Observational Study of Pediatric Cochlear Implant Recipients: Two-year Follow-up Outcomes Pediatrik Koklear İmplant Kullanıcıları Gözlemsel Çalışması: İki Yıllık Takip Sonuçları


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CESUR S., Ciprut A., Terlemez S.

Medeniyet Medical Journal, cilt.38, sa.1, ss.78-87, 2023 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 38 Sayı: 1
  • Basım Tarihi: 2023
  • Doi Numarası: 10.4274/mmj.galenos.2023.35305
  • Dergi Adı: Medeniyet Medical Journal
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.78-87
  • Anahtar Kelimeler: auditory performance, Cochlear implants, family perspective, quality of life, speech development
  • Marmara Üniversitesi Adresli: Evet

Özet

Objective: The aim of this study was to evaluate the improvements in quality of life and auditory performance via a descriptive report using patient-related outcomes measures in a group of children with cochlear implants (CI). Methods: This was a longitudinal and retrospective study based on the analysis of patient records of a total of 28 children with CI, 18 of whom had bilateral (64.3%) and 10 had unilateral (35.7%). The study included repeated within-subject measures of Hearing Implants Quality of Life (CuHI-QoL), Categories of Auditory Performance (CAP-II), Speech, Spatial, and Qualities of Hearing scale-Parents’ version (SSQ-P) scales, and Implant Recipient Follow-up (IRF) form at 6-month intervals from baseline up to 24 months. Results: During the 2-year follow-up assessments, all children with CI showed statistically significant improvement over time in their CAP-II, SSQ-P, CuHI-QoL, and IRF scores (p<0.001). The most significant increase in scores occurred within the first six months following the baseline and then continued to increase gradually at a slower pace over time. A moderate negative relationship was found between the age of implantation and SSQ-P and family satisfaction scores of IRF (p<0.05). Conclusions: Family expectations, overall well-being, quality of life, auditory, and verbal skills increase positively with earlier CI intervention. Moreover, the subjective assessment results showed that parents-positive attitudes toward implantation, and willingness to recommend it to others have steadily increased in time. Although the cohort is relatively small and variable, the results offer a descriptive view to outcomes in real-world practice.