Predicting Early Cochlear Implant Performance: Can Cognitive Testing Help?
Predicting Early Cochlear Implant Performance: Can Cognitive Testing Help?
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预测早期人工耳蜗性能：认知测试有帮助吗？
DOI：
10.1097/ono.0000000000000050
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发表时间：
2024
期刊：
影响因子：
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通讯作者：
Moberly,AaronC
中科院分区：
文献类型：
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作者：
Schauwecker,Natalie;Tamati,TerrinN;Moberly,AaronC
方法：对15名语言失聪的成年CI患者进行前瞻性研究，在手术前进行一系列认知评估。采用简易智力状态检查(MMSE)、前向数字广度、Stroop抑制-注意力测验和单词阅读效率测验评定认知功能。使用辅音-核-辅音单词、安静中的AZBio句子和噪声中的AZBio句子(+10dBSNR)来评估CI使用1个月和3个月时的语音识别。结果：所有语音测量在1个月时的表现与术前的MMSE呈中度相关，但经多次比较校正后，这些相关性不是很强。前向数字广度与1个月的AZBIO安静(P≤0.001，RHO=0.762)和AZBIO噪声(P≤0.001，RHO=0.860)有很大的相关性，校正后两者都很强。在3个月时，前向数字广度对偶氮生物噪声有很强的预测作用(P≤0.001，RHO=0.786)，经校正后两者具有很强的相关性。语音识别分数的变化与术前认知测试分数没有相关性。结论：在我们的小队列中，工作记忆容量显著预测早期CI句子识别成绩，而其他认知功能评估不相关。这些结果与之前预测较长期结果的研究不同。研究结果和进一步的研究可能会带来更好的术前咨询，并有助于识别需要更密切评估的患者，以确保最佳的CI表现。
Methods:Prospective study of 15 postlingually deafened adult CI candidates tested preoperatively with a battery of cognitive assessments. The mini-mental state exam (MMSE), forward digit span, Stroop measure of inhibition-concentration, and test of word reading efficiency were utilized to assess cognition. consonant-nucleus-consonant words, AZBio sentences in quiet, and AZBio sentences in noise (+ 10 dB SNR) were utilized to assess speech recognition at 1-and 3-months of CI use.Results:Performance in all speech measures at 1-month was moderately correlated with preoperative MMSE, but these correlations were not strongly correlated after correcting for multiple comparisons. There were large correlations of forward digit span with 1-month AzBio quiet (P≤ 0.001, rho= 0.762) and AzBio noise (P≤ 0.001, rho= 0.860), both of which were strong after correction. At 3 months, forward digit span was strongly predictive of AzBio noise (P≤ 0.001, rho= 0.786), which was strongly correlated after correction. Changes in speech recognition scores were not correlated with preoperative cognitive test scores.Conclusions:Working memory capacity significantly predicted early CI sentence recognition performance in our small cohort, while other cognitive functions assessed did not. These results differ from prior studies predicting longer-term outcomes. Findings and further studies may lead to better preoperative counseling and help identify patients who require closer evaluation to ensure optimal CI performance.