Multicentre cohort study of cochlear implantation outcomes in Thailand

Piromchai, Patorn; Tanamai, Napas; Kiatthanabumrung, Sivaporn; Kaewsiri, Suwicha Isaradisaikul; Thongyai, Kanthong; Atchariyasathian, Viraporn; Thanawirattananit, Panida; Wacharasindhu, Chitsuda; Mukkun, Tulakan; Isipradit, Permsarp; Yimtae, Kwanchanok

doi:10.1136/bmjopen-2021-054041

Cited by 3 publications

(3 citation statements)

References 15 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The titles and abstracts of the remaining 1931 unique articles were screened, yielding 659 articles. Full‐text screening of these studies confirmed that 116 of these articles met the inclusion criteria 5,16‐130 . The selection process, including reasons for exclusion, is shown through a PRISMA flowchart in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

The Risk of Meningitis After Cochlear Implantation: A Systematic Review and Meta‐Analysis

Gowrishankar

Fleet

Tomasoni

et al. 2023

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

Objective. This study aims to estimate the rate of postoperative meningitis (both immediate and long-term) in patients following cochlear implants (CIs). It aims to do so through a systematic review and meta-analysis of published studies tracking complications after CIs. Data Sources. MEDLINE, Embase, and Cochrane Library.Review Methods. This review was performed in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies tracking complications following CIs in patients were included. Exclusion criteria included non-English language studies and case series reporting <10 patients. Bias risk was evaluated using the Newcastle-Ottawa Scale. Meta-analysis was performed through DerSimonian and Laird random-effects models.Results. A total of 116/1931 studies met the inclusion criteria and were included in the meta-analysis. Overall, there were 112 cases of meningitis in 58,940 patients after CIs. Metaanalysis estimated an overall rate of postoperative meningitis of 0.07% (95% confidence interval [CIs], 0.03%-0.1%; I 2 = 55%). Subgroup meta-analysis showed this rate had 95% CIs crossing 0% in implanted patients who received the pneumococcal vaccine, antibiotic prophylaxis, those with postoperative acute otitis media (AOM), and those implanted less than 5 years. Conclusion.Meningitis is a rare complication following CIs. Our estimated rates of meningitis after CIs appear lower than prior estimates based on epidemiological studies in the early 2000s. However, the rate still appears higher than the baseline rate in the general population. The risk was very low in implanted patients who received the pneumococcal vaccine, antibiotic prophylaxis, received unilateral or bilateral implantations, developed AOM, those implanted with a round window or cochleostomy techniques, and those under 5 years.

show abstract

Section: Resultsmentioning

confidence: 99%

The Risk of Meningitis After Cochlear Implantation: A Systematic Review and Meta‐Analysis

Gowrishankar

Fleet

Tomasoni

et al. 2023

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…Unfortunately, not enough comparable data were available to perform a meta-analysis (Tables 3 and 4) [1,15,16,54,55]. Although no age group was excluded from the literature review, it is apparent that there is limited data available regarding QoL surveys on children [1,[38][39][40][41][42]. This was one of the reasons why this study focused on collecting data from children and adolescents.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life and Audiological Benefits in Pediatric Cochlear Implant Users in Romania: Systematic Review and Cohort Study

Gundacker,

Trales,

Stefanescu

2023

JPM

View full text Add to dashboard Cite

Profound sensorineural hearing loss (SNHL) can be successfully treated with a cochlear implant (CI), and treatment is usually accompanied by increased quality of life (QoL). Therefore, the aim of this study was to investigate generic and health-related QoL, as well as the level of audiological outcomes, of CI users, in addition to whether Qol can be restored to the extent of those with normal hearing. Furthermore, different implantation timepoints were compared (early vs. late), and a possible correlation between health and generic QoL questionnaires was investigated. The outcomes from 93 pediatric CI users from Romania were analyzed in the study. Two QoL questionnaires (SSQ12, AQoL-6D), as well as the HSM sentence test and Soundfield measurements, were assessed. The outcomes revealed that the CI users were able to achieve the same QoL as their age- and-gender matched peers with normal hearing, and hearing was restored with good speech comprehension. No significant difference between early- and late-implanted children was detected, although a tendency of a better Word Recognition Score (+10%) in the early-implanted group was discovered. A moderate and significant correlation between the generic and health-related Qol questionnaire was observed. Audiological examinations are still the standard practice by which to measure the benefit of any hearing intervention; nonetheless, generic and health-related QoL should be assessed in order to provide a full picture of a successful and patient-satisfactory cochlear implant procedure.

