Outcome measures following tele-rehabilitation and conventional face to face rehabilitation in paediatric cochlear implant users during COVID-19 pandemic: A pilot study in a tertiary care setup

Verma, Himanshu; Banumathy, N; Mishra, Roshani; Panda, Naresh K.

doi:10.1016/j.joto.2021.10.002

Cited by 11 publications

(7 citation statements)

References 19 publications

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“…11,12 Ironically, some studies have shown that when compared with in person therapy, teletherapy was not as effective. 13 Our CI habilitation works on 'the hub and spokes' model which was shown to be an effective method to improve the rate of habilitation attendance in the pre-pandemic period. Having such a model also proved to be advantageous during the COVID pandemic.…”

Section: Discussionmentioning

confidence: 99%

Innovation for CI surgery and habilitation in the COVID era: the MERF, Tamil Nadu experience

Kasaragod

Nair

Natarajan

et al. 2023

Int J Otorhinolaryngol Head Neck Surg

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Background: Cochlear implantation (CI) is a safe and effective procedure for management of severe-profound hearing loss. Complications are uncommon, but when present, should be identified and managed appropriately. The CI and its habilitation services were halted during this time period. Through this article we have tried to showcase how our institute resumed the CI surgeries and managed its complications as well as how we tackled the problems faced in auditory habilitation of CI candidates. Methods: This was a retrospective review of the challenges in cochlear implantation and its complications during the COVID pandemic. A safe management plan was formulated. All patients were thoroughly evaluated and complications were classified as minor or major and were managed medically or surgically, based on its severity. Postoperative auditory habilitation challenges were also tackled with innovative approaches to habilitation. Results: A stringent protocol was followed during the pandemic. Wound infection, biofilm, device failure were the complications encountered. All challenges and complications were dealt with by an experienced CI surgeon appropriately with successful outcomes. Conclusions: During the pandemic, it was essential to deal with all the challenges in CI and its complications taking all necessary precautions. Complications of CI, although not common required prompt and effective management for optimal outcomes.

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Section: Discussionmentioning

confidence: 99%

Innovation for CI surgery and habilitation in the COVID era: the MERF, Tamil Nadu experience

Kasaragod

Nair

Natarajan

et al. 2023

Int J Otorhinolaryngol Head Neck Surg

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“…This review further elaborates on the value of telehealth as a successful modality in providing interventions for NDDs (Verma et al, 2022) and a reliable and effective modality (Cole et al, 2019; Verma et al, 2022) with promising results to manage NDDs. There is little evidence on the costs versus benefits of telehealth as a service facilitator for NDDs in the current review.…”

Section: Discussionmentioning

confidence: 99%

Telehealth services for children with neuro‐developmental disabilities in the Asia‐Pacific region: A systematic review

Devagiri,

Ariyasena,

Siriwardhana

et al. 2023

Child

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BackgroundIn recent years telehealth became a popular and a rational health service delivery approach, especially amidst multiple challenges posed while providing health care interventions during the COVID‐19 pandemic.AimWe synthesized available evidence on telehealth for managing children with NDDs in the Asia‐Pacific region with the aim of identifying successful methods.MethodologyWe systematically reviewed six electronic databases: MEDLINE, AMED, EMBASE, PsychInfo, Web of Science, and (CINAHL plus) using the keywords and database‐specific subject headings from their inception to 25th August 2021. Review findings were synthesized narratively, and harvest plots were used to demonstrate the effect of interventions. The protocol and reporting the findings of this review adhered to PRISMA 2020 guidelines. PROSPERO registration: CRD 340690.ResultsWe harvested 30,823 records; 17,563 duplicates were removed, and 196 full‐text articles were assessed for eligibility. 16 studies with multiple research designs were included in the review. Eight were from the Pacific region and eight represented Asia. The interventions targeted families and children with a variety of NDDs (autism spectrum disorder, Down syndrome, cleft lip and palate, hearing impairment, cerebral palsy etc.) via telehealth. Telehealth packages consisted of direct and indirect methods of synchronous, asynchronous, and hybrid approaches. All studies used parent‐led intervention strategies. Telehealth reported a positive effect in 7/16 studies while five showed a neutral effect.ConclusionsAccording to published evidence telehealth for children with NDDs is an evolving, evidence‐based service facilitation modality in the Asia‐Pacific region, with only a few published randomized controlled trials. The systematic review shows promising telehealth practices emerging across the region despite the diversity in NDDs studied.

