Otology and Neurotology Department, ENT Department, Bâtiment Pierre Paul Riquet - Hôpital Purpan, Place du Dr Baylac, 31059, Toulouse Cedex 9, France.
Groupe Hospitalier de la Pitié-Salpétrière, Paris, France.
BMC Geriatr. 2020 Jul 23;20(1):252. doi: 10.1186/s12877-020-01628-2.
Given an increase in the aging population and its impact on healthcare systems, policy makers for provision of health and social services are aiming to keep older adults in good health for longer, in other words towards 'healthy aging'. Our study objective is to show that rehabilitation with cochlear implant treatment in the elderly with hearing impairment improves the overall health-related quality of life and general well-being that translate into healthy aging.
The multicentre, prospective, repeated measures, single-subject, clinical observational study will accrue 100 elderly, first-time, unilateral CI recipients (≥ 60 years) and analyze changes on specific measurement tools over ca. 20 months from preimplant to postimplant. Evaluations will consist of details collected through case history and interview questionnaires by clinicians, data logging, self-report questionnaires completed by the recipients and a series of commonly used audiometric measures and geriatric assessment tools. The primary indicator of changes in overall quality of life will be the HUI-3.
The protocol is designed to make use of measurement tools that have already been applied to the hearing-impaired population in order to compare effects of CI rehabilitation in adults immediately before their implantation, (pre-implant) and after gaining 1-1.5 years of experience (post-implant). The broad approach will lead to a greater understanding of how useful hearing impacts the quality of life in elderly individuals, and thus improves potentials for healthy aging. Outcomes will be described and analyzed in detail.
This research has been registered in ClinicalTrials.gov (http://www.clinicaltrials.gov/), 7 March 2017 under the n° NCT03072862 .
随着人口老龄化的增加及其对医疗保健系统的影响，提供健康和社会服务的政策制定者旨在让老年人保持更长久的健康，换句话说，就是实现“健康老龄化”。我们的研究目的是表明，为听力受损的老年人提供康复和人工耳蜗治疗可以提高整体健康相关的生活质量和总体幸福感，从而实现健康老龄化。
这项多中心、前瞻性、重复测量、单主体、临床观察研究将招募 100 名首次单侧人工耳蜗植入的老年听力受损患者（≥ 60 岁），并分析从植入前到植入后约 20 个月内特定测量工具的变化。评估将包括通过临床医生收集的详细病史和访谈问卷、数据记录、患者自我报告问卷以及一系列常用的听力测量和老年评估工具。整体生活质量变化的主要指标将是 HUI-3。
该方案旨在利用已经应用于听力受损人群的测量工具，比较成人在植入前（植入前）和获得 1-1.5 年经验后（植入后）接受人工耳蜗康复的效果。广泛的方法将使我们更深入地了解听力对老年人生活质量的影响，从而提高健康老龄化的潜力。将详细描述和分析结果。
这项研究于 2017 年 3 月 7 日在 ClinicalTrials.gov（http://www.clinicaltrials.gov/）注册，注册号为 NCT03072862。
