*Department of Otolaryngology-Head and Neck Surgery, University of Kentucky Medical Center, Lexington; †Heuser Hearing Institute, Louisville; and ‡University of Kentucky College of Medicine, Lexington, Kentucky, U.S.A.
Otol Neurotol. 2013 Dec;34(9):1630-5. doi: 10.1097/MAO.0b013e31829e83ad.
The purpose of this study was to examine the timing of early intervention diagnostic and therapeutic services in cochlear implant recipients from rural and urban areas.
Retrospective case series review.
Tertiary referral center.
Cochlear implant recipients from a single comprehensive hearing institute born with severe congenital sensorineural hearing loss were examined. Timing of diagnostic and therapeutic services was examined.
INTERVENTION(S): Diagnosis, amplification, and eventual cochlear implantation for all patients in the study.
MAIN OUTCOME MEASURE(S): Time points of definitive diagnosis, amplification, and cochlear implantation for children from urban and rural regions were examined. Correlation analysis of distance to testing center and timing of services was also assessed.
Forty children born with congenital hearing loss were included in the study and were diagnosed at a median age of 13 weeks after birth. Children from rural regions obtained amplification at a median age of 47.7 weeks after birth, whereas urban children were amplified at 26 weeks after birth. Cochlear implantation was performed at a median age of 182 weeks after birth in those from rural areas and at 104 weeks after birth in urban-dwelling patients. A linear relationship was identified between distance to the implant center and timing of hearing aid amplification (r = 0.5, p = 0.033) and cochlear implantation (r = 0.5, p = 0.016).
Children residing outside of metro areas may be at higher risk of delayed rehabilitative services and cochlear implantation than those residing in urban areas that may be closer to tertiary care centers.
本研究旨在探讨城乡地区人工耳蜗植入患者早期干预诊断和治疗服务的时机。
回顾性病例系列研究。
三级转诊中心。
在一家综合性听力机构出生的严重先天性感觉神经性听力损失的人工耳蜗植入患者。检查了诊断和治疗服务的时机。
对所有研究患者进行诊断、放大和最终人工耳蜗植入。
检查城乡地区儿童的明确诊断、放大和人工耳蜗植入的时间点。还评估了到测试中心的距离与服务时间的相关性分析。
本研究纳入了 40 名先天性听力损失儿童，他们在出生后 13 周被诊断出中位数年龄。来自农村地区的儿童在出生后 47.7 周获得了中位数年龄的放大，而城市儿童则在出生后 26 周获得了放大。农村地区的儿童在出生后 182 周进行了中位数年龄的人工耳蜗植入，而城市地区的儿童则在出生后 104 周进行了人工耳蜗植入。植入中心距离与助听器放大（r = 0.5，p = 0.033）和人工耳蜗植入（r = 0.5，p = 0.016）的时间呈线性关系。
居住在大都市地区以外的儿童可能比居住在离三级护理中心更近的城市地区的儿童更有可能延迟康复服务和人工耳蜗植入。
