily use is comparable to previously published results in the younger population. Age of implantation does not play a significant role in overall performance. Elderly patients who are medically cleared for implantation receive significant postoperative benefits.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9194979 | PMC |
| http://dx.doi.org/10.1002/lio2.825 | DOI Listing |
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