In:
Otology & Neurotology, Ovid Technologies (Wolters Kluwer Health), Vol. 44, No. 3 ( 2023-3), p. e146-e154
Abstract:
This study aimed 1) to measure the effect of cochlear implantation on health-related quality of life (HR-QOL) using the Cochlear Implant Quality of Life (CIQOL) questionnaire and 2) to determine audiologic, demographic, and non-CI/hearing-related QOL factors influencing the CIQOL. Study Design Prospective observational study. Setting Tertiary referral center. Patients and Interventions Thirty-seven adult patients with sensorineural hearing loss undergoing cochlear implantation. Main Outcome Measure(s) CIQOL-global score preimplantation and 6 months postimplantation. Physical function score as measured by the short-form survey, audiologic, and demographic variables. Results CIQOL showed significant improvement from preimplantation to 6 months postactivation with a mean difference of 14.9 points (95% confidence interval, 11.3 to 18.5, p 〈 0.0001). Improvement in CIQOL (ΔCIQOL) correlated linearly with age ( r = −0.49, p = 0.001) and improvement in speech perception testing ( r = 0.63, p 〈 0.0001). Multivariate modeling using age and change in consonant–vowel nucleus–consonant (CNC) score explained 46% of the variability measured by the ΔCIQOL-global score. Conclusions Nearly all CI recipients achieve significant gains for all domains as measured by the CIQOL. However, younger patients and those with a greater improvement in speech perception performance (CNC) are more likely to achieve a greater CIQOL benefit. Results here suggest the importance of considering preoperative CIQOL and speech perception measures when evaluating predictors of HR-QOL.
Type of Medium:
Online Resource
ISSN:
1537-4505
,
1531-7129
DOI:
10.1097/MAO.0000000000003805
Language:
English
Publisher:
Ovid Technologies (Wolters Kluwer Health)
Publication Date:
2023
detail.hit.zdb_id:
2058738-7
