Performance and QOL after Geriatric Cochlear Implantation

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P57-P58
Author(s):  
Alexandros Georgolios ◽  
Kelley Melissa Dodson ◽  
Cristina Baldassari ◽  
Patrick G Maiberger ◽  
Aristides Sismanis
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Patient Satisfaction ◽  
Cochlear Implantation ◽  
Age Groups ◽  
The Elderly ◽  
Time Interval ◽  
Comorbid Conditions ◽  
Glasgow Benefit Inventory

Objective To assess audiologic performance and quality of life in geriatric cochlear implantation patients and to determine whether comorbid medical conditions, etiology, and duration of hearing loss impact audiologic and quality of life outcomes. Methods Geriatric patients who underwent cochlear implantation between 1990 and 2006 were evaluated. Inclusion criteria were 55 years of age or older at time of implantation and post-lingual hearing loss. Patients with primary language other than English were excluded. 49 cochlear implant recipients were identified. A group of younger implanted patients was used as a control. All patients completed standardized audiologic tests including the Hearing In Noise Test. Validated surveys, including the Glasgow Benefit Inventory and the Hearing Handicap Inventory for the Elderly, were used to assess quality of life. Results The mean age at implantation was 69.5 (range 58–85) and the average time interval from the implantation to the completion of the surveys was 73.2 months (6 to 229). Identified comorbid conditions included hypertension, diabetes, and malignancies, among others. Audiologic performance and quality of life scores between the two groups were similar. In the geriatric group there was no difference in patient satisfaction between subgroups with 0–1, 2–3 or > 3 comorbid conditions. Conclusions Our results suggest that the audiologic performance and quality of life scores between the older and younger age groups are similar. In the geriatric group associated comorbidities did not interfere with patient satisfaction as assessed by survey instruments.

DEVELOPMENT OF MANIFACTURING TECHNOLOGY AND PRODUCTION OF AN IMPORT–SUBSTITUTING MULTIFUNCTIONAL COCHLEAR IMPLANTATION SYSTEM FOR THE REHABILITATION OF PATIENTS WITH SENSORINEURAL HEARING LOSS

2021 ◽  
Vol 3 ◽  
pp. 166-177
Author(s):  
A.I. EGOROV ◽  
E.M. GLUKHOVSKIY
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Cochlear Implants ◽  
Medical Practice ◽  
Cochlear Implantation ◽  
The Elderly ◽  
Research Problem ◽  
Laboratory Bench ◽  
Radical Method

This article deals with the results of work on the creation of an import–substituting technology for the production of domestic cochlear implants. Cochlear implantation is considered as a radical method for solving hearing problems, both in children and in the elderly. The experience of domestic operations was analyzed by interviewing patients who underwent the procedure of cochlear implantation. To solve the research problem, we analyzed the accumulated experience of domestic operations by interviewing patients who underwent the procedure of cochlear implantation. We will highlight the criteria for the success of improving the quality of life of patients, and we found a correlation between the success of improving the quality of life of a patient after surgery with the characteristics of the implant used. Based on the analysis of these correlations and a detailed study at the laboratory bench of the implant that most contributed to the improvement of the quality of life of patients, we proposed a configuration of a domestic device designed to replace a foreign analogue in medical practice.

Cochlear Implantation in the Elderly: Results and Quality-of-Life Assessment

2002 ◽  
Vol 111 (10) ◽  
pp. 890-895 ◽  
Author(s):  
Hamid R. Djalilian ◽  
Sharon L. Smith ◽  
Timothy A. King ◽  
Samuel C. Levine
Keyword(s):  
Quality Of Life ◽  
Complication Rate ◽  
Cochlear Implantation ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
The Elderly ◽  
Life Assessment ◽  
Test Results

To assess the efficacy, quality of life, and complication rate of cochlear implantation in patients over 60 years of age, we performed a retrospective chart review of 31 cochlear implant patients more than 60 years old at the time of surgery (mean, 70 years; range, 62 to 86 years). All patients had improvement in their audiological test results after operation. Twenty-eight patients (93%) are regular implant users at a median follow-up of 12 months. Major complications occurred in 2 patients (6%). We conclude that cochlear implantation in the elderly population has excellent results, with a complication rate similar to that in patients less than 60 years old, and yields an improved quality of life.