show abstract

“…In children aged less than 5 years, the prevalence of hearing loss was 2% (7.5 million) and the incidence of permanent hearing loss in preschool children was 3.4 to 3.56 per 1000 [2][3][4][5]. Early detection and intervention can help to improve patients' quality of life [6].…”

Section: Introductionmentioning

confidence: 99%

App-Based Hearing Screenings in Preschool Children With Different Types of Headphones: Diagnostic Study

Tananuchittikul,

Yimtae,

Chayaopas

et al. 2023

JMIR Mhealth Uhealth

Self Cite

View full text Add to dashboard Cite

Background Hearing disability in preschool children can delay or impact oral communication and social skills. Provision of hearing screening tests by standard audiometry in low- to middle-income countries is problematic due to a lack of pediatric audiologists, standard hearing equipment, and standard soundproof rooms. Therefore, an innovative hearing screening tool that is easily accessible and inexpensive such as a mobile app should be considered. Headphones have been a crucial part of hearing screenings. Audiometric headphones, which serve as the reference standard, have been used in most studies. However, since audiometric headphones are not accessible in rural areas, we hypothesized that generic headphones can also be used in hearing screenings. Objective This study aimed to determine the sensitivity, specificity, κ coefficiency, and time consumption of the PASS-Pro (Preschool Audiometry Screening System–Pro) app when using TDH39 headphones, Beyerdynamic DT 770 PRO headphones, and generic earmuff headphones compared to standard conditioned play audiometry. Methods We recruited preschool children aged 4 to 5 years to participate in this study. The children received 3 PASS-Pro screening tests using different types of headphones in a quiet room and 1 standard conditioned play audiometry in a soundproof room. All tests were administered in random order. The agreement coefficient, sensitivity, specificity, and mean test duration were determined. Results A total of 44 children participated in this study. For mild hearing loss screening, the κ coefficients between standard conditioned play audiometry and the PASS-Pro app using TDH39 headphones, Beyerdynamic DT 770 PRO headphones, and generic earmuff headphones were 0.195, 0.290, and 0.261 (P=.02, P=.002, and P=.004), respectively. The sensitivity for all headphones was 50% and the specificity was more than 88%. For moderate hearing loss screening, the κ coefficients were 0.206, 0.272, and 0.235 (all Ps=.001), respectively. The sensitivity for all headphones was 100% and the specificity was more than 92%. There were no statistical differences in sensitivity and specificity between the reference headphone (TDH39), Beyerdynamic DT 770 PRO headphone, and generic earmuff headphones (all Ps >.05). The PASS-Pro app used significantly less time to carry out hearing tests than conditioned play audiometry (P<.001). Conclusions The PASS-Pro app, used with generic headphones, is effective for conducting hearing screening tests in preschool children with high sensitivity and specificity.

show abstract

Multicentre cohort study of cochlear implantation outcomes in Thailand

Cited by 3 publications

References 15 publications

The Risk of Meningitis After Cochlear Implantation: A Systematic Review and Meta‐Analysis

The Risk of Meningitis After Cochlear Implantation: A Systematic Review and Meta‐Analysis

Quality of Life and Audiological Benefits in Pediatric Cochlear Implant Users in Romania: Systematic Review and Cohort Study

App-Based Hearing Screenings in Preschool Children With Different Types of Headphones: Diagnostic Study

Contact Info

Product

Resources

About