The impact of cochlear implantation on cognition in older adults: a systematic review of clinical evidence.
The impact of cochlear implantation on cognition in older adults: a systematic review of clinical evidence.
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DOI：
10.1186/s12877-015-0014-3
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发表时间：
2015-02-25
期刊：
影响因子：
4.1
通讯作者：
Jacob A
中科院分区：
文献类型：
--
作者：
Miller G;Miller C;Marrone N;Howe C;Fain M;Jacob A
听力损失是老年人面临的第三大常见慢性疾病，它与言语感知困难、日常生活活动以及社会交往困难有关。近期研究表明听力损失的严重程度与个体的认知功能之间存在相关性；然而，因果关系尚未确立。老年人中重度至极重度听力损失的一种干预选择是人工耳蜗植入。我们进行了一项综述，以确定有关人工耳蜗植入对老年人群认知的潜在影响的文献状况。
对3800多篇与人工耳蜗、认知和老年人相关的文章进行了综述。纳入标准如下：（1）研究人群包括65岁以上的成年人；（2）采用人工耳蜗植入进行干预；（3）将认知作为植入的主要结果衡量指标。
在选取的3886项研究中，有3项符合综述的纳入标准。
虽然许多出版物表明人工耳蜗可改善言语感知、社会功能和整体生活质量，但我们发现英文文献中没有对老年人植入现代人工耳蜗后认知功能的变化进行前瞻性评估的研究。当前文献状况表明，需要进一步开展关于人工耳蜗植入对老年人认知影响的临床研究。
Hearing loss is the third most prevalent chronic condition faced by older adults and has been linked to difficulties in speech perception, activities of daily living, and social interaction. Recent studies have suggested a correlation between severity of hearing loss and an individual’s cognitive function; however, a causative link has yet to be established. One intervention option for management of the most severe to profound hearing loss in older adults is cochlear implantation. We performed a review to determine the status of the literature on the potential influence of cochlear implantation on cognition in the older adult population. Over 3800 articles related to cochlear implants, cognition, and older adults were reviewed. Inclusion criteria were as follows: (1) study population including adults > 65 years, (2) intervention with cochlear implantation, and (3) cognition as the primary outcome measure of implantation. Out of 3,886 studies selected, 3 met inclusion criteria for the review. While many publications have shown that cochlear implants improve speech perception, social functioning, and overall quality of life, we found no studies in the English literature that have prospectively evaluated changes in cognitive function after implantation with modern cochlear implants in older adults. The state of the current literature reveals a need for further clinical research on the impact of cochlear implantation on cognition in older adults.
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影响因子：
--
作者：
Lin, Frank R.;Metter, E. Jeffrey;O'Brien, Richard J.;Resnick, Susan M.;Zonderman, Alan B.;Ferrucci, Luigi
通讯作者：
Ferrucci, Luigi
影响因子：
3.7
作者：
Baltes, PB;Lindenberger, U
通讯作者：
Lindenberger, U
影响因子：
5.7
作者：
Dalton, DS;Cruickshanks, KJ;Nondahl, DM
通讯作者：
Nondahl, DM
影响因子：
--
作者：
Dawson, P W;McKay, C M;Clark, G M
通讯作者：
Clark, G M
影响因子：
3.3
作者：
Harada CN;Natelson Love MC;Triebel KL
通讯作者：
Triebel KL