Cochlear implantation outcomes in older adults

Castiglione, Alessandro; Benatti, Alice; Girasoli, Laura; Caserta, Ezio; Montino, Silvia; Pagliaro, Michela; Bovo, Roberto

doi:10.3109/13625187.2015.1030885

Cited by 20 publications

(20 citation statements)

References 11 publications

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“…Examination of their patient records confirmed surgeries were uneventful and there were no reports of postsurgery complications for all subjects. Audiologically, on routine clinical measures, implanted group E subjects demonstrated significant improvements in speech recognition tasks and aided thresholds, which has been reported in detail in a previous publication [Castiglione et al, 2015]. As shown in figure 4 , linear regression analysis of the results for the implanted group E confirms a mild negative correlation between age at implant and cognitive function, and also between assessments of cognitive function and depression with better outcomes on the GDS shown in patients with higher scores on the MoCA.…”

Section: Resultssupporting

confidence: 60%

“…Several studies have confirmed the correlation between hearing loss and cognitive decline [Lin, 2011;Lin et al, 2011aLin et al, , b, 2013Lin et al, , 2014, and it has become increasingly evident that even very old people can benefit from procedures, such as cochlear implantation, that previously were recommended mainly for younger hearing-impaired patients [Castiglione et al, 2015;Ciorba et al, 2012]. Growing interest has been spreading in the scientific community for the potential to influence cognitive function, focusing on the possible role of auditory rehabilitation through digital devices in counteracting dementia [Fattahi et al, 2015;Martini et al, 2014;Mosnier et al, 2015].…”

Section: Introductionmentioning

confidence: 94%

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Aging, Cognitive Decline and Hearing Loss: Effects of Auditory Rehabilitation and Training with Hearing Aids and Cochlear Implants on Cognitive Function and Depression among Older Adults

et al. 2016

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A growing interest in cognitive effects associated with speech and hearing processes is spreading throughout the scientific community essentially guided by evidence that central and peripheral hearing loss is associated with cognitive decline. For the present research, 125 participants older than 65 years of age (105 with hearing impairment and 20 with normal hearing) were enrolled, divided into 6 groups according to their degree of hearing loss and assessed to determine the effects of the treatment applied. Patients in our research program routinely undergo an extensive audiological and cognitive evaluation protocol providing results from the Digit Span test, Stroop color-word test, Montreal Cognitive Assessment and Geriatric Depression Scale, before and after rehabilitation. Data analysis was performed for a cross-sectional and longitudinal study of the outcomes for the different treatment groups. Each group demonstrated improvement after auditory rehabilitation or training on short- and long-term memory tasks, level of depression and cognitive status scores. Auditory rehabilitation by cochlear implants or hearing aids is effective also among older adults (median age of 74 years) with different degrees of hearing loss, and enables positive improvements in terms of social isolation, depression and cognitive performance.

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Section: Resultssupporting

confidence: 60%

Section: Introductionmentioning

confidence: 94%

Aging, Cognitive Decline and Hearing Loss: Effects of Auditory Rehabilitation and Training with Hearing Aids and Cochlear Implants on Cognitive Function and Depression among Older Adults

et al. 2016

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“…A more recent review examined the results of six studies, relying on a total of 166 patients [72]. Five of these studies reported improvements in cognition after implantation [65][66][67][68][69] and one study did not observe significant changes [70]. Although the results are globally promising, the authors underlined the numerous biases of such studies, including small sample sizes, lack of control group in some studies, lack of control of practice effects, inappropriate statistical methods and lack of long-term follow-up measures.…”

Section: Cochlear Implants and Cognitive Outcomes In Older Adultsmentioning

confidence: 99%

Does Treating Hearing Loss in Older Adults Improve Cognitive Outcomes? A Review

Amieva

Ouvrard

2020

JCM

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Hearing loss is the third most prevalent health condition in older age. In recent years, research has consistently reported an association between hearing loss and mental health outcomes, including poorer cognitive performances. Whether treating hearing loss in elders improves cognition has been directly or indirectly addressed by several studies. This review aims at providing a synthesis of those results. Regarding the literature on hearing aids' use and cognition, although the lack of interventional studies has to be underlined, observational data suggest that hearing aids positively impact long-term cognition, even though more research is necessary to ascertain this statement and provide information on the length or frequency of use required in order to observe benefits. Regarding cochlear implants in elders experiencing more severe auditory deprivation, the literature is scarcer. The available studies have many limitations and do not allow the drawing of clear conclusions. Taken together, the results are encouraging. Nevertheless, because hearing loss is suspected to account for 9% of dementia cases, and also because hearing loss is one of the few potentially modifiable factors from a dementia prevention perspective, the need to stimulate research to have clearer knowledge of the benefits of treating hearing loss on cognitive outcomes is urgent.

