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Cochlear implant ou...
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Favaretto, NiccolòDepartment of Neuroscience DNS, Otolaryngology Section, Padova University, Padova, Italy
(författare)
Cochlear implant outcomes in the elderly : a uni- and multivariate analyses of prognostic factors
- Artikel/kapitelEngelska2019
Förlag, utgivningsår, omfång ...
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2019-08-28
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Berlin, Germany :Springer,2019
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:oru-97177
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-97177URI
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https://doi.org/10.1007/s00405-019-05613-3DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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Purpose: To assess preoperative features that could predict the audiological outcome after cochlear implantation in the elderly, in terms of pure tone audiometry, speech audiometry, and speech perception performance. Methods: All available records of patients with cochlear implants aged 65 or more at the time of their implantation at our Institution were reviewed (50 patients, mean age 70.76 ± 4.03 years), recording preoperative clinical features. Pure tone audiometry, speech audiometry, and speech perception performance 1 year after cochlear implant activation and fitting were used as outcome measures. Results: No statistically significant association emerged between clinical features and pure tone audiometry. On univariate analysis, progressive sensorineural hearing loss of unknown origin was associated with a better outcome in terms of speech audiometry and speech perception performance (p = 0.035 and p = 0.033, respectively). On multivariate analysis, progressive sensorineural hearing loss retained its independent prognostic significance in terms of speech perception performance (p = 0.042). The discriminatory power of a two-variable panel (age and etiology of hearing loss) featured an AUC (ROC) of 0.738 (an acceptable discriminatory power according to the Hosmer-Lemeshow scale). Conclusions: A progressive sensorineural hearing loss of unknown origin was associated with a better outcome in terms of speech perception in the elderly in our case study. Further features that can predict audiological outcome achievable with cochlear implants in the elderly are desirable to perform adequate counselling and rehabilitation programs.
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Biuppslag (personer, institutioner, konferenser, titlar ...)
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Marioni, GinoDepartment of Neuroscience DNS, Otolaryngology Section, Padova University, Padova, Italy
(författare)
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Brotto, DavideDepartment of Neuroscience DNS, Otolaryngology Section, Padova University, Padova, Italy
(författare)
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Sorrentino, FlaviaDepartment of Neuroscience DNS, Otolaryngology Section, Padova University, Padova, Italy
(författare)
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Gheller, FlaviaDepartment of Neuroscience DNS, Otolaryngology Section, Padova University, Padova, Italy
(författare)
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Castiglione, Alessandro,1976-Department of Neuroscience DNS, Otolaryngology Section, Padova University, Padova, Italy(Swepub:oru)ace
(författare)
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Montino, SilviaDepartment of Neuroscience DNS, Otolaryngology Section, Padova University, Padova, Italy
(författare)
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Giacomelli, LucianoDepartment of Medicine DIMED, Padova University, Padova, Italy
(författare)
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Trevisi, PatriziaDepartment of Neuroscience DNS, Otolaryngology Section, Padova University, Padova, Italy
(författare)
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Martini, AlessandroDepartment of Neuroscience DNS, Otolaryngology Section, Padova University, Padova, Italy
(författare)
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Bovo, RobertoDepartment of Neuroscience DNS, Otolaryngology Section, Padova University, Padova, Italy
(författare)
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Department of Neuroscience DNS, Otolaryngology Section, Padova University, Padova, ItalyDepartment of Medicine DIMED, Padova University, Padova, Italy
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:European Archives of Oto-Rhino-LaryngologyBerlin, Germany : Springer276:111, s. 3089-30940937-44771434-4726
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Favaretto, Nicco ...
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Marioni, Gino
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Brotto, Davide
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Sorrentino, Flav ...
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Gheller, Flavia
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Castiglione, Ale ...
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visa fler...
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Montino, Silvia
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Giacomelli, Luci ...
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Trevisi, Patrizi ...
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Martini, Alessan ...
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Bovo, Roberto
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visa färre...
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- MEDICIN OCH HÄLSOVETENSKAP
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