Skip Navigation LinksHome > June 2014 - Volume 35 - Issue 5 > Long-Term Use of Cochlear Implants in Older Adults: Results...
Otology & Neurotology:
doi: 10.1097/MAO.0000000000000327
Cochlear Implants

Long-Term Use of Cochlear Implants in Older Adults: Results From a Large Consecutive Case Series

Choi, Janet S.*; Contrera, Kevin J.*; Betz, Joshua F.; Blake, Caitlin R.; Niparko, John K.§; Lin, Frank R.‡∥

Collapse Box

Abstract

Objective

To investigate rates of long-term use of cochlear implants in a large, consecutive case series of older adults (≥60 yr).

Study Design

Consecutive case series.

Setting

Tertiary referral center.

Patients

Approximately 447 individuals 60 years or older who received their first CI from 1999 to 2011. We successfully contacted 397 individuals (89%) to ascertain data on the individual’s daily CI use averaged over the past 4 weeks.

Intervention

Cochlear implantation.

Main Outcome Measure

Regular CI use was defined as 8 hours or greater of use per day. We investigated the time from implantation to the date when an individual reported discontinuing regular CI use.

Results

The overall rate of regular CI use at 13.5 years of follow-up was 82.6% (95% CI, 72.5%–89.3%). Individuals who received a CI at 60 to 74 years had significantly higher rates of regular CI use at 13.5 years of follow-up (91.1% [95% CI, 83.2%–95.4%], n = 251) than individuals who received a CI at 75 years or older (55.7% [95% CI, 24.9%–78.1%], n = 146). The rate of discontinuing regular CI use (<8 hr/d) increased on average by 7.8% (95% CI, 3.0%–12.8%) per year of age at implantation.

Conclusion

Rates of long-term CI use in older adults at more than 10 years of follow-up exceed 80%. The rate of discontinuing regular CI use was strongly associated with older age at implantation. These results suggest that early implantation of older adults, once critically low levels of speech recognition are present, is associated with greater usage of the device.

Copyright © 2014, Otology & Neurotology, Inc.

Follow Us

 

 

Login

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.