Barriers to early cochlear implantation.
Int J Audiol
; 55 Suppl 2: S64-76, 2016.
Article
em En
| MEDLINE
| ID: mdl-27139125
ABSTRACT
OBJECTIVE:
Identify variables associated with paediatric access to cochlear implants (CIs).DESIGN:
Part 1. Trends over time for age at CI surgery (N = 802) and age at hearing aid (HA) fitting (n = 487) were examined with regard to periods before, during, and after newborn hearing screening (NHS). Part 2. Demographic factors were explored for 417 children implanted under 3 years of age. Part 3. Pre-implant steps for the first 20 children to receive CIs under 12 months were examined.RESULTS:
Part 1. Age at HA fitting and CI surgery reduced over time, and were associated with NHS implementation. Part 2. For children implanted under 3 years, earlier age at HA fitting and higher family socio-economic status were associated with earlier CI. Progressive hearing loss was associated with later CIs. Children with a Connexin 26 diagnosis received CIs earlier than children with a premature / low birth weight history. Part 3. The longest pre-CI steps were Step 1 Birth to diagnosis/identification of hearing loss (mean 16.43 weeks), and Step 11 MRI scans to implant surgery (mean 15.05 weeks) for the first 20 infants with CIs under 12 months.CONCLUSION:
NHS implementation was associated with reductions in age at device intervention in this cohort.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adolescent
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Child
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Child, preschool
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Humans
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Infant
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Newborn
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article