Healthy aging in elderly cochlear implant recipients: a multinational observational study
M Marx 1 , I Mosnier 2 , J Belmin 3 , J Wyss 4 , C Coudert-Koall 5 , A Ramos 6 , R Manrique Huarte 7 , R Khnifes 8 , O Hilly 9 , A Martini 10 , D Cuda 11
(1) Otology and Neurotology Department, ENT Department, Bâtiment Pierre Paul Riquet - Hôpital Purpan, Place du Dr Baylac, 31059, Toulouse Cedex 9, France.
(2) Groupe Hospitalier de la Pitié-Salpétrière, Paris, France.
(3) Université Pierre and Marie Curie and Hôpital Charles Foix, Paris, France.
(4) Cochlear Ltd., Sydney, Australia.
(5) Cochlear AG, Basel, Switzerland.
(6) Complejo Hospitalario Universitario Insular Materno Infantil, Las Palmas de Gran Canaria, Spain.
(7) Clinica Universitaria de Navarra, Pamplona, Spain.
(8) Bnai Zion Medical Center, Haifa, Israel.
(9) ENT Department at Rabin Medical Center (Beilinson), Petah Tikva, Israel.
(10) ENT Otosurgery Department at Azienda Ospedaliera di Padova, Padova, Italy.
(11) ENT Department of Ospedale Guglielmo da Saliceto, Piacenza, Italy.
Background: 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.
Methods: 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.
Discussion: 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.
CITA DEL ARTÍCULO BMC Geriatr. 2020 Jul 23;20(1):252.