Factors Affecting Auditory Performance of Postlinguistically Deaf Adults Using Cochlear Implants: An Update with 2251 Patients
Factors Affecting Auditory Performance of Postlinguistically Deaf Adults Using Cochlear Implants: An Update with 2251 Patients
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DOI：
10.1159/000343189
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发表时间：
2013-01-01
影响因子：
1.6
通讯作者：
Lazard, Diane S.
中科院分区：
文献类型：
--
作者：
Blamey, Peter;Artieres, Franoise;Lazard, Diane S.
目的：更新一项对800例语言后聋成人患者进行了15年的研究，揭示严重至重度听力损失的持续时间、人工耳蜗术前年龄、重度至重度听力损失的发病年龄、病因和CI经历对CI预后的影响。研究设计：多中心回顾性研究。方法：收集2003年以来在15个国际中心植入的2251例成人患者的数据，将安静状态下的语音得分转换为百分位数，以消除中心之间的差异。结果：长期重度至重度听力损失的负面影响在新数据中不如1996年的重要；CI的年龄和重度至重度听力损失的发病年龄的影响推迟到年龄较大的年龄；病因的影响较小，CI经历的影响随着学习曲线的陡峭而较大。重度至重度听力损失持续时间较长的患者与重度至重度听力损失持续时间较短的患者相比，CI经历改善的可能性较小。结论：1996年相关的因素在2011年仍然相关，尽管它们的相对重要性发生了变化。放宽患者选择标准、改进听力损失的临床管理、改进手术实践和改进设备可能会解释这些差异。版权所有(C)2012年，S.Karger AG，巴塞尔
Objective: To update a 15-year-old study of 800 postlinguistically deaf adult patients showing how duration of severe to profound hearing loss, age at cochlear implantation (CI), age at onset of severe to profound hearing loss, etiology and CI experience affected CI outcome. Study Design: Retrospective multicenter study. Methods: Data from 2251 adult patients implanted since 2003 in 15 international centers were collected and speech scores in quiet were converted to percentile ranks to remove differences between centers. Results: The negative effect of long duration of severe to profound hearing loss was less important in the new data than in 1996; the effects of age at CI and age at onset of severe to profound hearing loss were delayed until older ages; etiology had a smaller effect, and the effect of CI experience was greater with a steeper learning curve. Patients with longer durations of severe to profound hearing loss were less likely to improve with CI experience than patients with shorter duration of severe to profound hearing loss. Conclusions: The factors that were relevant in 1996 were still relevant in 2011, although their relative importance had changed. Relaxed patient selection criteria, improved clinical management of hearing loss, modifications of surgical practice, and improved devices may explain the differences. Copyright (c) 2012 S. Karger AG, Basel