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“…Az életkor előrehaladtával a halláscsökkenés prevalenciája növekszik, ami a kommunikáció beszűküléséhez, szociális izolációhoz, ezáltal kognitív hanyatláshoz vezet. Mivel nagy betegpopulációról van szó, számos tanulmány foglalkozik ezen betegek rehabilitációs lehetőségeivel [11,[21][22][23]. Wong és mtsai [11] retrospektív vizsgálatot végeztek a 75 év feletti, cochlearis implantáción átesett betegekkel kapcsolatban.…”

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“…Tehát a kornak a CIFI-eredményeket figyelembe véve nincs kimutatható hatása a cochlearis implantáció hatékonyságára, bármelyik életkorban jelentős életminőség-javulás várható a beavatkozástól [21]. Az időskorban elvégzett implantáció hátrányaként a műtétet követő hosszabb gyógyulási időt [22] és a gyakoribb komplikációkat említik [23], ezeket saját betegeinknél azonban nem tapasztaltuk. Összességében eredményeink azt mutatják, hogy időskorban is van létjogosultsága a cochlearis implantáció elvégzésének.…”

Section: áBraunclassified

A Cochlearis Implantáltak Funkcionális Indexe (CIFI) magyarországi bevezetésével szerzett kezdeti tapasztalatok

et al. 2019

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Bevezetés: A cochlearis implantáció eredményessége audiológiai vizsgálatokkal, valamint életminőség-kérdőívekkel mérhető fel. Célkitűzés: Célunk a Cochlearis Implantáltak Funkcionális Indexe (CIFI) nevű életminőség-kérdőív magyar nyelvre történő adaptálása, valamint bevezetése volt, és ezáltal az implantáción átesett betegek fizikai, pszichológiai és szociális helyzetének felmérése. Módszer: A tesztet 2016. november 01. és 2018. május 31. között 30 beteg töltötte ki az implantáció előtt, valamint 6 és 12 hónappal a műtétet követően.Eredmények és következtetés: Betegeink életminőségében már 6 hónap elteltével jelentős változás volt megfigyelhető, és a műtét után 12 hónappal további javulásról számoltak be.Introduction: The success of cochlear implantation can be evaluated with audiological measurements and quality of life questionnaires. Aim: Our aim was to translate and introduce the Cochlear Implant Function Index (CIFI) test to analyze the physical, psychological and social state of our cochlear implant patients. Method: Between 01. 11. 2016 and 31. 05. 2018, 30 patients filled the questionnaire before and 6 and 12 months after the implantation. Results and conclusion: Results showed a remarkable improvement in the quality of life in several patients even after 6 months. Further improvements could be measured after 12 months. EREDETI KÖZLEMÉNYRövidítések CIFI = (Cochlear Implant Function Index) Cochlearis Implantáltak Funkcionális Indexe; MELAS = (mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes) mitochondrialis encephalopathia laktátacidózissal és stroke-szerű epizódokkal A cochlearis eredetű percepciós halláscsökkenés minden korosztályt érinthet, bár prevalenciája a korral növekedést mutat. A halláskárosodás negatívan hat a kommunikációra, a mindennapi életre, és az életminőség romlásához vezet [1].

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Cochlear implantation outcomes in older adults

Cited by 20 publications

References 11 publications

Aging, Cognitive Decline and Hearing Loss: Effects of Auditory Rehabilitation and Training with Hearing Aids and Cochlear Implants on Cognitive Function and Depression among Older Adults

Aging, Cognitive Decline and Hearing Loss: Effects of Auditory Rehabilitation and Training with Hearing Aids and Cochlear Implants on Cognitive Function and Depression among Older Adults

Does Treating Hearing Loss in Older Adults Improve Cognitive Outcomes? A Review

A Cochlearis Implantáltak Funkcionális Indexe (CIFI) magyarországi bevezetésével szerzett kezdeti tapasztalatok

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