Association of Speech Processor Technology and Speech Recognition Outcomes in Adult Cochlear Implant Users. 2019

Peter R Dixon, and David Shipp, and Kari Smilsky, and Vincent Y Lin, and Trung Le, and Joseph M Chen
Department of Otolaryngology-Head & Neck Surgery.

Determine association of advancements in speech processor technology with improvements in speech recognition outcomes. Retrospective cohort. Tertiary referral center. Adult unilateral cochlear implant (CI) recipients. Increasing novelty of speech processor defined by year of market availability. Consonant-Nucleus-Consonant (CNC) and Hearing in Noise Test (HINT) in quiet. From 1991 to 2016, 1,111 CNC scores and 1,121 HINT scores were collected from 351 patients who had complete data. Mean post-implantation CNC score was 53.8% and increased with more recent era of implantation (p < 0.001, analysis of variance [ANOVA]). Median HINT score was 87.0% and did not significantly vary with implantation era (p = 0.06, ANOVA). Multivariable generalized linear models were fitted to estimate the effect of speech processor novelty on CNC and HINT scores, each accounting for clustering of scores within patients and characteristics known to influence speech recognition outcomes. Each 5-year increment in speech processor novelty was independently associated with an increase in CNC score by 2.85% (95% confidence limits [CL] 0.26, 5.44%) and was not associated with change in HINT scores (p = 0.30). Newer speech processors are associated with improved CNC scores independent of the year of device implantation and expanding candidacy criteria. The lack of association with HINT scores can be attributed to a ceiling effect, suggesting that HINT in quiet may not be an informative test of speech recognition in the modern CI recipient. The implications of these findings with respect to appropriate interval of speech processor upgrades are discussed.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009622 Noise Any sound which is unwanted or interferes with HEARING other sounds. Noise Pollution,Noises,Pollution, Noise
D003054 Cochlear Implants Electronic hearing devices typically used for patients with normal outer and middle ear function, but defective inner ear function. In the COCHLEA, the hair cells (HAIR CELLS, VESTIBULAR) may be absent or damaged but there are residual nerve fibers. The device electrically stimulates the COCHLEAR NERVE to create sound sensation. Auditory Prosthesis,Cochlear Prosthesis,Implants, Cochlear,Auditory Prostheses,Cochlear Implant,Cochlear Prostheses,Implant, Cochlear,Prostheses, Auditory,Prostheses, Cochlear,Prosthesis, Auditory,Prosthesis, Cochlear
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000704 Analysis of Variance A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable. ANOVA,Analysis, Variance,Variance Analysis,Analyses, Variance,Variance Analyses
D001298 Audiology Allied medical specialty that studies hearing and hearing impairment.
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective

Related Publications

Peter R Dixon, and David Shipp, and Kari Smilsky, and Vincent Y Lin, and Trung Le, and Joseph M Chen
September 2022, Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology,
Peter R Dixon, and David Shipp, and Kari Smilsky, and Vincent Y Lin, and Trung Le, and Joseph M Chen
August 2023, Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology,
Peter R Dixon, and David Shipp, and Kari Smilsky, and Vincent Y Lin, and Trung Le, and Joseph M Chen
August 2021, JASA express letters,
Peter R Dixon, and David Shipp, and Kari Smilsky, and Vincent Y Lin, and Trung Le, and Joseph M Chen
January 2005, Audiology & neuro-otology,
Peter R Dixon, and David Shipp, and Kari Smilsky, and Vincent Y Lin, and Trung Le, and Joseph M Chen
September 2002, