American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children

Warner-Czyz, Andrea D.; Roland, J Thomas; Thomas, Denise; Uhler, Kristin; Zombek, Lindsay

doi:10.1097/aud.0000000000001087

Cited by 8 publications

(4 citation statements)

References 192 publications

(370 reference statements)

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“…Recently, the American Cochlear Implant Alliance published similar recommendations for pediatric patients (see Table 1). 11…”

Section: Guidelines For Referralmentioning

confidence: 99%

Don’t Defer, Please Refer! Cochlear Implantation Candidacy as Part of the Hearing Health Care Continuum

Sweeney¹,

Dillon²,

Park³

et al. 2022

The Hearing Journal

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“…American Cochlear Implant Alliance Task Force recommended a 50/70+ guideline for referral to pediatric CI candidacy. That is, clinicians should refer pediatric patient for evaluation if they meet any of the following criteria: appropriately selected word recognition scores <50% correct; unaided pure-tone thresholds > 70 dB HL; or poor functional performance, limited progress in language or auditory development, or poor quality of life (Warner-Czyz et al, 2022). Referral for consideration of cochlear implant has evolved over the years.…”

Section: Cochlear Implant Candidacymentioning

confidence: 99%

Cochlear Implantation in Children With Hearing Impairment

Jachova,

Ristovska

2022

godzbo

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A cochlear implant is a surgically implanted device used for hearing rehabilitation of adults and children with severe to profound sensorineural hearing loss and poor speech discrimination who gain limited benefit from conventional hearing aids. There is growing evidence that early application of a cochlear implant in children affected by profound hearing loss is of the greatest importance for the development of adequate auditory performance and language skills.The indication for cochlear implantation in children is bilateral sensorineural hearing loss > 80 dB determined on the basis of hearing tests. In congenital deafness, after completing diagnosis, the cochlear implant should be placed at the age of 12 months.When the desired outcome of cochlear implantation is to develop listening and spoken language skills, intensive speech and language therapy is necessary. Although services differ based on each child's current level of performance, it is recommended that children receive auditory-based therapy after implantation to maximize benefit from the cochlear implant. Whatever approach is selected, rehabilitation after cochlear implantation is a long process. Parents and family members have a big role in development of spoken language of the child.

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“… 8 This process requires multiple appointments that are completed over a variable amount of time based on patient factors, family availability, and hospital resources. 9 The COVID‐19 pandemic has delayed medical and surgical care in children due to safety precautions, workforce shortages, and resource limitations. 10 , 11 Hearing screening programs, outpatient appointments, and imaging needed for workup of CI candidacy, surgeries, and rehabilitation appointments have been limited during the pandemic.…”

mentioning

confidence: 99%

“…CI candidacy evaluation includes the following components: (1) medical evaluation, (2) audiologic assessment, (3) speech and language assessment, (4) patient and family counseling and (5) imaging 8 . This process requires multiple appointments that are completed over a variable amount of time based on patient factors, family availability, and hospital resources 9 . The COVID‐19 pandemic has delayed medical and surgical care in children due to safety precautions, workforce shortages, and resource limitations 10,11 .…”

mentioning

confidence: 99%

Trends in Timing and Provision of Pediatric Cochlear Implant Care During COVID‐19

Noij,

Huang,

Walsh

et al. 2023

OTO Open

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Objectives To identify trends in timing of pediatric cochlear implant (CI) care during COVID‐19. Study Design Retrospective cohort. Setting Tertiary care center. Methods Patients under 18 years of age who underwent CI between 1/1/2016 and 2/29/2020 were included in the pre‐COVID‐19 group, and patients implanted between 3/1/2020 and 12/31/2021 comprised the COVID‐19 group. Revision and sequential surgeries were excluded. Time intervals between care milestones including severe‐to‐profound hearing loss diagnosis, initial CI candidacy evaluation, and surgery were compared among groups, as were the number and type of postoperative visits. Results A total of 98 patients met criteria; 70 were implanted pre‐COVID‐19 and 28 during COVID‐19. A significant increase in the interval between CI candidacy evaluation and surgery was seen among patients with prelingual deafness during COVID‐19 compared with pre‐COVID‐19 ( µ = 47.3 weeks, 95% confidence interval [CI]: 34.8‐59.9 vs µ = 20.5 weeks, 95% CI: 13.1‐27.9; p < .001). Patients in the COVID‐19 group attended fewer in‐person rehabilitation visits in the 12 months after surgery ( µ = 14.9 visits, 95% CI: 9.7‐20.1 vs µ = 20.9, 95% CI: 18.1‐23.7; p = .04). Average age at implantation in the COVID‐19 group was 5.7 years (95% CI: 4.0‐7.5) versus 3.7 years in the pre‐COVID‐19 group (95% CI: 2.9‐4.6; p = .05). The time interval between hearing loss confirmation and CI surgery was on average 99.7 weeks for patients implanted during COVID‐19 (95% CI: 48.8‐150) versus 54.2 weeks for patients implanted pre‐COVID (95% CI: 39.6‐68.8), which was not a statistically significant difference ( p = .1). Conclusion During the COVID‐19 pandemic patients with prelingual deafness experienced delays in care relative to patients implanted before the pandemic.

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American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children

Cited by 8 publications

References 192 publications

Don’t Defer, Please Refer! Cochlear Implantation Candidacy as Part of the Hearing Health Care Continuum

Cochlear Implantation in Children With Hearing Impairment

Trends in Timing and Provision of Pediatric Cochlear Implant Care During COVID‐19

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