在丹麦2010-2022年患者队列中成为耳植入器非用户或最小用户的风险
Martin Abou-Taha1, Thomas Hudlebusch Meldgaard1, Jesper Hvass Schmidt2
1Department of ORL-Head & Neck Surgery and Audiology, Odense University Hospital, Odense C, Denmark.
概括
耳植入物 (CI) 的不使用影响4.2%的后语言成年人,最小的使用影响5.5%. 异常的耳解剖学增加了CI不使用的风险,需要有针对性的患者信息.
科学领域:
- 听力学 听力学是指听力学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗器械研究 医疗器械研究
背景情况:
- 耳植入物 (CI) 的不使用和最小使用是语言后聋的重要但未被充分研究的问题.
- 了解导致CI利用不足的因素对于改善患者的治疗结果和设备疗效至关重要.
研究的目的:
- 调查后语音失聪的成年患者中耳植入物不使用和最小使用的发生率和相关因素.
- 为了确定患有CI利用不足风险较高的特定患者亚组.
主要方法:
- 追溯队列研究,涉及2010年至2022年在第三级医疗机构的成年CI接受者 (n=599).
- 关于IC使用的问卷数据与医疗记录相结合;不使用定义为从未/很少使用设备;最小使用定义为每天使用4小时以下或考虑停止使用.
主要成果:
- 总共有472名患者 (78.8%) 获得了反应,其中4.2%被确定为非使用者和5.5%被确定为最小使用者,平均随访时间为8.4年.
- 异常的耳解剖与CI不使用显著相关 (OR=5.7,P=0.04).
- 在非使用者,最小使用者和一致的CI使用者之间没有发现其他显著的相关性.
结论:
- 该研究在研究成年人群中发现了4.2%的CI非用户率和5.5%的最小用户率.
- 患有耳解剖异常的患者面临CI不使用的风险较高,突出了针对性手术前咨询的必要性.
- 与CI使用者相比,CI非使用者报告生活质量较低.
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