Sonnet Marie-Hortense, Montaut-Verient Bettina, Niemier Jean-Yves, Hoen Michel, Ribeyre Laurence, Parietti-Winkler Cécile
*ENT Department †Geriatric Department, Regional University Hospital of Nancy, Vandoeuvre-lès-Nancy ‡Oticon Medical, Clinical and Scientific Research Group Cochlear Implants, Vallauris, France.
Otol Neurotol. 2017 Sep;38(8):e296-e301. doi: 10.1097/MAO.0000000000001503.
To evaluate quality of life (QoL) and cognitive function in elderly patients with cochlear implants relative to auditory improvement, using geriatric validated scales.
Prospective observational study.
A tertiary referral center for cochlear implantation (CI) and a geriatric center in Nancy, France.
Sixteen consecutive patients were included, from 65 to 80 years old, with postlingual severe-to-profound deafness.
Evaluations were conducted before and at 6 and 12 months after cochlear implant surgery. A monosyllabic word recognition test was used to measure speech perception. QoL was evaluated by the World Health Organization Quality of Life Assessment for elderly people; cognitive function was evaluated by the Mini-Mental State Examination; depression was evaluated by the Hamilton Scale; autonomy was evaluated by the Instrumental Activities of Daily Living.
Speech intelligibility evolved from 10% before surgery to 63% and 69% at 6 and 12 months after cochlear implant activation, respectively. QoL showed significant improvement in sensory abilities. The Mini-Mental State Examination evaluations remained stable and executive functions tended to improve. Autonomy improved significantly.
Cochlear implantation improves autonomy and the QoL in the elderly. Cognitive functions are not influenced by surgery, but executive functions appear to benefit from implantation. Age should not be a limiting factor, and cochlear implantation can be proposed as an efficient treatment for severe-to-profound hearing loss in the elderly.
使用经过验证的老年量表，评估老年人工耳蜗植入患者的生活质量（QoL）和认知功能相对于听力改善的情况。
前瞻性观察研究。
法国南锡的一家三级人工耳蜗植入转诊中心和一家老年医学中心。
纳入16例年龄在65至80岁之间、语后重度至极重度耳聋的连续患者。
在人工耳蜗植入手术前、术后6个月和12个月进行评估。使用单音节词识别测试来测量言语感知。生活质量通过世界卫生组织老年人生活质量评估进行评估；认知功能通过简易精神状态检查表进行评估；抑郁通过汉密尔顿量表进行评估；自主性通过日常生活活动能力量表进行评估。
言语清晰度从手术前的10%分别提高到人工耳蜗激活后6个月和12个月时的63%和69%。生活质量在感觉能力方面有显著改善。简易精神状态检查表评估结果保持稳定，执行功能有改善趋势。自主性有显著改善。
人工耳蜗植入可改善老年人的自主性和生活质量。认知功能不受手术影响，但执行功能似乎受益于植入。年龄不应成为限制因素，人工耳蜗植入可作为老年人重度至极重度听力损失的有效治疗方法。
