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Related Experiment Video

Updated: Feb 3, 2026

Electrically Evoked Stapedius Reflex Measurements in Cochlear Implantation and Its Application in the Postoperative Fitting Process
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How does Frailty Impact Peri-Operative and Speech Recognition Outcomes for Cochlear Implants in Veterans?

Kaitlyn A Brooks1, Benjamin D Lovin2, Alex D Sweeney1

  • 1Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|February 2, 2026
PubMed
Summary
This summary is machine-generated.

Frailty is common in veterans receiving cochlear implants (CI). While frailty impacts speech recognition outcomes after CI surgery, it does not significantly affect admission rates or complications.

Keywords:
admissioncochlear implantationfrailtypostoperative dizzinessveterans

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Area of Science:

  • Otolaryngology
  • Geriatrics
  • Health Services Research

Background:

  • Frailty is a significant concern in older adults, impacting surgical outcomes.
  • Cochlear implantation (CI) is increasingly performed in veteran populations, necessitating an understanding of patient-specific risk factors.

Purpose of the Study:

  • To examine the association between preoperative frailty and post-cochlear implant (CI) admission, morbidity, and speech recognition outcomes in veterans.
  • To identify frailty as a predictor of outcomes following CI in a veteran cohort.

Main Methods:

  • Retrospective cohort study of veterans undergoing CI between 1998 and 2024 at a single VHA hospital.
  • Frailty assessed using the Modified 5-Item Frailty Index (mFI-5).
  • Outcomes included post-anesthesia care unit (PACU) admission, morbidity (e.g., dizziness), and CI-aided word recognition scores (WRS) at 6 and 12 months.

Main Results:

  • High prevalence of frailty (46%) and prefrailty (28.6%) observed in 91 veteran patients.
  • Frail patients showed a non-significant trend towards higher admission (RR 1.15) and dizziness rates (RR 1.23).
  • Preoperative frailty was significantly associated with poorer post-CI WRS at 6 and 12 months (p < .05).

Conclusions:

  • Frailty is highly prevalent in veterans undergoing cochlear implantation.
  • Patient frailty is a significant predictor of reduced speech recognition performance after CI.
  • Frailty did not significantly impact the likelihood of admission or postoperative complications in this cohort.