Publication: The outcomes of cochlear implantation in Thailand: Audiologic performance and quality of life
1
0
Issued Date
2018
Resource Type
File Type
application/pdf
ISSN
1252208
Other identifier(s)
2-s2.0-85064192347
Rights Holder(s)
Scopus
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol 101, No.5 (2018), p.S203-S210
Suggested Citation
Kasemsiri P., Thanawirattananit P., Yimtae K., Kiatthanabumrung S., Isipradit P., Atchariyasathian V., Mukkun T., Wacharasindhu C., Tanamai N., Kaewsiri S., Nivatvong S., Thongyai K., Sirirattanapan J., Piromchai P., Chayaopas N., Hanprasertpong C., Yavapolkul D., Suvarnsit K., Lertsukprasert K., Potaporn M., Charusripan P., Chowsilpa S., Patarapak S., Prakairungthong S., Limviriyakul S., Srirompotong S., Chongvisal S., Jaruchinda S., Atipas S., Aujcharacharoenying T., Khaimook W., Cheewaruangroj W. The outcomes of cochlear implantation in Thailand: Audiologic performance and quality of life. Journal of the Medical Association of Thailand. Vol 101, No.5 (2018), p.S203-S210. Retrieved from: https://hdl.handle.net/20.500.14740/5249
Author(s)
Kasemsiri P.
Thanawirattananit P.
Yimtae K.
Kiatthanabumrung S.
Isipradit P.
Atchariyasathian V.
Mukkun T.
Wacharasindhu C.
Tanamai N.
Kaewsiri S.
Nivatvong S.
Thongyai K.
Sirirattanapan J.
Piromchai P.
Chayaopas N.
Hanprasertpong C.
Yavapolkul D.
Suvarnsit K.
Lertsukprasert K.
Potaporn M.
Charusripan P.
Chowsilpa S.
Patarapak S.
Prakairungthong S.
Limviriyakul S.
Srirompotong S.
Chongvisal S.
Jaruchinda S.
Atipas S.
Aujcharacharoenying T.
Khaimook W.
Cheewaruangroj W.
Thanawirattananit P.
Yimtae K.
Kiatthanabumrung S.
Isipradit P.
Atchariyasathian V.
Mukkun T.
Wacharasindhu C.
Tanamai N.
Kaewsiri S.
Nivatvong S.
Thongyai K.
Sirirattanapan J.
Piromchai P.
Chayaopas N.
Hanprasertpong C.
Yavapolkul D.
Suvarnsit K.
Lertsukprasert K.
Potaporn M.
Charusripan P.
Chowsilpa S.
Patarapak S.
Prakairungthong S.
Limviriyakul S.
Srirompotong S.
Chongvisal S.
Jaruchinda S.
Atipas S.
Aujcharacharoenying T.
Khaimook W.
Cheewaruangroj W.
Abstract
Background: Cochlear implantation is the one of modalities for restoring hearing function. Recently, trends in cochlear implants are increase but few studies have reported on quality of life and hearing outcomes after cochlear implant placement in Thailand. Objective: To assess the auditory performance and quality of life of patients after receiving cochlear implants. Materials and Methods: An observational study was conducted in 11 cochlear implant centers in Thailand. The study was implemented through a secure web-based platform. Retrieved data concerning cochlear implants were classified into two periods. Prior to October 1, 2016, retrospective chart reviews were performed, whereas the prospective element of the study investigated patients who underwent cochlear implantation after October 1, 2016. Data were collected until August 31, 2017. Results: Two hundred and twenty-six patients were registered. Unfortunately, 10 medical chart records contained insufficient data; thus, data from 216 patients were analyzed. Postoperative hearing outcomes, specifically aided thresholds, PB scores and SRT/ STD scores were superior to pre-implant performance and improved at each successive post-implant assessment point (p = 0.001, p<0.001, and p<0.001, respectively). It took a median of 36 months to aurally rehabilitate patients: the criterion used was achieving a CAP score of more than 5, indicating good communication performance. Use of sign language alone as a means of preoperative communication was a predictor of poor rehabilitation success (p = 0.013). The QOL of patients with cochlear implants was assessed with questionnaires including EQ5D5L, Pedsql, and HUI3. The outcomes were not clearly significantly better than pre-implantation; however, in the early post-operative period the trend was superior to pre-implantation performance. Complications of cochlear implantation were rare in our series. Conclusion: Cochlear implantation in Thailand seems to be providing good audiologic parameters, communication performances and QOL. A limitation of the study is the small amount of data due to difficulty in retrieving retrospective data. Therefore, a standard system for managing case data should be instituted now to improve the evidence base concerning outcomes of cochlear implant surgery. © 2018, Medical Association of Thailand. All rights reserved.
Subject(s)
Adult
Article
Assessment of humans
Auditory threshold
Categories of Auditory Performance score
Child
Cochlear implantation
Controlled study
European Quality of Life 5 Dimensions 5 Level questionnaire
Female
Health Utilities Index
Hearing
Human
Interpersonal communication
Major clinical study
Male
Observational study
Pediatric Quality of Life Inventory
Phonetically Balanced Word Score
Quality of life
Retrospective study
Speech discrimination
Article
Assessment of humans
Auditory threshold
Categories of Auditory Performance score
Child
Cochlear implantation
Controlled study
European Quality of Life 5 Dimensions 5 Level questionnaire
Female
Health Utilities Index
Hearing
Human
Interpersonal communication
Major clinical study
Male
Observational study
Pediatric Quality of Life Inventory
Phonetically Balanced Word Score
Quality of life
Retrospective study
Speech discrimination