Barnard Jennifer M, Fisher Laurel M, Johnson Karen C, Eisenberg Laurie S, Wang Nae-Yuh, Quittner Alexandra L, Carson Christine M, Niparko John K
*Department of Otolaryngology, Head and Neck Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California; †Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, Maryland; and ‡Department of Psychology, University of Miami, Miami, Florida, U.S.A.
Otol Neurotol. 2015 Jul;36(6):985-92. doi: 10.1097/MAO.0000000000000723.
To identify characteristics associated with the inability to progress to open-set speech recognition in children 5 years after cochlear implantation.
Prospective, longitudinal, and multidimensional assessment of auditory development for 5 years.
Six tertiary cochlear implant (CI) referral centers in the United States.
Children with severe-to-profound hearing loss who underwent implantation before age 5 years enrolled in the Childhood Development after Cochlear Implantation study, categorized by level of speech recognition ability.
INTERVENTION(S): Cochlear implantation before 5 years of age and annual assessment of emergent speech recognition skills.
MAIN OUTCOME MEASURE(S): Progression to open-set speech recognition by 5 years after implantation.
Less functional hearing before implantation, older age at onset of amplification, lower maternal sensitivity to communication needs, minority status, and complicated perinatal history were associated with the inability to obtain open-set speech recognition by 5 years.
Characteristics of a subpopulation of children with CIs associated with an inability to achieve open-set speech recognition after 5 years of CI experience were investigated. These data distinguish pediatric CI recipients at risk for poor auditory development and highlight areas for future interventions to enhance support of early implantation.
确定人工耳蜗植入术后5年儿童无法进展到开放式言语识别的相关特征。
对听觉发育进行为期5年的前瞻性、纵向和多维度评估。
美国6家三级人工耳蜗（CI）转诊中心。
重度至极重度听力损失且在5岁前接受植入手术的儿童，纳入人工耳蜗植入术后儿童发育研究，按言语识别能力水平分类。
5岁前进行人工耳蜗植入，并对新兴言语识别技能进行年度评估。
植入术后5年进展到开放式言语识别。
植入前听力功能较差、开始使用助听器时年龄较大、母亲对沟通需求的敏感度较低、少数族裔身份以及围产期病史复杂与5岁时无法获得开放式言语识别有关。
对人工耳蜗植入儿童亚群体中与人工耳蜗植入术后5年无法实现开放式言语识别相关的特征进行了研究。这些数据区分了有听觉发育不良风险的儿科人工耳蜗接受者，并突出了未来干预的领域，以加强对早期植入的支持。
