Extended Preoperative Audiometry for Outcome Prediction and Risk Analysis in Patients Receiving Cochlear Implants
Background: The outcome of cochlear implantation has improved over the last decades, but there are still patients with less benefit. Despite numerous studies examining the cochlear implant (CI) outcome, variations in speech comprehension with CI remains incompletely explained. The aim of this study...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-05-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/9/3262 |
| _version_ | 1797602328066392064 |
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| author | Jan-Henrik Rieck Annika Beyer Alexander Mewes Amke Caliebe Matthias Hey |
| author_facet | Jan-Henrik Rieck Annika Beyer Alexander Mewes Amke Caliebe Matthias Hey |
| author_sort | Jan-Henrik Rieck |
| collection | DOAJ |
| description | Background: The outcome of cochlear implantation has improved over the last decades, but there are still patients with less benefit. Despite numerous studies examining the cochlear implant (CI) outcome, variations in speech comprehension with CI remains incompletely explained. The aim of this study was therefore to examine preoperative pure-tone audiogram and speech comprehension as well as aetiology, to investigate their relationship with postoperative speech comprehension in CI recipients. Methods: A retrospective study with 664 ears of 530 adult patients was conducted. Correlations between the target variable postoperative word comprehension with the preoperative speech and sound comprehension as well as aetiology were investigated. Significant correlations were inserted into multivariate models. Speech comprehension measured as word recognition score at 70 dB with CI was analyzed as (i) a continuous and (ii) a dichotomous variable. Results: All variables that tested preoperative hearing were significantly correlated with the dichotomous target; with the continuous target, all except word comprehension at 65 dB with hearing aid. The strongest correlation with postoperative speech comprehension was seen for monosyllabic words with hearing aid at 80 dB. The preoperative maximum word comprehension was reached or surpassed by 97.3% of CI patients. Meningitis and congenital diseases were strongly negatively associated with postoperative word comprehension. The multivariate model was able to explain 40% of postoperative variability. Conclusion: Speech comprehension with hearing aid at 80 dB can be used as a supplementary preoperative indicator of CI-aided speech comprehension and should be measured regularly in the clinical routine. Combining audiological and aetiological variables provides more insights into the variability of the CI outcome, allowing for better patient counselling. |
| first_indexed | 2024-03-11T04:15:32Z |
| format | Article |
| id | doaj.art-c1531a81ed5d49ce928f187f019c31cb |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T04:15:32Z |
| publishDate | 2023-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-c1531a81ed5d49ce928f187f019c31cb2023-11-17T23:12:51ZengMDPI AGJournal of Clinical Medicine2077-03832023-05-01129326210.3390/jcm12093262Extended Preoperative Audiometry for Outcome Prediction and Risk Analysis in Patients Receiving Cochlear ImplantsJan-Henrik Rieck0Annika Beyer1Alexander Mewes2Amke Caliebe3Matthias Hey4Medical Faculty, CAU Kiel, 24105 Kiel, GermanyAudiology, ENT Clinic, UKSH Kiel, 24105 Kiel, GermanyAudiology, ENT Clinic, UKSH Kiel, 24105 Kiel, GermanyInstitute of Medical Informatics and Statistics, CAU Kiel, 24105 Kiel, GermanyAudiology, ENT Clinic, UKSH Kiel, 24105 Kiel, GermanyBackground: The outcome of cochlear implantation has improved over the last decades, but there are still patients with less benefit. Despite numerous studies examining the cochlear implant (CI) outcome, variations in speech comprehension with CI remains incompletely explained. The aim of this study was therefore to examine preoperative pure-tone audiogram and speech comprehension as well as aetiology, to investigate their relationship with postoperative speech comprehension in CI recipients. Methods: A retrospective study with 664 ears of 530 adult patients was conducted. Correlations between the target variable postoperative word comprehension with the preoperative speech and sound comprehension as well as aetiology were investigated. Significant correlations were inserted into multivariate models. Speech comprehension measured as word recognition score at 70 dB with CI was analyzed as (i) a continuous and (ii) a dichotomous variable. Results: All variables that tested preoperative hearing were significantly correlated with the dichotomous target; with the continuous target, all except word comprehension at 65 dB with hearing aid. The strongest correlation with postoperative speech comprehension was seen for monosyllabic words with hearing aid at 80 dB. The preoperative maximum word comprehension was reached or surpassed by 97.3% of CI patients. Meningitis and congenital diseases were strongly negatively associated with postoperative word comprehension. The multivariate model was able to explain 40% of postoperative variability. Conclusion: Speech comprehension with hearing aid at 80 dB can be used as a supplementary preoperative indicator of CI-aided speech comprehension and should be measured regularly in the clinical routine. Combining audiological and aetiological variables provides more insights into the variability of the CI outcome, allowing for better patient counselling.https://www.mdpi.com/2077-0383/12/9/3262cochlear implantspeech comprehensionprediction modelpreoperative audiometric diagnosticshearing lossauditory rehabilitation |
| spellingShingle | Jan-Henrik Rieck Annika Beyer Alexander Mewes Amke Caliebe Matthias Hey Extended Preoperative Audiometry for Outcome Prediction and Risk Analysis in Patients Receiving Cochlear Implants Journal of Clinical Medicine cochlear implant speech comprehension prediction model preoperative audiometric diagnostics hearing loss auditory rehabilitation |
| title | Extended Preoperative Audiometry for Outcome Prediction and Risk Analysis in Patients Receiving Cochlear Implants |
| title_full | Extended Preoperative Audiometry for Outcome Prediction and Risk Analysis in Patients Receiving Cochlear Implants |
| title_fullStr | Extended Preoperative Audiometry for Outcome Prediction and Risk Analysis in Patients Receiving Cochlear Implants |
| title_full_unstemmed | Extended Preoperative Audiometry for Outcome Prediction and Risk Analysis in Patients Receiving Cochlear Implants |
| title_short | Extended Preoperative Audiometry for Outcome Prediction and Risk Analysis in Patients Receiving Cochlear Implants |
| title_sort | extended preoperative audiometry for outcome prediction and risk analysis in patients receiving cochlear implants |
| topic | cochlear implant speech comprehension prediction model preoperative audiometric diagnostics hearing loss auditory rehabilitation |
| url | https://www.mdpi.com/2077-0383/12/9/3262 |
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