Quality-of-Life Benefit from Cochlear Implantation in the Elderly

2005 ◽  
Vol 26 (2) ◽  
pp. 188-195 ◽  
Author(s):  
Katrien Vermeire ◽  
Jan P. L. Brokx ◽  
Floris L. Wuyts ◽  
Ellen Cochet ◽  
Anouk Hofkens ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cochlear Implantation ◽  
The Elderly

scholarly journals Psoriasis in Pediatrics

2020 ◽  
Vol 19 (6) ◽  
pp. 496-499
Author(s):  
Andrey L. Bakulev ◽  
Ekaterina E. Talnikova
Keyword(s):  
Quality Of Life ◽  
Clinical Features ◽  
Age Groups ◽  
Current Data ◽  
Differential Diagnostics ◽  
Comorbid Conditions ◽  
Dermatological Diseases ◽  
Triggering Factors ◽  
Wide Range

Psoriasis is one of the most debatable topics in modern dermatology among the wide range of other dermatological diseases in childhood. The article provides current data on the epidemiology of psoriasis, its clinical features in different age groups, its triggering factors, differential diagnostics, possible comorbid conditions, as well as the quality of life of patients and their relatives.

scholarly journals Loss of Hearing Sensitivity in the Elderly

2021 ◽  
Vol 8 (05) ◽  
pp. 01-03
Author(s):  
Filomena da Ponte
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Hearing Aids ◽  
The Elderly ◽  
Hearing Sensitivity ◽  
Degree Of Satisfaction ◽  
Movement Ability ◽  
Clinically Significant ◽  
Loss Of Hearing

Aging, consensually assumed as a process that affects and alters significantly the cognitive and behavioral functions of the human being , encompassing multiple effects on a number of clinically significant variables , the most important being those that directly relate to the movement, ability to balance the effectiveness of mental functioning and sensory functions such as taste, smell , sight and hearing . Hearing loss in the elderly, scientifically called presbiacustia emerges quietly and is increased progressively with advancing age. This study had as its aim to contribute to the achievement of the best quality of life for elderly individuals with hearing loss (presbycusis). Thus, the objectives targeted were: trying to understand the motivations of the elderly to the use of hearing aids; determine the degree of satisfaction of users of these prostheses; evaluate how Preabycusis affects the quality of life of the elderly. The method used was qualitative oriented once interviewed the elderly users of the home. The sample was composed of 110 participants, with presbycusis, 69 female and 41 male (institutionalized seniors).

scholarly journals COCHLEAR IMPLANTATION PREVALENCE IN ELDERLY

2014 ◽  
Vol 13 (1) ◽  
pp. 122-128
Author(s):  
A. V. Starokha ◽  
A. V. Balakina ◽  
M. M. Litvak ◽  
A. E. Knipenberg ◽  
N. V. Shcherbik ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Cochlear Implantation ◽  
Sensorineural Hearing ◽  
Weighted Sums ◽  
Equal Weight ◽  
Role Functioning ◽  
Sf 36

Current paper describes an experience of cochlear implantation in elderly. Cochlear implantation has become a widely accepted intervention in the treatment of individuals with severe-to-profound sensorineural hearing loss. Cochlear implants are now accepted as a standard of care to optimize hearing and subsequent speech development in children and adults with deafness. But cochlear implantation affects not only hearing abilities, speech perception and speech production; it also has an outstanding impact on the social life, activities and self-esteem of each patient. The aim of this study was to evaluate the cochlear implantation efficacy in elderly with severe to profound sensorineural hearing loss. There were 5 patients under our observation. Surgery was performed according to traditional posterior tympanotomy and cochleostomy for cochlear implant electrode insertion for all observed patients. The study was conducted in two stages: before speech processor’s activation and 3 months later. Pure tone free field audiometry was performed to each patient to assess the efficiency of cochlear implantation in dynamics. The aim of the study was also to evaluate quality of life in elderly with severe to profound sensorineural hearing loss after unilateral cochlear implantation. Each patient underwent questioning with 36 Item Short Form Health Survey (SF-36). SF-36 is a set of generic, coherent, and easily administered quality-of-life measures. The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The eight sections are: physical functioning; physical role functioning; emotional role functioning; vitality; emotional well-being; social role functioning; bodily pain; general health perceptions. Our results demonstrate that cochlear implantation in elderly consistently improved quality of life and enhance the efficiency of audiologic rehabilitation.

