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Cochlear Implant Results in Older Adults with Post-Lingual Deafness: The Role of “Top-Down” Neurocognitive Mechanisms

To date, no clear specific cognitive predictors of speech perception outcome in older adult cochlear implant (CI) users have yet emerged. The aim of this prospective study was to increase knowledge on cognitive and clinical predictors of the audiological outcome in adult cochlear implant users. A to...

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Autores principales: Zucca, Milena, Albera, Andrea, Albera, Roberto, Montuschi, Carla, Della Gatta, Beatrice, Canale, Andrea, Rainero, Innocenzo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8834693/
https://www.ncbi.nlm.nih.gov/pubmed/35162365
http://dx.doi.org/10.3390/ijerph19031343
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author Zucca, Milena
Albera, Andrea
Albera, Roberto
Montuschi, Carla
Della Gatta, Beatrice
Canale, Andrea
Rainero, Innocenzo
author_facet Zucca, Milena
Albera, Andrea
Albera, Roberto
Montuschi, Carla
Della Gatta, Beatrice
Canale, Andrea
Rainero, Innocenzo
author_sort Zucca, Milena
collection PubMed
description To date, no clear specific cognitive predictors of speech perception outcome in older adult cochlear implant (CI) users have yet emerged. The aim of this prospective study was to increase knowledge on cognitive and clinical predictors of the audiological outcome in adult cochlear implant users. A total of 21 patients with post-lingual deafness, who were candidates for cochlear implantation, were recruited at the Department of Ear, Nose and Throat, University of Torino (Italy) and subjected to a pre-operatory neuropsychological assessment (T0) and an audiological examination after 12 months of implantation (T12). Patients who, at T12, had a 60 dB verbal recognition above 80%, were younger (z = −2.131, p = 0.033) and performed better in the Verbal Semantic Fluency Test at T0 (z = −1.941, p = 0.052) than subjects who had a 60 dB verbal recognition at T12 below 80%. The most significant predictors of the CI audiological outcome at T12 were age (β = −0.492, p = 0.024) and patients’ TMT-A performance at baseline (β = −0.486, p = 0.035). We conclude that cognitive processing speed might be a good predictor of the level of speech understanding in older adult patients with CI after one year of implantation.
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spelling pubmed-88346932022-02-12 Cochlear Implant Results in Older Adults with Post-Lingual Deafness: The Role of “Top-Down” Neurocognitive Mechanisms Zucca, Milena Albera, Andrea Albera, Roberto Montuschi, Carla Della Gatta, Beatrice Canale, Andrea Rainero, Innocenzo Int J Environ Res Public Health Article To date, no clear specific cognitive predictors of speech perception outcome in older adult cochlear implant (CI) users have yet emerged. The aim of this prospective study was to increase knowledge on cognitive and clinical predictors of the audiological outcome in adult cochlear implant users. A total of 21 patients with post-lingual deafness, who were candidates for cochlear implantation, were recruited at the Department of Ear, Nose and Throat, University of Torino (Italy) and subjected to a pre-operatory neuropsychological assessment (T0) and an audiological examination after 12 months of implantation (T12). Patients who, at T12, had a 60 dB verbal recognition above 80%, were younger (z = −2.131, p = 0.033) and performed better in the Verbal Semantic Fluency Test at T0 (z = −1.941, p = 0.052) than subjects who had a 60 dB verbal recognition at T12 below 80%. The most significant predictors of the CI audiological outcome at T12 were age (β = −0.492, p = 0.024) and patients’ TMT-A performance at baseline (β = −0.486, p = 0.035). We conclude that cognitive processing speed might be a good predictor of the level of speech understanding in older adult patients with CI after one year of implantation. MDPI 2022-01-25 /pmc/articles/PMC8834693/ /pubmed/35162365 http://dx.doi.org/10.3390/ijerph19031343 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Zucca, Milena
Albera, Andrea
Albera, Roberto
Montuschi, Carla
Della Gatta, Beatrice
Canale, Andrea
Rainero, Innocenzo
Cochlear Implant Results in Older Adults with Post-Lingual Deafness: The Role of “Top-Down” Neurocognitive Mechanisms
title Cochlear Implant Results in Older Adults with Post-Lingual Deafness: The Role of “Top-Down” Neurocognitive Mechanisms
title_full Cochlear Implant Results in Older Adults with Post-Lingual Deafness: The Role of “Top-Down” Neurocognitive Mechanisms
title_fullStr Cochlear Implant Results in Older Adults with Post-Lingual Deafness: The Role of “Top-Down” Neurocognitive Mechanisms
title_full_unstemmed Cochlear Implant Results in Older Adults with Post-Lingual Deafness: The Role of “Top-Down” Neurocognitive Mechanisms
title_short Cochlear Implant Results in Older Adults with Post-Lingual Deafness: The Role of “Top-Down” Neurocognitive Mechanisms
title_sort cochlear implant results in older adults with post-lingual deafness: the role of “top-down” neurocognitive mechanisms
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8834693/
https://www.ncbi.nlm.nih.gov/pubmed/35162365
http://dx.doi.org/10.3390/ijerph19031343
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