Department of Otolaryngology-Head and Neck Surgery, University of Utah, Salt Lake City, Utah, USA.
School of Medicine, University of Nevada-Reno, Reno, Nevada, USA.
Otolaryngol Head Neck Surg. 2022 Feb;166(2):350-356. doi: 10.1177/01945998211004589. Epub 2021 Apr 20.
To examine the relationship among frailty index, hearing measures, and hearing-related quality of life (QOL) in older recipients of cochlear implants.
Cross-sectional survey.
Academic medical center.
Adults aged ≥65 years at the time of receiving cochlear implants between July 13, 2000, and April 3, 2019, were asked to complete a questionnaire on hearing-related QOL. Chart review was performed to identify patients' characteristics. Correlations were calculated between frailty index and audiologic outcome measures as well as between speech recognition scores and QOL scores. Linear regression models were developed to examine the impact of clinical characteristics, frailty index, and hearing measures on hearing-related QOL.
Data for 143 respondents were included. The mean age was 80.7 years (SD, 7.1), with a mean 27.8 years of hearing loss (SD, 17.4) before implantation. The mean frailty index was 11.1 (SD, 10.6), indicating that patients had 1 or 2 of the measured comorbidities on average. No correlation was found between lower frailty index (better health) and hearing scores, including pure tone averages (PTAs) and speech recognition scores. Lower frailty index and larger improvement in PTA after cochlear implantation predicted better QOL scores on univariate analysis (respectively, = .002, β = -0.42 [95% CI, -0.68 to -0.16]; = .008, β = -0.15 [95% CI, -0.26 to -0.04]) and multivariate analysis ( = .047, β = -0.28 [95% CI, -0.55 to -0.01]; = .006, β = -0.16 [95% CI, -0.28 to -0.05]). No speech recognition scores correlated with QOL after cochlear implantation.
Frailty index does not correlate with hearing scores after cochlear implantation in older adults. Lower frailty index and more improvement in PTA predict better QOL scores after cochlear implantation in older adults.
探讨衰弱指数与老年人工耳蜗植入者听力测量及听力相关生活质量（QOL）之间的关系。
横断面调查。
学术医疗中心。
2000 年 7 月 13 日至 2019 年 4 月 3 日期间接受人工耳蜗植入的年龄≥65 岁的成年人被要求完成一份关于听力相关 QOL 的问卷。对图表审查进行了回顾，以确定患者的特征。计算了衰弱指数与听力测量结果之间以及言语识别评分与 QOL 评分之间的相关性。建立线性回归模型，以检验临床特征、衰弱指数和听力测量对听力相关 QOL 的影响。
纳入 143 名应答者的数据。平均年龄为 80.7 岁（标准差，7.1），植入前平均听力损失 27.8 年（标准差，17.4）。平均衰弱指数为 11.1（标准差，10.6），表明患者平均有 1 种或 2 种测量的合并症。较低的衰弱指数（更好的健康状况）与听力评分（包括纯音平均值（PTA）和言语识别评分）之间没有相关性。单变量分析（分别为 =.002，β= -0.42[95%CI，-0.68 至 -0.16]； =.008，β= -0.15[95%CI，-0.26 至 -0.04]）和多变量分析（ =.047，β= -0.28[95%CI，-0.55 至 -0.01]； =.006，β= -0.16[95%CI，-0.28 至 -0.05]）发现，较低的衰弱指数和 PTA 改善后对 QOL 评分有更好的预测作用。人工耳蜗植入后，没有言语识别评分与 QOL 相关。
在老年人中，人工耳蜗植入后衰弱指数与听力评分无关。衰弱指数较低和 PTA 改善更多可预测老年人人工耳蜗植入后 QOL 评分更好。
