根据人口统计学和社会经济因素选择儿童骨传导助听器的趋势

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2025-03-27 DOI:10.1016/j.ijporl.2025.112325

Joseph S. Schertzer , Priya Arya , Ashley Catanzarite , Erin Holman , Kaitlyn A. Brooks , Kristan P. Alfonso , Nandini Govil

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引用次数: 0

摘要

目的治疗传导性听力损失的骨传导助听器有多种，包括经皮、被动经皮和主动经皮。本研究的目的是根据人口统计学和社会经济因素评估小儿BCHD的选择趋势。方法对2019年1月至2023年4月在某三级学术儿科医疗保健系统接受BCHD安置的所有患者进行回顾性队列研究。听力学在会诊期间讨论了所有BCHD的选择，由家庭决定最终的设备和制造商。收集的数据用于多因素logistic回归分析，包括年龄、性别、主要语言、听力损失的病因和保险类型。显著性设为p >；0.05.结果共纳入97例患者，代表129种器械。28例患者在初始手术时同时接受了双侧BCHD放置，4例患者随后接受了对侧BCHD放置。大多数患者接受了主动经皮装置(Med-El Bonebridge, n = 55；耳蜗Osia， n = 33)， 3例接受被动经皮装置（Sophono）， 10例接受经皮装置（Ponto Connect, n = 3, Cochlear Connect, n = 7）。对接受主动经皮装置的患者亚组(Med-El Bonebridge, n = 37；耳蜗病变（Cochlear Osia）， n = 21)，结果显示人口统计学和社会经济因素与设备选择之间没有显著关系(p >；0.05)。结论：我们的机构已经转向主动经皮装置，被动经皮装置和经皮装置的听力测量结果相当。小儿先天性先天性心脏病的选择是一个复杂的决策过程，涉及听力学家、外科医生、患者和护理人员之间的跨学科讨论。

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Trends in pediatric bone conduction hearing device selection according to demographic and socioeconomic factors

Objectives

A variety of bone conduction hearing devices (BCHD) exist for the treatment of conductive hearing loss including percutaneous, passive transcutaneous, and active transcutaneous devices. The purpose of this study was to evaluate trends in selection of pediatric BCHD according to demographic and socioeconomic factors.

Methods

A retrospective cohort study was performed on all patients who underwent BCHD placement at a tertiary academic pediatric healthcare system between January 2019 to April 2023. Audiology discussed all BCHD options during the consultation, with families deciding the ultimate device and manufacturer. Data collected for multivariate logistic regression analysis included age, gender, primary language spoken, etiology for hearing loss, and insurance type. Significance was set at p > 0.05.

Results

A total of 97 patients were included in the study representing 129 devices. Twenty-eight patients received concurrent bilateral BCHD placement at initial surgery, and four underwent contralateral BCHD placement at a later date. The majority of patients received an active transcutaneous device (Med-El Bonebridge, n = 55; Cochlear Osia, n = 33), three received a passive transcutaneous device (Sophono), and ten patients received percutaneous devices (Ponto Connect, n = 3, Cochlear Connect, n = 7). Multivariate logistic regression analysis was performed on the subset of patients who received active transcutaneous devices (Med-El Bonebridge, n = 37; Cochlear Osia, n = 21) and revealed no significant relationships between demographic and socioeconomic factors and device selection (p > 0.05).

Conclusion

There has been a shift towards the active transcutaneous devices at our institution, with comparable audiometric outcomes between the passive transcutaneous and percutaneous devices. Selection of a pediatric BCHD is a complex decision-making process which involves interdisciplinary discussion between the audiologist, surgeon, patient, and caregivers.

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.