Fulltext

Longitudinal outcomes for educational placement and quality of life in a prospectively recruited multinational cohort of children with cochlear implants

Muller L 1 , Goh BS 2 , Cordovés AP 3 , Sargsyan G 4 , Sikka K 5 , Singh S 6 Show all authors , Qiu J 7 , Xu L 8 , Graham PL 9 , James CJ 10 , Greenham P 11

Affiliations 

  • 1 Tygerberg Cochlear Implant Programme, South Africa. Electronic address: amum@sun.ac.za
  • 2 University Kebangsaan Malaysia (UKM), Malaysia. Electronic address: beesee@ppukm.ukm.edu.my
  • 3 Clinica Internacional de Salud La Pradera, Havana, Cuba. Electronic address: toeli@infomed.sld.cu
  • 4 Erebouni MC, Yerevan, Armenia. Electronic address: gajane.sargsian@yahoo.de
  • 5 All India Institute of Medical Sciences, New Delhi, India. Electronic address: kapil_sikka@yahoo.com
  • 6 The ENT Clinic, New Delhi, India. Electronic address: shomeshwar40@gmail.com
  • 7 The First Affiliated Hospital of Anhui Medical University, China. Electronic address: qiujianxin@ahmu.edu.cn
  • 8 Shandong Second Provincial General Hospital, China. Electronic address: sdphxl@126.com
  • 9 Macquarie University, Sydney, Australia. Electronic address: petra.graham@mq.edu.au
  • 10 Cochlear France SAS, Toulouse, France. Electronic address: cjames@cochlear.com
  • 11 Greenham Research Consulting Ltd., Ashbury, UK. Electronic address: paulagreenham@gmail.com
Int J Pediatr Otorhinolaryngol, 2023 Jul;170:111583.
PMID: 37245391 DOI: 10.1016/j.ijporl.2023.111583

Abstract

OBJECTIVES: The aim of this study was to report on the educational placement, quality of life and speech reception changes in a prospectively recruited group of children after they received a cochlear implant (CI).

METHOD: Data was collected on 1085 CI recipients of as part of a prospective, longitudinal, observational, international, multi-centre, paediatric registry, initiated by Cochlear Ltd (Sydney, NSW, Australia). Outcome data from children (≤10 years old) implanted in routine practice was voluntarily entered into a central, externally hosted, e-platform. Collection occurred prior to initial device activation (baseline) and at six monthly follow-up intervals up to 24 months and then at 3 years post activation. Clinician reported baseline and follow up questionnaires and Categories of Auditory Performance version II (CAP-II) outcomes were collated. Self-reported evaluation forms and patient information were provided by the parent/caregiver/patient via the implant recipient baseline and follow up, Children Using Hearing Implants Quality of Life (CuHIQoL) and Speech Spatial Qualities (SSQ-P) Parents Version questionnaires.

RESULTS: Children were mainly bilaterally profoundly deaf, unilaterally implanted and used a contralateral hearing aid. Prior to implant 60% used signing or total communication as their main mode of communication. Mean age at implant was 3.2 ± 2.2 years (range 0-10 years). At baseline 8.6% were in mainstream education with no additional support and 82% had not yet entered school. After three years of implant use, 52% had entered mainstream education with no additional support and 38% had not yet entered school. In the sub-group of 141 children who were implanted at or after three years of age and were thus old enough to be in mainstream school at the three-year follow up, an even higher proportion (73%) were in mainstream education with no support. Quality of life scores for the child improved statistically significantly post implant compared to baseline and continued to improve significantly at each interval up to 3 years (p 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

MeSH terms
Similar publications