The Outcomes of Cochlear Implantation in Elderly Patients: A Single United Kingdom Center Experience

Ear Nose Throat J. 2021 Sep;100(5_suppl):842S-847S. doi: 10.1177/0145561320910662. Epub 2020 Mar 23.

Abstract

Objectives: The average life expectancy in the United Kingdom is currently nearly 80 years for a newborn baby with nearly 15% of the population, by 2040, being >75 years old. Hearing impairment is a common disability in the elderly individual, and there have been significant drives to support this population to lead longer and healthier working lives. We aimed to assess the long-term audiological and health-related quality-of-life benefits of cochlear implants (CI) in elderly individuals.

Methods: A retrospective and cross-sectional study of patients who received a CI at ≥70 years. Data extracted included speech perception scores, adverse events, telephone use, and patient-reported outcome measures using the Glasgow Benefit Inventory questionnaire with a minimum of 12 months follow-up.

Results: Sixty-four patients aged ≥70 years received a unilateral CI. A significant improvement in speech perception scores in all conditions was noted with no significant difference between differing age groups. Glasgow Benefit Inventory scores showed a significant positive impact on patients' lives and their health status, with no significant difference between the differing age groups.

Conclusions: Cochlear implantation is a safe and well-tolerated procedure in the elderly patients with significant improvements observed in audiological performance, health status, and social interactions.

Keywords: Glasgow benefit inventory; audiology; cochlear implant; elderly patients; patient-reported outcomes measures.

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Cochlear Implantation* / adverse effects
  • Cross-Sectional Studies
  • Female
  • Hearing Loss / psychology*
  • Hearing Loss / rehabilitation
  • Hearing Loss / surgery*
  • Humans
  • Male
  • Patient Reported Outcome Measures
  • Postoperative Complications
  • Quality of Life*
  • Retrospective Studies
  • Speech Perception*
  • United Kingdom