Skip to main content
Journal cover image

Clinical and psychosocial risk factors of hearing outcome in older adults with cochlear implants.

Publication ,  Journal Article
Francis, HW; Yeagle, JA; Thompson, CB
Published in: Laryngoscope
March 2015

OBJECTIVES/HYPOTHESIS: To identify psychosocial determinants of speech perception (SP) outcome in older adults after cochlear implant (CI) surgery. STUDY DESIGN: Retrospective study. METHODS: Subjects received their CI at age 45 years or older and had at least 12 months of device experience. Independent variables consisted of the Charlson Comorbidity Index, history of depression, length of hearing loss and amplification use, residential status, education and gaps in SP data. Regression models were evaluated for associations with open-set SP gains at 3 months and 12 months, and in the 6- to 12-month time interval. RESULTS: Every 10% increase in the proportion of life spent using a hearing aid was associated with a 2% to 3% decrement in SP gain within the first 3 months of CI use. Later and overall 1y SP gains were negatively impacted by poorer general health, lower education level, and residence in an assisted-living facility. Patients with gaps in SP data at later time points were also more likely to have poorer health and to live in assisted-living facilities. The absence of two or more evaluations was associated on average with 6.3% lower SP outcome compared to subjects with one or fewer missing data points. Age at CI had no influence on the size of post-operative SP gains. CONCLUSIONS: Auditory deprivation and the influence of psychosocial and health factors on engagement in postsurgical rehabilitation services may impact CI outcomes more than has been previously reported. These findings have policy implications and highlight the need for more effective delivery of hearing rehabilitation services to an aging population.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Laryngoscope

DOI

EISSN

1531-4995

Publication Date

March 2015

Volume

125

Issue

3

Start / End Page

695 / 702

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Time Factors
  • Speech Perception
  • Risk Factors
  • Retrospective Studies
  • Otorhinolaryngology
  • Middle Aged
  • Male
  • Humans
  • Hearing Tests
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Francis, H. W., Yeagle, J. A., & Thompson, C. B. (2015). Clinical and psychosocial risk factors of hearing outcome in older adults with cochlear implants. Laryngoscope, 125(3), 695–702. https://doi.org/10.1002/lary.24921
Francis, Howard W., Jennifer A. Yeagle, and Carol B. Thompson. “Clinical and psychosocial risk factors of hearing outcome in older adults with cochlear implants.Laryngoscope 125, no. 3 (March 2015): 695–702. https://doi.org/10.1002/lary.24921.
Francis HW, Yeagle JA, Thompson CB. Clinical and psychosocial risk factors of hearing outcome in older adults with cochlear implants. Laryngoscope. 2015 Mar;125(3):695–702.
Francis, Howard W., et al. “Clinical and psychosocial risk factors of hearing outcome in older adults with cochlear implants.Laryngoscope, vol. 125, no. 3, Mar. 2015, pp. 695–702. Pubmed, doi:10.1002/lary.24921.
Francis HW, Yeagle JA, Thompson CB. Clinical and psychosocial risk factors of hearing outcome in older adults with cochlear implants. Laryngoscope. 2015 Mar;125(3):695–702.
Journal cover image

Published In

Laryngoscope

DOI

EISSN

1531-4995

Publication Date

March 2015

Volume

125

Issue

3

Start / End Page

695 / 702

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Time Factors
  • Speech Perception
  • Risk Factors
  • Retrospective Studies
  • Otorhinolaryngology
  • Middle Aged
  • Male
  • Humans
  • Hearing Tests