The Listening Network and Cochlear Implant Benefits in Hearing-Impaired Adults

James, C.J. ; Graham, P.L. ; Betances Reinoso, F.A. ; Breuning, S.N. ; Durko, M. ; Huarte Irujo, A. ; Royo López, J. (Universidad de Zaragoza) ; Müller, L. ; Perenyi, A. ; Jaramillo Saffon, R. ; Salinas Garcia, S. ; Schüssler, M. ; Schwarz Langer, M.J. ; Skarzynski, P.H. ; Mecklenburg, D.J.

Resumen: Older adults with mild or no hearing loss make more errors and expend more effort listening to speech. Cochlear implants (CI) restore hearing to deaf patients but with limited fidelity. We hypothesized that patient-reported hearing and health-related quality of life in CI patients may similarly vary according to age. Speech Spatial Qualities (SSQ) of hearing scale and Health Utilities Index Mark III (HUI) questionnaires were administered to 543 unilaterally implanted adults across Europe, South Africa, and South America. Data were acquired before surgery and at 1, 2, and 3 years post-surgery. Data were analyzed using linear mixed models with visit, age group (18–34, 35–44, 45–54, 55–64, and 65+), and side of implant as main factors and adjusted for other covariates. Tinnitus and dizziness prevalence did not vary with age, but older groups had more preoperative hearing. Preoperatively and postoperatively, SSQ scores were significantly higher (¿0.75–0.82) for those aged <45 compared with those 55+. However, gains in SSQ scores were equivalent across age groups, although postoperative SSQ scores were higher in right-ear implanted subjects. All age groups benefited equally in terms of HUI gain (0.18), with no decrease in scores with age. Overall, younger adults appeared to cope better with a degraded hearing before and after CI, leading to better subjective hearing performance. ©

Idioma: Inglés

DOI: 10.3389/fnagi.2021.589296

Año: 2021

Publicado en: Frontiers in aging neuroscience 13 (2021), 589296 [13 pp]
ISSN: 1663-4365

Factor impacto JCR: 5.702 (2021)

Categ. JCR: NEUROSCIENCES rank: 67 / 275 = 0.244 (2021) - Q1 - T1
Categ. JCR: GERIATRICS & GERONTOLOGY rank: 16 / 54 = 0.296 (2021) - Q2 - T1

Factor impacto CITESCORE: 6.4 - Neuroscience (Q2) - Biochemistry, Genetics and Molecular Biology (Q2)

Factor impacto SCIMAGO: 1.324 - Cognitive Neuroscience (Q1) - Aging (Q1)

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Otorrinolaringología (Dpto. Cirugía)