Holcomb Meredith A, Williams Erin, Prentiss Sandra, Sanchez Chrisanda M, Smeal Molly R, Stern Tina, Tolen Amanda K, Velandia Sandra, Coto Jennifer
Department of Otolaryngology, University of Miami, Miami, FL 33136, USA.
Section of Audiology, Cleveland Clinic, Cleveland, OH 44103, USA.
J Clin Med. 2025 Jan 24;14(3):774. doi: 10.3390/jcm14030774.
: The aims of this study were to compare pre- and post-operative word recognition scores (WRSs) for the adult Spanish-speaking population and to describe their cochlear implant (CI) performance trajectory. : A retrospective chart review ( = 115) was completed for Spanish-speaking post-lingually deafened adults who underwent a traditional CI evaluation and subsequent surgery between 2018 and 2023. Pre- and post-CI (3, 6, 12-month) Spanish Bisyllable WRSs and CI datalogging (hours per day) were collected for 66 subjects who met inclusion. Patients were, on average, 61.4 years of age ( = 14.9) at the time of their first CI, and all were Hispanic and White (100%). : The outcomes of the 66 subjects who met the inclusion criteria were analyzed. Spanish Bisyllable WRSs improved at all post-CI test intervals, though the mean change between intervals showed a decreasing trend over time, with a plateau in WRSs occurring by 6 months post-CI. Time was a significant predictor of increased post-CI WRSs at 6 months ( = 0.004) and 12 months ( < 0.001). Sex, the implanted ear, electrode type, CI manufacturer, and datalogging hours did not significantly predict Bisyllable WRSs. : This study used the largest cohort dataset to date to describe pre-and post-CI WRSs for Spanish-speaking adults. The post-CI performance trajectory is similar in Spanish-speaking CI recipients compared to English-speaking cohorts. This study is fundamental in providing evidence-based outcomes for Spanish-speaking CI recipients and will assist clinicians with pre-CI counseling based on realistic expectations.
本研究的目的是比较成年西班牙语人群术前和术后的单词识别分数（WRS），并描述他们的人工耳蜗（CI）性能轨迹。对2018年至2023年间接受传统CI评估及后续手术的成年西班牙语后天性聋患者进行了回顾性病历审查（n = 115）。收集了66名符合纳入标准的受试者的CI术前和术后（3个月、6个月、12个月）西班牙语双音节WRS以及CI数据记录（每天使用小时数）。患者首次接受CI时的平均年龄为61.4岁（标准差 = 14.9），均为西班牙裔和白人（100%）。对66名符合纳入标准的受试者的结果进行了分析。CI术后所有测试间隔的西班牙语双音节WRS均有所改善，尽管各间隔之间的平均变化随时间呈下降趋势，CI术后6个月时WRS出现平台期。时间是CI术后6个月（p = 0.004）和12个月（p < 0.001）WRS增加的显著预测因素。性别、植入耳、电极类型、CI制造商和数据记录时长并未显著预测双音节WRS。本研究使用了迄今为止最大的队列数据集来描述成年西班牙语人群CI术前和术后的WRS。与说英语的队列相比，说西班牙语的CI接受者的CI术后性能轨迹相似。本研究对于为说西班牙语的CI接受者提供基于证据的结果至关重要，并将帮助临床医生基于现实期望进行CI术前咨询。
