Barriers to early cochlear implantation
Barriers to early cochlear implantation
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DOI：
10.1080/14992027.2016.1174890
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发表时间：
2016-01-01
影响因子：
2.7
通讯作者：
Dowell, Richard
中科院分区：
文献类型：
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作者：
Dettman, Shani;Choo, Dawn;Dowell, Richard
目的：确定与小儿人工耳蜗植入体（CI）相关的变量。第一部分.在新生儿听力筛查（NHS）之前、期间和之后，检查CI手术时的年龄（N=802）和助听器（HA）装配时的年龄（n=487）随时间的趋势。部分2.对417名3岁以下植入的儿童进行了人口统计学因素研究。部分3.检查了前20名12个月以下接受CI的儿童的植入前步骤。第1部分.随着时间的推移，HA装配和CI手术的年龄降低，并与NHS实施相关。部分2.对于3岁以下植入的儿童，HA装配时的较早年龄和较高的家庭社会经济地位与较早的CI相关。进行性听力损失与后期CI相关。诊断为连接蛋白26的儿童比有早产/低出生体重史的儿童更早接受CI。部分3. CI前最长的步骤是第1步：出生到诊断/识别听力损失（平均16.43周），第11步：MRI扫描到植入手术（平均15.05周），前20名CI小于12个月的婴儿。结论：在该队列中，NHS的实施与器械干预时的年龄降低相关。
Objective: Identify variables associated with paediatric access to cochlear implants (CIs). Design: Part 1. Trends over time for age at CI surgery (N=802) and age at hearing aid (HA) fitting (n=487) were examined with regard to periods before, during, and after newborn hearing screening (NHS). Part 2. Demographic factors were explored for 417 children implanted under 3 years of age. Part 3. Pre-implant steps for the first 20 children to receive CIs under 12 months were examined. Results: Part 1. Age at HA fitting and CI surgery reduced over time, and were associated with NHS implementation. Part 2. For children implanted under 3 years, earlier age at HA fitting and higher family socio-economic status were associated with earlier CI. Progressive hearing loss was associated with later CIs. Children with a Connexin 26 diagnosis received CIs earlier than children with a premature / low birth weight history. Part 3. The longest pre-CI steps were Step 1: Birth to diagnosis/identification of hearing loss (mean 16.43 weeks), and Step 11: MRI scans to implant surgery (mean 15.05 weeks) for the first 20 infants with CIs under 12 months. Conclusion: NHS implementation was associated with reductions in age at device intervention in this cohort.