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“…Furthermore, many adult hospitals experienced a surge in inpatient hospitalizations that required displacement of same-day surgery care that was not always paralleled in children's hospitals. Notwithstanding the relatively consistent rates of cochlear implantation, studies have raised concern that delays in activation and nonconventional tele-rehabilitation may foreshadow poorer long-term performance outcomes in pediatric patients (1,2).…”

Section: Discussionmentioning

confidence: 99%

“…Comorbid conditions and heightened risk of poor outcomes associated COVID-19 infection in the elderly also likely influence the observed trends. For these reasons, the current work emphasizes the timely importance of research evaluating remote CI evaluation and programming capabilities (2,(15)(16)(17).…”

Section: Discussionmentioning

confidence: 99%

“…The COVID-19 pandemic introduced multiple barriers to cochlear implantation (1)(2)(3)(4)(5), and thus far, the magnitude of the pandemic's effect on cochlear implant (CI) hearing healthcare in the United States is unknown. One of the primary challenges to understanding the extent of the pandemic's national effect on cochlear implantation extends from the pragmatic limitation in the United States surrounding the absence of a national healthcare registry.…”

Section: Introductionmentioning

confidence: 99%

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Effect of a Global Pandemic on Adult and Pediatric Cochlear Implantation across the United States

et al. 2022

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ObjectiveTo characterize the effect of the COVID-19 pandemic on national cochlear implantation utilization by age using inclusive cochlear implantation data from two manufacturers between 2015 and 2020.Study DesignAnalysis of prospectively registered consecutive patient data from two major cochlear implant (CI) manufacturers in the United States.PatientsChildren or adults who received CIs.InterventionsCochlear implantation.Main Outcome MeasuresAnnual implantation utilization by age.ResultsA total of 46,804 patients received CIs from the two participating manufacturers between 2015 and 2020. The annual number of implant recipients increased significantly during the first 5 years of the study period for both children and adults, from a total of 6,203 in 2015 to 9,213 in 2019 (p < 0.001). During 2020, there was a 13.1% drop in national cochlear implantation utilization across all ages compared with 2019, including a drop of 2.2% for those ≤3 years old, 3.8% for those 4–17 years old, 10.1% for those 18–64 years old, 16.6% for those 65–79 years old, and 22.5% for those ≥80 years old. In a multivariable linear regression model, the percent drop in CIs differed significantly by age-group (p = 0.005).ConclusionsEspecially in light of the prepandemic projected CI counts for 2020, the COVID-19 pandemic reduced national cochlear implantation utilization by over 15% among Medicare-aged patients and by almost 25% among those ≥80 years old, resulting in more than a 3-year setback in total annual CIs. Children were less affected, with those ≤3 years old experiencing minimal interruption during 2020.

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Outcome measures following tele-rehabilitation and conventional face to face rehabilitation in paediatric cochlear implant users during COVID-19 pandemic: A pilot study in a tertiary care setup

Cited by 11 publications

References 19 publications

Innovation for CI surgery and habilitation in the COVID era: the MERF, Tamil Nadu experience

Innovation for CI surgery and habilitation in the COVID era: the MERF, Tamil Nadu experience

Telehealth services for children with neuro‐developmental disabilities in the Asia‐Pacific region: A systematic review

Effect of a Global Pandemic on Adult and Pediatric Cochlear Implantation across the United States

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