Device Nonuse Among Adult Cochlear Implant Recipients

Ym, Bhatt; Km, Green; Mawman, DJ; Aplin, Y; O'Driscoll, MP; Saeed, Shakeel R; Rt, Ramsden

doi:10.1097/00129492-200503000-00009

Cited by 15 publications

(11 citation statements)

References 10 publications

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“…Most of the interviewed SSD (89.5%) and all AHL (100%) CI recipients wore their CI for six to ten hours daily. The percentage of nonusers was comparable with that for bilateral deaf patients at a rate of 2.8-13% [24,25]. None of the four non-users terminated CI use because of equipment failure or perioperative complications.…”

Section: Wearing Behaviormentioning

confidence: 65%

Is the cochlear implant a successful long-term solution for single-sided deaf and asymmetric hearing-impaired patients?

Speck

Challier

Wesarg

et al. 2020

Eur Arch Otorhinolaryngol

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Purpose We investigated the long-term results of cochlear implant (CI) recipients with asymmetric hearing loss (AHL) or single-sided deafness (SSD). We focused on wearing behavior, audiometric hearing rehabilitation, and subjective benefits of the CI. CI is expected to improve audiological results, subjective hearing perception, and tinnitus burden. Methods Speech recognition in background noise and sound localization were assessed preoperatively and after at least six years of CI experience. Validated questionnaires determined the subjective benefit of CI use and the subjective evaluation of tinnitus. Results Over 80% of the included AHL and SSD CI recipients used their CI between 6 and 10 h daily; four subjects with SSD were non-users. Speech recognition in background noise and sound localization improved significantly compared with the unaided preoperative situation. Additionally, CI improved subjective speech intelligibility and spatial hearing impression while reducing tinnitus burden. Conclusion Subjects with AHL and SSD benefit from CI, subjectively and audiologically. Cochlear implant is a successful long-term treatment for AHL and SSD.

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Section: Wearing Behaviormentioning

confidence: 65%

Is the cochlear implant a successful long-term solution for single-sided deaf and asymmetric hearing-impaired patients?

Speck

Challier

Wesarg

et al. 2020

Eur Arch Otorhinolaryngol

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“…Previous studies have reported results only in small cohorts of older adults with limited durations of follow-up. 11-18 The purpose of our study was to investigate long-term rates of CI use in a consecutive case series of older adults (≥60 years) who received their first CI from 1999-2011.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Use of Cochlear Implants in Older Adults

Choi¹,

Contrera²,

Betz³

et al. 2014

Otology &Amp; Neurotology

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“…Previous studies have reported results only in small cohorts of older adults with limited durations of follow-up. [11][12][13][14][15][16][17][18] The purpose of our study was to investigate long-term rates of CI use in a consecutive case series of older adults (≥60 years) who received their first CI from 1999-2011. …”

mentioning

confidence: 99%

Long‐term Use of Cochlear Implants in Older Adults: Results from a Large Consecutive Case Series

Choi¹,

Contrera²,

Betz³

et al. 2014

Otolaryngol.--head neck surg.

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INTRODUCTIONHearing loss is prevalent in one in three people over the age of 50, and two-thirds of those older than 70 years. 1 Hearing loss in older adults impairs verbal communication, contributes to social isolation, 2 and has been independently associated with poorer cognitive functioning [3][4][5] and incident dementia. [6][7] While hearing aids improve audibility for most individuals with mild to moderate hearing loss, those who suffer from severe to profound hearing loss generally may acquire greater benefit from electrical hearing provided by a cochlear implant (CI). 8 Currently, the number of older adults in the United States who would potentially meet audiologic criteria for a CI is approximately 150,000, 1 but less than 5% of these older adults are likely to have received a CI System. 9 Many factors could potentially account for the low rate of CI use in older adults, such as a general perception of hearing loss being an inconsequential part of aging and poor awareness of and access to cochlear implantation. Additionally, there are concerns about whether older adults could practically benefit from CI on a daily basis. Older adults can consistently acquire improved speech perception scores after CI in the clinical setting, 10 but patterns of CI use by older adults has received little review. Previous studies have reported results only in small cohorts of older adults with limited durations of follow-up. [11][12][13][14][15][16][17][18] The purpose of our study was to investigate long-term rates of CI use in a consecutive case series of older adults (≥60 years) who received their first CI from 1999-2011. MATERIALS AND METHODS STUDY COHORTWe queried the Johns Hopkins Listening Center database to retrieve all patients ≥ 60 years who received a first CI from 1999 to June 2011 (n = 447). The purpose of this study was to investigate rates of CI use in older adults which is generally defined by the United Nations as adults ≥ 60 years. 33 Of these patients, we were able to successfully obtain follow-up information from the patient or a proxy respondent for 397 individuals (89%) from June to August 2012, and these individuals comprise our analytic cohort. Characteristics of "responders" (n = 397) and "non-responders" (n = 50) did not differ significantly by age of implantation, onset of hearing loss, side of implantation, or manufacturer (data not shown). Non-responders were more likely to have been implanted earlier in the study time period than responders (p < .001). Of the 50 non-responders, 27 (54%) had died based on Social Security Death Index records. For these deceased non-responders, we were unable to obtain proxy information on their CI use at the time of death due to unavailable contact information for surviving family members. This study was approved by Johns Hopkins Institutional Review Board. DATA COLLECTION ON CI USEAs part of a quality assurance initiative at the Johns Hopkins Listening Center, we contacted all CI patients and their families to survey their daily CI use. Postal and email survey...

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Device Nonuse Among Adult Cochlear Implant Recipients

Abstract: The overall prevalence of device nonuse was noted to increase slowly with time. The role of psychologic factors in contributing to the decision of an individual to elect to opt out of device use remains unproven.

Cited by 15 publications

References 10 publications

Is the cochlear implant a successful long-term solution for single-sided deaf and asymmetric hearing-impaired patients?

Is the cochlear implant a successful long-term solution for single-sided deaf and asymmetric hearing-impaired patients?

Long-Term Use of Cochlear Implants in Older Adults

Long‐term Use of Cochlear Implants in Older Adults: Results from a Large Consecutive Case Series

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