Department of Otolaryngology, Stanford University School of Medicine, Stanford California, USA.
Otol Neurotol. 2020 Apr;41(4):438-443. doi: 10.1097/MAO.0000000000002558.
The aim of the study is to examine trends in the age of patients receiving cochlear implants and to determine the effect of age on the rate of perioperative complications.
Retrospective analysis of deidentified administrative claims data from a US commercial insurance database (Optum).
Individuals undergoing cochlear implantation between 2003 and 2016.
US hospital and outpatient facilities serving commercially insured patients.
Cochlear implantation.
Age at implantation, incidence of perioperative complications within 30 days identified by ICD9/10 codes including device problems, myocardial infarction, stroke, venous thromboembolism, local infection, meningitis, stroke, cerebrospinal fluid leak, and facial weakness.
Between 2003 and 2016, 3420 patients underwent a total of 4154 cochlear implants. The number of implants per year increased annually from 171 in 2003 to 531 in 2016, with the greatest growth demonstrated in those aged 60 and older.The age of patients undergoing implantation increased annually from an average of 26.6-57.2 years (p < 0.001). The implantation rates from 2003 to 2016, per 100,000 enrollees, increased from 1.64 to 6.82 for patients 60-79 years of age, and 0 to 11.57 for patients greater than 80 years of age (p < 0.001). No significant differences in 30-day complication rates were found between patients when grouped by age in decades, except for device related problems, which was significantly higher in younger patients (<18 years).
Over the past decade and a half, cochlear implantation is more frequently being performed, and in an increasingly aging population. This trend does not seem to alter the risk of perioperative complications.
本研究旨在探讨接受人工耳蜗植入患者的年龄趋势，并确定年龄对围手术期并发症发生率的影响。
对美国商业保险数据库（Optum）中未识别身份的行政索赔数据进行回顾性分析。
2003 年至 2016 年间接受人工耳蜗植入的个体。
为商业保险患者提供服务的美国医院和门诊设施。
人工耳蜗植入。
植入时的年龄，通过 ICD9/10 编码识别的 30 天内围手术期并发症的发生率，包括设备问题、心肌梗死、中风、静脉血栓栓塞、局部感染、脑膜炎、中风、脑脊液漏和面部无力。
2003 年至 2016 年间，3420 名患者共接受了 4154 例人工耳蜗植入。每年植入的数量从 2003 年的 171 例增加到 2016 年的 531 例，在 60 岁及以上的患者中增长最大。接受植入手术的患者年龄每年从平均 26.6-57.2 岁增加（p<0.001）。2003 年至 2016 年，每 10 万名参保人中，60-79 岁患者的植入率从 1.64 增至 6.82，80 岁以上患者的植入率从 0 增至 11.57（p<0.001）。除了设备相关问题（在年轻患者中发生率明显更高）外，按年龄分组的患者在 30 天内并发症发生率没有差异。
在过去的十五年中，人工耳蜗植入的频率越来越高，并且患者人群越来越老龄化。这一趋势似乎并没有改变围手术期并发症的风险。