Ulcerative colitis in the practice of a medical assistant

2020 ◽  
pp. 60-67
Author(s):  
Vsevolod Skvortsov
Keyword(s):  
Quality Of Life ◽  
Ulcerative Colitis ◽  
Age Groups ◽  
Clinical Manifestations ◽  
The Elderly ◽  
Long Duration ◽  
Rational Drug ◽  
Nonspecific Ulcerative Colitis ◽  
Severity Of The Disease

Ulcerative colitis (UC) is a chronic nonspecific inflammatory disease caused by immune disorders, mental disorders, genetics, and other factors. Its main clinical manifestations are accompanied by abdominal pain, diarrhea, bloody stools, weight loss, etc. A distinctive feature of nonspecific ulcerative colitis from Crohn's disease is its limitation by the large intestine, as well as the limited inflammation of the mucous membrane [1]. The disease affects various age groups from infants to the elderly, with a maximum incidence rate between the ages of 15 to 30 years and between 50 and 70 years. UC seriously affects human health and quality of life because of its long duration and repeated attacks, and also there is a risk of developing colorectal cancer. The disease violates the quality of life and leads to disability [2]. The article presents the causes of ulcerative colitis and describes the mechanisms for the development of pathological changes in the intestine. The principles of patient management, taking into account the severity of the disease, and the tactics of rational drug therapy are presented.

Effect of Cochlear Implantation on Quality of Life in Adults with Unilateral Hearing Loss

2017 ◽  
Vol 22 (4-5) ◽  
pp. 259-271 ◽  
Author(s):  
Margaret T. Dillon ◽  
Emily Buss ◽  
Meredith A. Rooth ◽  
English R. King ◽  
Ellen J. Deres ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Speech Perception ◽  
Cochlear Implantation ◽  
Normal Hearing ◽  
Unilateral Hearing Loss ◽  
Behavioral Measures ◽  
Speech Perception In Noise ◽  
Contralateral Ear

Objective: Patients with moderate-to-profound sensorineural hearing loss in 1 ear and normal hearing in the contralateral ear, known as unilateral hearing loss (UHL) or single-sided deafness (SSD), may experience improved quality of life with the use of a cochlear implant (CI) in the affected ear. Quality of life assessment before and after implantation may reveal changes to aspects of hearing beyond those explicitly evaluated with behavioral measures. Methods: The present report completed 2 experiments investigating quality of life outcomes in CI recipients with UHL. The first experiment assessed quality of life during the 1st year of device use with 3 questionnaires: the Speech, Spatial, and Qualities of Hearing Scale (SSQ), the Abbreviated Profile of Hearing Aid Benefit (APHAB), and the Tinnitus Handicap Inventory. Twenty subjects were evaluated preoperatively and 1, 3, 6, 9, and 12 months post-activation. Quality of life results were compared over the study period using traditional scoring methods and the SSQ pragmatic subscales. Subscales specific to localization and speech perception in noise were compared to behavioral measures at the preoperative and 12-month intervals. The 2nd experiment evaluated quality of life preoperatively and at the 12-month interval for CI recipients with UHL and CI recipients with bilateral hearing loss, including conventional CI users and those listening with electric-acoustic stimulation (EAS). The 3 cohorts differed in CI candidacy criteria, including the amount of residual hearing in the contralateral ear. Results: For subjects with moderate-to-profound UHL, receipt of a CI significantly improved quality of life, with benefits noted as early as 1 month after initial activation. The UHL cohort reported less perceived difficulty at the pre- and postoperative intervals than the conventional CI and EAS cohorts, which may be due to the presence of the normal-hearing ear. Each group experienced a significant benefit in quality of life on the APHAB with CI use. Conclusions: Cochlear implantation in cases of substantial UHL may offer significant improvements in quality of life. Quality of life measures revealed a reduction in perceived tinnitus severity and subjective improvements in speech perception in noise, spatial hearing, and listening effort. While self-report of difficulties were lower for the UHL cohort than the conventional CI and EAS cohorts, subjects in all 3 groups reported an improvement in quality of life with CI use.

scholarly journals Quality of Life Outcomes for Cochlear Implantation in the Elderly

2014 ◽  
Vol 19 (1) ◽  
pp. 36-39 ◽  
Author(s):  
Alicia Huarte ◽  
Rosario Lezaun ◽  
Manuel Manrique
Keyword(s):  
Quality Of Life ◽  
Cochlear Implantation ◽  
The Elderly ◽  
Life Outcomes ◽  
Quality Of Life Outcomes
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