Kevin James Contrera1, Janet Seolin Choi, Caitlin Rebecca Blake, Joshua Francis Betz, John Kim Niparko, Frank R Lin. 1. *Johns Hopkins University School of Medicine; †Center on Aging and Health, Johns Hopkins Medical Institutions; ‡Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; §Department of Otolaryngology-Head & Neck Surgery, Keck School of Medicine of University of Southern California, Los Angeles, California; and ∥Departments of Otolaryngology-Head & Neck Surgery, Geriatric Medicine, Mental Health and Epidemiology, Johns Hopkins University, Baltimore, Maryland, U.S.A.
Abstract
OBJECTIVE: To determine the rate of long-term cochlear implant (CI) use in children. STUDY DESIGN: Consecutive case series. SETTING: Tertiary referral center. PATIENTS: Approximately 474 patients younger than 18 years who received a first CI from 1999 to 2011. INTERVENTIONS: Cochlear implantation. MAIN OUTCOME MEASURE(S): Regular CI use, defined as using the CI for 8 hours or greater per day. RESULTS: We successfully contacted and obtained follow-up data on 402 patients (85%) via email, telephone, and postal survey. The rate of regular CI use was 93.2% (95% CI, 90.0-95.4) at 5 years postimplantation and 87.7% (95% CI, 82.9-91.3) at 10 years postimplantation. The mean number of hours of use per day was 12.0 hours (SD, 4.1 h). Cox proportional hazard regression analysis demonstrated a linear association between the age at implantation and the risk of discontinuing regular CI use. Rates of CI discontinuation increased by 18.2% per year of age at implantation (95% CI, 7.2%-30.4%). Reported reasons for CI use less than 8 hours per day include poor hearing benefit (53.2%), social pressure (21.3%), and recurrent displacement of the transmitter coil (17.0%). CONCLUSION: High rates of regular CI use are sustained after childhood implantation, and younger age at implantation is associated with a higher rate of continued device usage.
OBJECTIVE: To determine the rate of long-term cochlear implant (CI) use in children. STUDY DESIGN: Consecutive case series. SETTING: Tertiary referral center. PATIENTS: Approximately 474 patients younger than 18 years who received a first CI from 1999 to 2011. INTERVENTIONS: Cochlear implantation. MAIN OUTCOME MEASURE(S): Regular CI use, defined as using the CI for 8 hours or greater per day. RESULTS: We successfully contacted and obtained follow-up data on 402 patients (85%) via email, telephone, and postal survey. The rate of regular CI use was 93.2% (95% CI, 90.0-95.4) at 5 years postimplantation and 87.7% (95% CI, 82.9-91.3) at 10 years postimplantation. The mean number of hours of use per day was 12.0 hours (SD, 4.1 h). Cox proportional hazard regression analysis demonstrated a linear association between the age at implantation and the risk of discontinuing regular CI use. Rates of CI discontinuation increased by 18.2% per year of age at implantation (95% CI, 7.2%-30.4%). Reported reasons for CI use less than 8 hours per day include poor hearing benefit (53.2%), social pressure (21.3%), and recurrent displacement of the transmitter coil (17.0%). CONCLUSION: High rates of regular CI use are sustained after childhood implantation, and younger age at implantation is associated with a higher rate of continued device usage.
Authors: Elizabeth A R Beadle; Dyan J McKinley; Thomas P Nikolopoulos; Jackie Brough; Gerard M O'Donoghue; Sue M Archbold Journal: Otol Neurotol Date: 2005-11 Impact factor: 2.311
Authors: Arlene M Butz; Michele Donithan; Mary E Bollinger; Cynthia Rand; Richard E Thompson Journal: Ann Allergy Asthma Immunol Date: 2005-03 Impact factor: 6.347
Authors: Tine Arras; An Boudewyns; Freya Swinnen; Andrzej Zarowski; Birgit Philips; Christian Desloovere; Jan Wouters; Astrid van Wieringen Journal: Sci Rep Date: 2022-06-07 Impact factor: 4.996
Authors: Ethan D Borre; Evan R Myers; Judy R Dubno; Gerard M O'Donoghue; Mohamed M Diab; Susan D Emmett; James E Saunders; Carolina Der; Catherine M McMahon; Danah Younis; Howard W Francis; Debara L Tucci; Blake S Wilson; Osondu Ogbuoji; Gillian D Sanders Schmidler Journal: EClinicalMedicine Date: 2022-01-13
Authors: Ethan D Borre; Austin Ayer; Carolina Der; Titus Ibekwe; Susan D Emmett; Siddharth Dixit; Minahil Shahid; Bolajoko Olusanya; Suneela Garg; Mohini Johri; James E Saunders; Debara L Tucci; Blake S Wilson; Osondu Ogbuoji; Gillian D Sanders Schmidler Journal: EClinicalMedicine Date: 2022-06-17