Correlation between subjective and objective hearing tests after unilateral and bilateral cochlear implantation.

Q2 Medicine

BMC Ear, Nose and Throat Disorders Pub Date : 2017-11-28 eCollection Date: 2017-01-01 DOI:10.1186/s12901-017-0043-y

Geerte G J Ramakers, Yvette E Smulders, Alice van Zon, Gijsbert A Van Zanten, Wilko Grolman, Inge Stegeman

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引用次数: 19

Abstract

Background: There are many methods for assessing hearing performance after cochlear implantation. Standard evaluations often encompass objective hearing tests only, while patients' subjective experiences gain importance in today's healthcare. The aim of the current study was to analyze the correlation between subjective (self-reported questionnaires) and objective (speech perception and localization) hearing test results in adult cochlear implant (CI) users. Secondary, the correlation between subjective and objective hearing tests was compared between bilateral and unilateral CI patients.

Methods: Data for this study were prospectively collected as part of a multicentre randomized controlled trial. Thirty-eight postlingually deafened adult patients were randomly allocated to receive either unilateral (n = 19) or bilateral (n = 19) cochlear implantation. We used data gathered after one year of follow-up. We studied the correlation between objectively measured speech perception and localization skills on the one hand and related domains of the Speech, Spatial and Qualities of Hearing Scale (SSQ) and Nijmegen Cochlear Implant Questionnaire (NCIQ) on the other hand. We also compared these correlations between unilateral and bilateral CI users.

Results: We found significant weak to moderate negative correlations between the subjective test results (speech domain of the SSQ and the advanced speech perception domain of the NCIQ) and the related objective speech perception in noise test results (r = -0.33 to -0.48). A significant moderate correlation was found between the subjective test results (spatial domain of the SSQ) and the related objective localization test results (r = 0.59). The correlations in the group of bilateral CI patients (r = -0.28 to -0.54) did not differ significantly from the correlations in the group of unilateral CI patients (r = 0.15 to -0.40).

Conclusions: Current objective tests do not fully reflect subjective everyday listening situations. This study elucidates the importance and necessity of questionnaires in the evaluation of cochlear implantation. Therefore, it is advised to evaluate both objective and subjective tests in CI patients on a regular basis.

Trial registration: This trial was registered on March 11, 2009 in the Dutch Trial Register. Trial registration number: NTR1722.

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单侧和双侧人工耳蜗植入后主客观听力测试的相关性

背景:评估人工耳蜗植入术后听力表现的方法很多。标准的评估通常只包括客观的听力测试，而患者的主观经验在今天的医疗保健中越来越重要。本研究的目的是分析成人人工耳蜗(CI)使用者的主观(自我报告问卷)和客观(言语感知和定位)听力测试结果之间的相关性。其次，比较双侧和单侧CI患者主观和客观听力测试的相关性。方法:本研究的数据是作为多中心随机对照试验的一部分前瞻性收集的。38例舌后聋成人患者随机分配接受单侧(n = 19)或双侧(n = 19)人工耳蜗植入。我们使用了一年随访后收集的数据。我们研究了客观测量的语音感知和定位技能与语音、空间和听力质量量表(SSQ)和奈梅亨人工耳蜗问卷(NCIQ)相关领域的相关性。我们还比较了单侧和双侧CI用户之间的相关性。结果:我们发现主观测试结果(SSQ的语音域和NCIQ的高级语音感知域)与噪声测试结果中相关的客观语音感知之间存在显著的弱至中度负相关(r = -0.33 ~ -0.48)。主观测试结果(SSQ的空间域)与客观定位测试结果之间存在显著的中度相关(r = 0.59)。双侧CI患者组的相关性(r = -0.28 ~ -0.54)与单侧CI患者组的相关性(r = 0.15 ~ -0.40)无显著差异。结论:目前的客观测试不能完全反映主观的日常听力情况。本研究阐明了问卷调查在人工耳蜗植入术评价中的重要性和必要性。因此，建议定期对CI患者的客观和主观检查进行评估。试验登记:本试验于2009年3月11日在荷兰试验登记中登记。试验注册号:NTR1722。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Ear, Nose and Throat Disorders Medicine-Otorhinolaryngology

CiteScore

3.30

自引率

0.00%

发文量

期刊介绍： BMC Ear, Nose and Throat Disorders is an open access journal publishing original peer-reviewed research articles in all aspects of the prevention, diagnosis and management of ear, nose and throat disorders, as well as related molecular genetics, pathophysiology, and epidemiology. BMC Ear, Nose and Throat Disorders (ISSN 1472-6815) is indexed/tracked/covered by PubMed, CAS, EMBASE, Scopus and Google Scholar.