International journal of audiology · 2016
Barriers to early cochlear implantation.
СтатьяНазвание и аннотация: Перевод в очереди
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Dettman Shani, Choo Dawn, Dowell Richard
Аннотация
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.
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.
Предметные рубрики MeSH
AdolescentAuditory PerceptionChildChild, PreschoolCochlear ImplantationCochlear ImplantsConnexin 26ConnexinsGenetic TestingHealth Services AccessibilityHearingHearing AidsHearing DisordersHearing TestsHumansInfantInfant, NewbornMagnetic Resonance ImagingNeonatal ScreeningPersons with Hearing DisabilitiesPredictive Value of TestsRetrospective StudiesTime FactorsTime-to-TreatmentTreatment Outcome