Impact of Hearing Rehabilitation Using Cochlear Implants on Cognitive Function in Older Patients.
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:
01 09 2021
01 09 2021
Historique:
pubmed:
31
3
2021
medline:
8
10
2021
entrez:
30
3
2021
Statut:
ppublish
Résumé
To assess the effects of hearing rehabilitation with cochlear implants on a subset of cognitive domains in older patients (≥65 yr). Prospective observational study. Department of Oto-Rhino-Laryngology, Goethe-University Frankfurt/Main. Patients aged between 65 and 86 years who have received unilateral cochlear implant (CI) therapy. Unilateral cochlear implantation. The dementia screening test (DemTect) and the trail making test (TMT) were carried out on three occasions: previous to the surgery, at the initial fitting (about 1 month after surgery) and 6 months after surgery. The average overall score on the DemTect scale increased significantly within 6 months of CI treatment (p = 0.049), with verbal aspects improving particularly markedly. The results of the trail making test showed that within 6 months of CI treatment, processing speed increased significantly (TMT A: p = 0.003; TMT B: p = 0.001). A pre-post comparison showed that aural rehabilitation with a CI results in an improvement in cognitive subdomains. Further comprehensive randomized-controlled studies may be necessary to evaluate possible confounding variables and to assess long-term results.
Identifiants
pubmed: 33782260
doi: 10.1097/MAO.0000000000003153
pii: 00129492-202109000-00008
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1136-1141Informations de copyright
Copyright © 2021, Otology & Neurotology, Inc.
Déclaration de conflit d'intérêts
The authors disclose no conflicts of interest.
Références
Hamm I, Seitz H, Werding M. Demographic change in Germany. 2008; Berlin Heidelberg: Springer, 1–216.
Chatelin V, Kim EJ, Driscoll C, et al. Cochlear implant outcomes in the elderly. Otol Neurotol 2004; 25:298–301.
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; 51:663–676.
Carlson ML. Cochlear implantation in adults. N Engl J Med 2020; 382:1531–1542.
Lally JW, Adams JK, Wilkerson BJ. The use of cochlear implantation in the elderly. Curr Opin Otolaryngol Head Neck Surg 2019; 27:387–391.
Wong DJ, Moran M, O’Leary SJ. Outcomes after cochlear implantation in the very elderly. Otol Neurotol 2016; 37:46–51.
Hast A, Schlücker L, Digeser F, et al. Speech perception of elderly cochlear implant users under different noise conditions. Otol Neurotol 2015; 36:1638–1643.
Lottner A, Iro H, Schützenberger A, et al. Cochlear implants in the social courts [in German]. HNO 2018; 66:135–143.
Knopke S, Gräbel S, Forster-Ruhrmann U, et al. Impact of cochlear implantation on quality of life and mental comorbidity in patients aged 80 years. Laryngoscope 2016; 126:2811–2816.
Sonnet MH, Montaut-Verient B, Niemier JY, et al. Cognitive abilities and quality of life after cochlear implantation in the elderly. Otol Neurotol 2017; 38:e296–e301.
Olze H, Knopke S, Gräbel S, et al. Rapid positive influence of cochlear implantation on the quality of life in adults 70 years and older. Audiol Neurootol 2016; 21: (suppl): 43–47.
Issing C, Baumann U, Pantel J, et al. Cochlear implant therapy improves the quality of life in older patients—a prospective evaluation study. Otol Neurotol 2020; 41:1214–1221.
Maharani A, Dawes P, Nazroo J, et al. Longitudinal relationship between hearing aid use and cognitive function in older americans. J Am Geriatr Soc 2018; 66:1130–1136.
Amieva H, Ouvrard C, Giulioli C, et al. Self-reported hearing loss, hearing aids, and cognitive decline in elderly adults: a 25-year study. J Am Geriatr Soc 2015; 63:2099–2104.
Lin FR, Yaffe K, Xia J, et al. Hearing loss and cognitive decline in older adults. JAMA Intern Med 2013; 173:293–299.
Lin FR, Metter EJ, O’Brien RJ, et al. Hearing loss and incident dementia. Arch Neurol 2011; 68:214–220.
Jayakody DMP, Friedland PL, Nel E, et al. Impact of cochlear implantation on cognitive functions of older adults: pilot test results. Otol Neurotol 2017; 38:e289–e295.
Kalbe E, Kessler J, Calabrese P, et al. DemTect: a new, sensitive cognitive screening test to support the diagnosis of mild cognitive impairment and early dementia. Int J Geriatr Psychiatry 2004; 19:136–143.
Tischler L, Petermann F. Trail Making Test (TMT) [in German]. Zeitschrift für Psychiatrie. Psychol Psychother 2010; 58:79–81.
Reitan RM. Validity of the trail making test as an indicator of organic brain damage. Percept Motor Skills 1958; 8:271–276.
Hilly O, Hwang E, Smith L, et al. Cochlear implantation in elderly patients: stability of outcome over time. J Laryngol Otol 2016; 130:706–711.
Poissant SF, Beaudoin F, Huang J, et al. Impact of cochlear implantation on speech understanding, depression, and loneliness in the elderly. J Otolaryngol Head Neck Surg 2008; 37:488–494.
Vermeire K, Brokx JP, Wuyts FL, et al. Quality-of-life benefit from cochlear implantation in the elderly. Otol Neurotol 2005; 26:188–195.
Scharfen J, Jansen K, Holling H. Retest effects in working memory capacity tests: a meta-analysis. Psychon Bull Rev 2018; 25:2175–2199.
Arlinger S. Negative consequences of uncorrected hearing loss--a review. Int J Audiol 2003; 42: (suppl): s17–s20.
Fulton SE, Lister JJ, Bush AL, et al. Mechanisms of the hearing-cognition relationship. Semin Hear 2015; 36:140–149.
Miller G, Miller C, Marrone N, et al. The impact of cochlear implantation on cognition in older adults: a systematic review of clinical evidence. BMC Geriatr 2015; 15:16.
Mosnier I, Bebear J-P, Marx M, et al. Improvement of cognitive function after cochlear implantation in elderly patients. JAMA Otolaryngol Head Neck Surg 2015; 141:442–450.