Cochlear Implant Therapy Improves the Quality of Life in Older Patients-A Prospective Evaluation Study.
Journal
Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
ISSN: 1537-4505
Titre abrégé: Otol Neurotol
Pays: United States
ID NLM: 100961504
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
entrez:
14
9
2020
pubmed:
15
9
2020
medline:
15
4
2021
Statut:
ppublish
Résumé
To determine the effects of cochlear implant (CI) hearing rehabilitation on quality of life in older patients (≥65 yr). Prospective observational study. Department of Oto-Rhino-Laryngology, Medical University Frankfurt/Main. Patients aged between 65 and 86 years who received unilateral CI therapy for the first time. Unilateral cochlear implantation. In addition to audiological parameters, the World Health Organization Quality-of-Life Scale - old (WHOQL-OLD) was used to assess quality of life prior to surgery, at the time of first fitting of the audio processor (approx. 1 mo after surgery) and 6 months afterward. Dementia and depression were excluded using dementia detection test (DemTect) and geriatric depression scale. Speech recognition improved significantly during the study period. Furthermore, the total WHOQL-OLD score showed a significant improvement of quality of life comparing the preoperative and the 6 months data (60.0 ± 15.7 to 66.8 ± 12.2 points) (p = 0.001). Only 6 months after surgery, comparable quality of life values were achieved compared to the corresponding population average of the same age group (67.96 ± 14.74 points). No statistically significant difference remained between the study group and the age-adjusted population average (p = 0.37). To achieve auditory rehabilitation, CI treatment in older patients can be strongly recommended, not only hearing rehabilitation, but also to improve quality of life.
Identifiants
pubmed: 32925841
doi: 10.1097/MAO.0000000000002741
pii: 00129492-202010000-00013
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1214-1221Références
Schaarschmidt M. Cochlea-Implantate: Wenn Hörgeräte nicht mehr helfen… [in German]. Dtsch Arztebl. 2013;110: 36.
Kempf HG, Büchner A, Stöver T. Cochlear implants in adults: Indications and realization. Special cases and technical parameters of the implantation systems [in German]. HNO 2003; 51:663676.
Kempf HG, Büchner A, Stöver T. Cochlear implants in adults: Indications and realizations. Part I: Diagnosis, operation techniques and results. HNO 2003; 51:591603.
Dorbritz J, Vogt G. Rasanter demografischer Wandel—Deutschland und Japan im Vergleich [in German]. Bevölkerungsforschung Aktuell 2015; 4:28.
Ruh S, Battmer RD, Strauss-Schier A, Lenarz T. Cochlear implant in patients with residual hearing. Laryngorhinootologie 1997; 76:347350.
Wilkerson BJ, Porps SF, Babu SC. The impact of comorbidities in the aging population on cochlear implant outcomes. Otol Neurotol 2017; 38:e285e288.
Chatelin V, Kim EJ, Driscoll C, et al. Cochlear implant outcomes in the elderly. Otol Neurotol 2004; 25:298301.
Welpe I. Gesundheitsbezogene Lebensqualität: Ein Leben in autonomer Verantwortung [in German]. Dtsch Arztebl Int 2008; 105:514.
Völter C, Götze L, Käppeler R, Dazert S, Thomas JP. Prospektive Langzeituntersuchung zur Neurokognition nach Cochlea Implantation [in German]. Laryngorhinootologie 2018; 97:10298.
Kessler J, Calabrese P, Kalbe E, Berger F. DemTect: A new screening method to support diagnosis of dementia. Psycho 2000; 26:343347.
Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatr Res 1982–1983; 17:3749.
Conrad I, Matschinger H, Kilian R, Riedel-Heller S. WHOQOL-OLD und WHOQOL-BREF. Handbuch für die deutschsprachigen Versionen der WHO-Instrumente zur Erfassung der Lebensqualität im Alter [in German] Göttingen: Hogrefe; 2016.
Hesse G. Schwerhörigkeit im Alter - periphere und zentrale Ursachen [in German]. Laryngo-Rhino-Otol 2003; 84:683684.
Dillon MT, Adunka OF, Anderson ML, et al. Influence of age at revision cochlear implantation on speech perception outcomes. JAMA Otolaryngol Head Neck Surg 2015; 141:219224.
Chiba H, Hagiwara A, Schimizu A, et al. The Results of Cochlear Implantation in the Elderly. 2002; The Hague: Kugler Publications, 469–478.
Hast A, Schlucker L, Digeser F, Liebscher T, Hoppe U. Speech perception of elderly cochlear implant users under different noise conditions. Otol Neurotol 2015; 36:16381643.
Herzog M, Schön F, Müller J, Knaüs C, Scholtz L, Helms J. [Long term results after cochlear implantation in elderly patients]. Laryngorhinootologie 2003; 82:490493.
Wong DJ, Moran M, O’Leary SJ. Outcomes after cochlear implantation in the very elderly. Otol Neurotol 2016; 37:4651.
Zwolan TA, Henion K, Segel P, Runge C. The role of age on cochlear implant performance, use, and health utility: A multicenter clinical trial. Otol Neurotol 2014; 35:15601568.
Chatelin V, Kim EJ, Driscoll C, et al. Cochlear implant outcomes in the elderly. Otol Neurotol 2004; 25:298301.I.
Lin FR, Chien WW, Li L, Clarrett DM, Niparko JK, Francis HW. Cochlear implantation in older adults. Medicine 2012; 91:229241.
Garcia-Iza L, Martinez Z, Ugarte A, Fernandez M, Altuna X. Cochlear implantation in the elderly: Outcomes, long-term evolution, and predictive factors. Eur Arch Otorhinolaryngol 2018; 275:913922.
Yang Z, Cosetti M. Safety and outcomes of cochlear implantation in the elderly: A review of recent literature. J Otol 2016; 11:16.
Capretta NR, Moberly AC. Does quality of life depend on speech recognition performance for adult cochlear implant users? Laryngoscope 2016; 126:699706.
Hiel AL, Gerard JM, Decat M, Deggouj N. Is age a limiting factor for adaptation to cochlear implant? Eur Arch Otorhinolaryngol 2016; 273:24952502.
Hilly O, Hwang E, Smith L, et al. Cochlear implantation in elderly patients: Stability of outcome over time. J Laryngol Otol 2016; 130:706711.
Olze H, Szczepek AJ, Haupt H, et al. Cochlear implantation has a positive influence on quality of life, tinnitus, and psychological comorbidity. Laryngoscope 2011; 121:22202227.
Olze H, Knopke S, Gräbel S, Szczepek AJ. Rapid positive influence of cochlear implantation on the quality of life in adults 70 years and older. Audiol Neurootol 2016; 21: (suppl 1): 4347.
Hinderink JB, Krabbe PF, Van Den Broek P. Development and application of a health-related quality-of-life instrument for adults with cochlear implants: The Nijmegen cochlear implant questionnaire. Otolaryngol Head Neck Surg 2000; 123:756765.
Sonnet MH, Montaut-Verient B, Niemier JY, Hoen M, Ribeyre L, Parietti-Winkler C. Cognitive abilities and quality of life after cochlear implantation in the elderly. Otol Neurotol 2017; 38:e296e301.