The French National Cochlear Implant Registry (EPIIC): Cochlear implantation in adults over 65 years old - 27/09/20
, E. Ferrary a, K. Aubry b, P. Bordure c, A. Bozorg-Grayeli d, O. Deguine e, C. Eyermann f, V. Franco-Vidal g, B. Godey h, N. Guevara i, A. Karkas j, N. Klopp k, M. Labrousse l, J.-P. Lebreton m, Y. Lerosey n, E. Lescanne o, N. Loundon p, R. Marianowski q, F. Merklen r, K. Mezouaghi s , T. Mom t, S. Moreau u, N. Noël-Petroff v, C. Parietti-Winkler c, P. Piller ae, C. Poncet w, E. Radafy x, S. Roman y, S. Roux-Vaillard z, S. Schmerber aa, L. Tavernier ab, E. Truy ac, C. Vincent ad, O. Sterkers aBienvenue sur EM-consulte, la référence des professionnels de santé.
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Abstract |
Objectives |
To analyze the performance of cochlear implants in French patients aged 65 and over, implanted between 2012 and 2016, using data from the French national registry for cochlear implants (EPIIC).
Materials and methods |
The French national registry incorporates patient data from before implantation and for three years after implantation, stratified in different age groups (18–39, 40–64years, 65–74years and>75years). Here, we assessed the latter two categories. Hearing was assessed using mono- and disyllabic words in a silent background. The Category of Auditory Performance (CAP) scale was also implemented and subjects took the Abbreviated Profile of Hearing Aid Benefit (Aphab) questionnaire.
Results |
The population aged over 65 accounted for 38% (n=1193) of the 3178 adult implanted patients. The performance for mono- and disyllabic words in silence, the CAP scores and the APHAB questionnaire answers for ease of communication, background noise and reverberation were dramatically improved at one year post-implantation (P<0.0001 for each score) and remained stable between one and three years thereafter. The percentage improvement was similar across all age groups. The scores for loud-noise intolerance did not change after cochlear implantation in any age group.
Conclusion |
Cochlear implants improve hearing and communication in subjects aged 65 and over, with comparable efficiency to that achieved in younger subjects. Cochlear implantation should thus be proposed whenever hearing aids provide only limited benefit. However, between 2012 and 2016, cochlear implantation was given to less than 1% of the French population aged 65 and over with profound deafness.
Le texte complet de cet article est disponible en PDF.Keywords : Elderly subject, Cochlear implant, Aphab, CAP, Intelligibility
Plan
Vol 137 - N° S1
P. S19-S25 - septembre 2020 Retour au numéro
Article précédent
- The French Cochlear Implant Registry (EPIIC): Perception and language results in infants with cochlear implantation under the age of 24 months
- N. Loundon, F. Simon, K. Aubry, P. Bordure, A. Bozorg-Grayeli, O. Deguine, C. Eyermann, V. Franco-Vidal, B. Godey, N. Guevara, A. Karkas, N. Klopp, M. Labrousse, J.-P. Lebreton, Y. Lerosey, E. Lescanne, R. Marianowski, F. Merklen, K. Mezouaghi, T. Mom, S. Moreau, I. Mosnier, N. Noël-Petroff, C. Parietti-Winkler, P. Piller, C. Poncet, E. Radafy, S. Roman, S. Roux-Vaillard, S. Schmerber, L. Tavernier, E. Truy, C. Vincent, A. De Lamaze
- The French Cochlear Implant Registry (EPIIC): Cochlear implant candidacy assessment of off-label indications
- R. Quatre, C. Fabre, K. Aubry, P. Bordure, A. Bozorg-Grayeli, O. Deguine, C. Eyermann, V. Franco-Vidal, B. Godey, N. Guevara, A. Karkas, N. Klopp, M. Labrousse, J.-P. Lebreton, Y. Lerosey, E. Lescanne, N. Loundon, R. Marianowski, F. Merklen, K. Mezouaghi, T. Mom, S. Moreau, I. Mosnier, N. Noël-Petroff, C. Parietti-Winkler, P. Piller, C. Poncet, E. Radafy, S. Roman, S. Roux-Vaillard, L. Tavernier, E. Truy, C. Vincent, S. Schmerber
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