Related Experiment Video

Updated: Feb 9, 2026

Electrically Evoked Stapedius Reflex Measurements in Cochlear Implantation and Its Application in the Postoperative Fitting Process
07:00

Electrically Evoked Stapedius Reflex Measurements in Cochlear Implantation and Its Application in the Postoperative Fitting Process

Published on: June 21, 2024

1.5K

Clinical Indicators of Admission for Pediatric Cochlear Implant Procedures

Terral A Patel1, Shaun A Nguyen2, David R White2

  • 11 Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.

The Annals of Otology, Rhinology, and Laryngology
|June 2, 2018
PubMed

Insights

A small percentage of children require overnight admission after cochlear implantation (CI). Asthma and central nervous system abnormalities significantly increase admission likelihood, while outcomes remain similar for many admitted patients.

Area of Science:

  • Pediatric Otolaryngology
  • Surgical Outcomes Research
  • Medical Informatics

Background:

  • Cochlear implantation (CI) is a common procedure for pediatric hearing loss.
  • Overnight postoperative admission is infrequent, with limited data on predictors.
  • Understanding admission drivers is crucial for optimizing pediatric CI care.

Purpose of the Study:

  • Identify variables associated with overnight admission after pediatric CI.
  • Evaluate the impact of these variables on patient outcomes.

Main Methods:

  • Analysis of the 2012-2015 American College of Surgeons' National Surgical Quality Improvement Program-Pediatric (ACS NSQIP-P) database.
  • Identification of pediatric CI patients using CPT codes.
  • Comparison of demographics, comorbidities, operative factors, and 30-day outcomes between ambulatory and admitted patients.

Main Results:

  • 17.2% of 2943 pediatric CI patients were admitted postoperatively.
  • Asthma (OR=2.2) and structural central nervous system (CNS) abnormalities (OR=2.1) were strong predictors of admission.
  • Younger age and longer operation time were weak predictors; 42% of admitted patients had no identified risk factors.

Conclusions:

  • Asthma and CNS abnormalities are key indicators for post-CI admission in children.
  • A significant proportion of admitted patients lack identifiable risk factors, suggesting other admission drivers.
  • Outcomes for admitted patients without identified risk factors were comparable to ambulatory patients.
Abstract

Keywords:
admissioncochlear implantoutcomes

More Related Videos

Robotic Cochlear Implantation for Direct Cochlear Access08:06

Robotic Cochlear Implantation for Direct Cochlear Access

Published on: June 16, 2022

4.1K
Cochlear Implantation in the Guinea Pig09:56

Cochlear Implantation in the Guinea Pig

Published on: June 15, 2018

11.8K

Related Concept Videos

Indicators02:39

Indicators

Certain organic substances change color in dilute solution when the hydronium ion concentration reaches a particular value. For example, phenolphthalein is a colorless substance in any aqueous solution with a hydronium ion concentration greater than 5.0 × 10−9 M (pH < 8.3). In more basic solutions where the hydronium ion concentration is less than 5.0 × 10−9 M (pH > 8.3), it is red or pink. Substances such as phenolphthalein, which can be used to determine the pH of a solution, are...
61.1K
Mechanical Ventilation I: Indication and Settings01:29

Mechanical Ventilation I: Indication and Settings

Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
2.9K
Respiratory Assessment: Purpose and Indications01:19

Respiratory Assessment: Purpose and Indications

Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.8K
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
274
Bioequivalence of Drugs: Drugs with Multiple Indications01:09

Bioequivalence of Drugs: Drugs with Multiple Indications

The concept of therapeutic equivalence (TE) in drugs with multiple indications is complex. A generic drug may be therapeutically equivalent to a brand-name product for one specific indication, but this doesn't necessarily mean it's equivalent for all other indications. Evidence of TE in one patient group and bioequivalence shown in healthy volunteers can support—but not confirm—TE for other indications. However, definitive proof requires individual clinical studies for each...
163
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
326