The French National Cochlear Implant Registry (EPIIC): Cochlear implantation in adults over 65 years old

被引：5

作者：

Mosnier, I ^{[1
]}

Ferrary, E. ^{[1
]}

Aubry, K. ^{[2
]}

Bordure, P. ^{[3
]}

Bozorg-Grayeli, A. ^{[4
]}

Deguine, O. ^{[5
]}

Eyermann, C. ^{[6
]}

Franco-Vidal, V. ^{[7
]}

Godey, B. ^{[8
]}

Guevara, N. ^{[9
]}

Karkas, A. ^{[10
]}

Klopp, N. ^{[11
]}

Labrousse, M. ^{[12
]}

Lebreton, J-P ^{[13
]}

Lerosey, Y. ^{[14
]}

Lescanne, E. ^{[15
]}

Loundon, N. ^{[16
]}

Marianowski, R. ^{[17
]}

Merklen, F. ^{[18
]}

Mezouaghi, K. ^{[19
]}

Mom, T. ^{[20
]}

Moreau, S. ^{[21
]}

Noel-Petroff, N. ^{[22
]}

Parietti-Winkler, C. ^{[3
]}

Piller, P. ^{[31
]}

Poncet, C. ^{[23
]}

Radafy, E. ^{[24
]}

Roman, S. ^{[25
]}

Roux-Vaillard, S. ^{[26
]}

Schmerber, S. ^{[27
]}

Tavernier, L. ^{[28
]}

Truy, E. ^{[29
]}

Vincent, C. ^{[30
]}

Sterkers, O. ^{[1
]}

机构：

[1] Sorbonne Univ, Grp Hosp Pitie Salpetriere, AP HP, Unite Fonct Implants Auditifs & Explorat Fonct,Se, 47-83 Blvd Hop, F-75651 Paris 13, France

[2] CHU Limoges, Limoges, France

[3] CHU Nantes, Nantes, France

[4] CHU Dijon, Dijon, France

[5] CHU Toulouse, Toulouse, France

[6] CHU Strasbourg, Strasbourg, France

[7] CHU Bordeaux, Bordeaux, France

[8] CHU Rennes, Rennes, France

[9] CHU Nice, Nice, France

[10] CHU St Etienne, St Etienne, France

[11] CHU Amiens, Amiens, France

[12] CHU Reims, Reims, France

[13] CHU Poitiers, Poitiers, France

[14] CHU Rouen, Rouen, France

[15] CHU Tours, Tours, France

[16] Hop Necker Enfants Malad, Paris, France

[17] CHU Brest, Brest, France

[18] CHU Montpellier, Montpellier, France

[19] CH La Reunion, La Reunion, France

[20] CHU Clermont Ferrand, Clermont Ferrand, France

[21] CHU Caen, Caen, France

[22] Hop Robert Debre, Paris, France

[23] Hop Rothschild, Paris, France

[24] CH Lamentin, Le Lamentin, Martinique, France

[25] CHU Marseille, Marseille, France

[26] CHU Angers, Angers, France

[27] CHU Grenoble, La Tronche, France

[28] CHU Besancon, Besancon, France

[29] CHU Lyon, Lyon, France

[30] CHU Lille, Lille, France

[31] CH Noumea, Noumea, New Caledonia

来源：

EUROPEAN ANNALS OF OTORHINOLARYNGOLOGY-HEAD AND NECK DISEASES | 2020年 / 137卷

关键词：

Elderly subject; Cochlear implant; Aphab; CAP; Intelligibility; REPORTED HEARING-LOSS; COGNITIVE DECLINE; SPEECH-PERCEPTION; COMPLICATIONS; PERFORMANCE; PREVALENCE; OUTCOMES;

D O I：

10.1016/j.anorl.2020.07.011

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Objectives: To analyze the performance of cochlear implants in French patients aged 65 and over, implanted between 2012 and 2016, using data from the French national registry for cochlear implants (EPIIC). Materials and methods: The French national registry incorporates patient data from before implantation and for three years after implantation, stratified in different age groups (18-39, 40-64 years, 65-74 years and > 75 years). Here, we assessed the latter two categories. Hearing was assessed using mono- and disyllabic words in a silent background. The Category of Auditory Performance (CAP) scale was also implemented and subjects took the Abbreviated Profile of Hearing Aid Benefit (Aphab) questionnaire. Results: The population aged over 65 accounted for 38% (n=1193) of the 3178 adult implanted patients. The performance for mono- and disyllabic words in silence, the CAP scores and the APHAB questionnaire answers for ease of communication, background noise and reverberation were dramatically improved at one year post-implantation (P < 0.0001 for each score) and remained stable between one and three years thereafter. The percentage improvement was similar across all age groups. The scores for loud-noise intolerance did not change after cochlear implantation in any age group. Conclusion: Cochlear implants improve hearing and communication in subjects aged 65 and over, with comparable efficiency to that achieved in younger subjects. Cochlear implantation should thus be proposed whenever hearing aids provide only limited benefit. However, between 2012 and 2016, cochlear implantation was given to less than 1% of the French population aged 65 and over with profound deafness. (C) 2020 Elsevier Masson SAS. All rights reserved.

引用

页码：S19 / S25

页数：7

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