Artikel ; Online: Can routine office-based audiometry predict cochlear implant evaluation results?
2017 Band 127, Heft 1, Seite(n) 216–222
Abstract: Objectives/hypothesis: Determining cochlear implant candidacy requires a specific sentence-level testing paradigm in best-aided conditions. Our objective was to determine if findings on routine audiometry could predict the results of a formal cochlear ... ...
Abstract | Objectives/hypothesis: Determining cochlear implant candidacy requires a specific sentence-level testing paradigm in best-aided conditions. Our objective was to determine if findings on routine audiometry could predict the results of a formal cochlear implant candidacy evaluation. We hypothesize that findings on routine audiometry will accurately predict cochlear implant evaluation results in the majority of candidates. Study design: Retrospective, observational, diagnostic study. Methods: The charts of all adult patients who were evaluated for implant candidacy at a tertiary care center from June 2008 through June 2013 were included. Routine, unaided audiologic measures (pure-tone hearing thresholds and recorded monosyllabic word recognition testing) were then correlated with best-aided sentence-level discrimination testing (using either the Hearing in Noise Test or AzBio sentences test). Results: The degree of hearing loss at 250 to 4,000 Hz and monosyllabic word recognition scores significantly correlated with sentence-level word discrimination test results. Extrapolating from this association, we found that 86% of patients with monosyllabic word recognition scores at or below 32% (or 44% for patients with private insurance) would meet candidacy requirements for cochlear implantation. Conclusions: Routine audiometric findings can be used to identify patients who are likely to meet cochlear implant candidacy upon formal testing. For example, patients with pure-tone thresholds (250, 500, 1,000 Hz) of ≥75 dB and/or a monosyllabic word recognition test score of ≤40% have a high likelihood of meeting candidacy criteria. Utilization of these predictive patterns during routine audiometric evaluation may assist hearing health professionals in deciding when to refer patients for a formal cochlear implant evaluation. Level of evidence: 4 Laryngoscope, 127:216-222, 2017. |
---|---|
Mesh-Begriff(e) | Adult ; Aged ; Aged, 80 and over ; Audiometry, Pure-Tone ; Cochlear Implantation ; Cochlear Implants ; Female ; Hearing Loss/diagnosis ; Hearing Loss/surgery ; Humans ; Male ; Middle Aged ; Patient Selection ; Physicians' Offices ; Predictive Value of Tests ; Retrospective Studies ; Speech Perception |
Sprache | Englisch |
Erscheinungsdatum | 2017-01 |
Erscheinungsland | United States |
Dokumenttyp | Journal Article ; Observational Study |
ZDB-ID | 80180-x |
ISSN | 1531-4995 ; 0023-852X |
ISSN (online) | 1531-4995 |
ISSN | 0023-852X |
DOI | 10.1002/lary.26066 |
Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
Volltext online
Zusatzmaterialien
Kategorien
Verfügbar in ZB MED Köln/Königswinter
Ul II Zs.82: Hefte anzeigen | Standort: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
Über subito bestellen
Dieser Service ist kostenpflichtig (siehe Lieferbedingungen von subito). Bestellungen, die einen Artikel nebst Supplementary Material umfassen, werden grundsätzlich wie mehrfache Bestellungen bearbeitet. Gebühren fallen in diesen Fällen für jede einzelne Bestellung an.