Current Profile of Adults Presenting for Preoperative Cochlear Implant Evaluation.
Current Profile of Adults Presenting for Preoperative Cochlear Implant Evaluation.
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DOI：
10.1177/2331216518755288
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发表时间：
2018-01
影响因子：
2.7
通讯作者：
Gifford RH
中科院分区：
文献类型：
--
作者：
Holder JT;Reynolds SM;Sunderhaus LW;Gifford RH
人工耳蜗技术（例如，电声刺激）和评估材料的长足进步已经产生了扩展的标准。尽管如此，尚不清楚听力阈值和言语理解能力较好的个体是否被推荐进行人工耳蜗检查和人工耳蜗植入。本研究的目的是表征成人的平均听觉和人口统计资料，提出术前人工耳蜗检查。2013年至2015年，在范德比尔特大学前瞻性地收集了所有成人术前检查的数据。研究对象包括287名成人（253名语后失聪），平均年龄62.3岁。使用最小语音测试电池、频谱调制检测、主观问卷和认知筛选对每个个体进行评估。舌后聋成人的平均辅音-核-辅音单词分数、AzBio句子分数和纯音平均值分别为植入耳的10%、13%和89 dB HL。73人（25.4%）符合Hybrid-L的标记适应症，207人（72.1%）在听力较好的耳朵中具有可用于双峰听力配置的辅助听力。这些结果表明，尽管最近取得了进展，但在人工耳蜗检查中评估的平均言语理解能力仍然很低。为了使那些有资格使用电声刺激装置的人以及符合传统人工耳蜗标准的个人能够获得人工耳蜗技术，可能需要提高意识和保险可及性。
Considerable advancements in cochlear implant technology (e.g., electric acoustic stimulation) and assessment materials have yielded expanded criteria. Despite this, it is unclear whether individuals with better audiometric thresholds and speech understanding are being referred for cochlear implant workup and pursuing cochlear implantation. The purpose of this study was to characterize the mean auditory and demographic profile of adults presenting for preoperative cochlear implant workup. Data were collected prospectively for all adult preoperative workups at Vanderbilt from 2013 to 2015. Subjects included 287 adults (253 postlingually deafened) with a mean age of 62.3 years. Each individual was assessed using the minimum speech test battery, spectral modulation detection, subjective questionnaires, and cognitive screening. Mean consonant-nucleus-consonant word scores, AzBio sentence scores, and pure-tone averages for postlingually deafened adults were 10%, 13%, and 89 dB HL, respectively, for the ear to be implanted. Seventy-three individuals (25.4%) met labeled indications for Hybrid-L and 207 individuals (72.1%) had aidable hearing in the better hearing ear to be used in a bimodal hearing configuration. These results suggest that mean speech understanding evaluated at cochlear implant workup remains very low despite recent advancements. Greater awareness and insurance accessibility may be needed to make cochlear implant technology available to those who qualify for electric acoustic stimulation devices as well as individuals meeting conventional cochlear implant criteria.
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影响因子：
2.7
作者：
Dorman MF;Gifford RH
通讯作者：
Gifford RH
影响因子：
2.6
作者：
Capretta, Natalie R.;Moberly, Aaron C.
通讯作者：
Moberly, Aaron C.
影响因子：
--
作者：
Chang, David T.;Ko, Alvin B.;Megerian, Cliff A.
通讯作者：
Megerian, Cliff A.
DOI：
10.1044/1092-4388(2007/022
发表时间：
2007-04-01
影响因子：
2.6
作者：
Chung, King;Killion, Mead C.;Christensen, Laurel A.
通讯作者：
Christensen, Laurel A.
影响因子：
2.4
作者：
Ching, TYC;Dillon, H;Byrne, D
通讯作者：
Byrne, D