Cognitive function and quality of life in older adult patients with cochlear implants
Abstract Objective: This study aimed to evaluate the benefits of cochlear implant (CI) on speech perception, quality of life (QoL) and cognitive function in profoundly deafened older adults. Design: Longitudinal and cross sectional cohort study. Study sample: Participants in this study were CI recipients aged 65 years or older (experimental group) CI recipients aged 50 years or younger (control group 1) and normal hearing participants aged 65 years or older (control group 2) Results: Speech perception significantly improved in both groups of implanted patients (preoperative vs. 1 year median [IQR] sentence recognition: older patients, 0 (0 20) vs. 90 (70 95) p 0.001; younger patients, 35 (0 50) vs. 90 (80 100) p 0.001) There were no significant differences in QoL (Glasgow Benefit Inventory) between younger and older patients (median [IQR] overall benefit score, 42 (31 64) vs. 53 (39 69) p 0.2) Mini Mental State Examination scores showed no significant differences between elderly CI recipients and normal hearing participants (median [IQR] 28 (26 28) vs. 28 (27 29) p 0.5) Conclusions: Cochlear implantation rehabilitation allows the profoundly deafened older adult to lead a QoL comparable to that of a younger patient. The correlation between hearing restoration and cognitive function preservation in older adults suggest a possible role for CI as a useful resource in limiting age related cognitive decline.
International journal of audiology