Datalogging Findings in Adult Cochlear Implant Recipients Who Never Developed Intelligible Speech

BACKGROUND: The aim was to evaluate the usage patterns of adult cochlear implant recipients with a history of pre-lingual or peri-lingual acquired deafness and poor speech intelligibility. METHODS: A retrospective chart review of all patients meeting inclusion criteria within the patient cohort of t...

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Veröffentlicht in:Journal of International Advanced Otology Jg. 20; H. 2; S. 113 - 118
Hauptverfasser: Loureiro, Manuel, Bradley, Jane, Clemesha, Jennifer, Mehta, Nishchay
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Turkey AVES Yayincilik A.S 01.03.2024
Mediterranean Society for Otology and Audiology
European Academy of Otology and Neurotology and the Politzer Society
European Academy of Otology & Neuro-Otology
Schlagworte:
Adult
Adults
Aged
Analysis
Cochlear Implantation - methods
Cochlear Implants
Communication
Deafness
Decision-making
Female
Hearing loss
Humans
Implants, Artificial
Male
Middle Aged
Original
Patients
Population
Prosthesis
Regression analysis
Speech
Speech Intelligibility
Speech Perception - physiology
Transplants & implants
Use statistics
United Kingdom
ISSN:2148-3817, 1308-7649, 2148-3817
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Zusammenfassung:BACKGROUND: The aim was to evaluate the usage patterns of adult cochlear implant recipients with a history of pre-lingual or peri-lingual acquired deafness and poor speech intelligibility. METHODS: A retrospective chart review of all patients meeting inclusion criteria within the patient cohort of the auditory implant centre of the University College London Hospitals was conducted. Outcome measurements included sound processor daily usage and speech perception scores postimplantation. RESULTS: Fifty-nine adults met the inclusion criteria. Daily usage was found to be 8.7 hours per day on average (range: 7.9-9.7 hours) at 4.6 years postimplantation. Five recipients became nonusers (8.5%). Average usage of 11.0 daily hours at 3 months postimplantation was a significant predictor of implant usage at 4.6 years. On average, Bamford–Kowal–Bench sentence scores did not improve significantly by 1 year postimplantation. Neither the preimplantation speech intelligibility rating nor the Bamford–Kowal–Bench sentence scores were significantly correlated with postoperative usage data. CONCLUSION: Despite non-significant improvements to speech perception scores in this patient cohort, pre-lingual and peri-lingual cochlear implant recipients are consistent users of their devices, with an average daily use of 11.0 hours at 3 months postimplantation and 8.7 hours at 4.6 years. Consistent users at 3-months postimplant are likely to continue being consistent users at 4.6 years after implantation. Understanding likely usage rates is an important consideration for patients and clinicians in the shared decision-making process about whether to undergo cochlear implantation. Further research is needed to understand why this group of patients, who receive no benefit from speech intelligibility, choose to wear their processors so consistently. Cite this article as: Loureiro M, Bradley J, Clemesha J, Mehta N. Datalogging findings in adult cochlear implant recipients who never developed intelligible speech. J Int Adv Otol. 2024;20(2):113-118.
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Cite this article as: Loureiro M, Bradley J, Clemesha J, Mehta N. Datalogging findings in adult cochlear implant recipients who never developed intelligible speech. J Int Adv Otol. 2024;20(2):113-118.
ORCID iDs of the authors: M.L. 0000-0002-6776-4481, J.B. 0009-0003-1247-8036, J.C. 0009-0004-6620-5233, N.M. 0000-0001-9317-3055.
ISSN:2148-3817
1308-7649
2148-3817
DOI:10.5152/iao.2024.231193