Auditory Environment Across the Life Span of Cochlear Implant Users: Insights From Data Logging
Auditory Environment Across the Life Span of Cochlear Implant Users: Insights From Data Logging
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DOI：
10.1044/2016_jslhr-h-16-0162
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发表时间：
2017-05-01
影响因子：
2.6
通讯作者：
van Wieringen, Astrid
中科院分区：
文献类型：
--
作者：
Busch, Tobias;Vanpoucke, Filiep;van Wieringen, Astrid
目的：我们描述人工耳蜗 (CI) 患者的自然听觉环境、其在整个生命周期中如何变化以及个体之间如何变化。方法：我们对 Cochlear Nucleus 6 CI 声音处理器数据日志进行回顾性横断面分析。这些日志来自 1,501 名 CI 患者（年龄 0-96 岁）。他们涵盖了超过 240 万小时的植入物使用时间，并显示了 CI 用户在各种声学环境中花费的时间。我们调查了口语、噪音、音乐和安静的暴露情况，并分析了年龄组、用户和国家之间的差异。结果：CI 用户日常生活的很大一部分时间是在嘈杂的环境中度过的。因此，大多数语音都是在背景噪音中呈现的。我们发现所有听觉场景的年龄组之间存在显着差异。然而，即使在同一年龄组和国家内，个体之间的差异也很大。结论：无论年龄如何，患有 CI 的人在日常生活中都面临着具有挑战性的声学环境。我们的结果强调了通过辅助听力技术支持他们的重要性。此外，我们发现个体的听觉饮食之间存在巨大差异，这可能会导致康复结果的差异。应进一步调查其原因和影响。
Purpose: We describe the natural auditory environment of people with cochlear implants (CIs), how it changes across the life span, and how it varies between individuals.Method: We performed a retrospective cross-sectional analysis of Cochlear Nucleus 6 CI sound-processor data logs. The logs were obtained from 1,501 people with CIs (ages 0-96 years). They covered over 2.4 million hr of implant use and indicated how much time the CI users had spent in various acoustical environments. We investigated exposure to spoken language, noise, music, and quiet, and analyzed variation between age groups, users, and countries.Results: CI users spent a substantial part of their daily life in noisy environments. As a consequence, most speech was presented in background noise. We found significant differences between age groups for all auditory scenes. Yet even within the same age group and country, variability between individuals was substantial.Conclusions: Regardless of their age, people with CIs face challenging acoustical environments in their daily life. Our results underline the importance of supporting them with assistive listening technology. Moreover, we found large differences between individuals' auditory diets that might contribute to differences in rehabilitation outcomes. Their causes and effects should be investigated further.