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Predicting the Future: A Case Study in Prognostication
1Pacific University, Forest Grove, OR.
American Journal of Speech-Language Pathology
|October 4, 2017
Summary
A delayed cochlear implant (CI) in a child may lead to a 1-2 year gap in speech and language skills, despite no impact on nonverbal cognition. This highlights the importance of timely CI for optimal development.
Area of Science:
- Pediatric audiology
- Speech-language pathology
- Evidence-based medicine
Background:
- Clinicians require systematic methods for long-term prognoses in pediatric cases.
- A malpractice case involving a child with a delayed cochlear implant (CI) necessitated evaluating long-term developmental outcomes.
Observation:
- A child received a CI at 17 months, but a procedural error delayed its function for 19 months.
- The case legal proceedings focused on the child's potential to overcome developmental delays caused by the delayed CI activation.
Findings:
- Literature review compared outcomes of early (17-18 months) vs. later (36-37 months) CI implantation.
- Analysis indicated no significant impact on nonverbal cognitive skills.
- Speech perception, comprehension, intelligibility, and reading skills were estimated to be 1-2 years delayed at 7-10 years post-implantation.
Implications:
- This case demonstrates a systematic approach to deriving long-term prognoses for pediatric CI recipients.
- Utilizing existing outcome literature supports evidence-based practice in audiology and pediatric care.
- Timely cochlear implantation is crucial for minimizing potential developmental gaps in children.
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