Differential cochlear implant outcomes in older adults

Abstract

Patients over the age of 80 years had lower speech perception scores than other adult CI recipients but did not have higher rates of dizziness or vertigo after surgery. A family history of hearing loss was associated with a trend toward better speech recognition, possibly representing a new prognostic variable. These findings provide important information that will aid clinicians in counseling older CI candidates.

Older and Younger Adult Cochlear Implant Users: Speech Recognition in Quiet and Noise, Quality of Life, and Music Perception

“…Many studies report that older and younger implanted adults do equally well on tests using single words or sentences in quiet listening conditions (Budenz et al, 2011;Haensel et al, 2005;Labadie et al, 2000;Migirov et al, 2010;Noble et al, 2009;Orabi et al, 2006;Park et al, 2011;Pasanisi et al, 2003;Poissant et al, 2008;Sterkers et al, 2004), yet others demonstrate significantly lower performance for older compared with younger CI listeners (Chan et al, 2007;Friedland, RungeSamuelson, Baig, & Jensen, 2010;Noble et al, 2009;Roberts, Lin, Herrmann, & Lee, 2013;Vermeire et al, 2005). Perhaps even more surprising is that studies also disagree about the presence of age-related speech-in-noise (SIN) performance differences between older and younger implanted adults.…”

“…Perhaps even more surprising is that studies also disagree about the presence of age-related speech-in-noise (SIN) performance differences between older and younger implanted adults. That is, some studies have demonstrated that older implanted adults perform lower on SIN than younger implanted adults (Lin, Thorpe, Gordon-Salant, & Ferrucci, 2011;Roberts et al, 2013) yet others have reported that age-related differences are absent (Budenz, et al, 2011;Friedland et al, 2010, Orabi et al, 2006Poissant et al, 2008). Adding to the complexity of aging effects on implant use are studies such as Noble et al (2009) Ventry & Weinstein, 1982), the Hearing Handicap Questionnaire (HHQ; Noble, Tyler, Dunn, & Bhullar, 2008), and Speech, Spatial, and Qualities of Hearing Scale (SSQ; Gatehouse & Noble, 2004).…”

“…Roberts et al (2013) completed a retrospective chart review of 113 patients: 46 younger (<65 years) and 67 older (≥65 years). They reported significant age-related performance differences on the consonant nucleus consonant (CNC; Peterson & Lehiste, 1952) single words tested at 65 dB SPL after at least 5 months of device use.…”

“…The interval of testing is important in light of reports suggesting older adults take longer to acclimate to electrical hearing compared with younger adults (Chan et al, 2007). It is unknown whether the age-related differences reported by Roberts et al (2013) would persist once all patients had used the device for a sufficient amount of time.…”

Stationäre Rehabilitationsmaßnahmen bei erwachsenen CI-Trägern

“…Mit zunehmendem Alter der Patienten bei der CI-Versorgung nimmt die Leistung im Hör-und Sprachverständ-nis ab [18]. Die Untersuchungsergebnisse von Blamey et al [3] …”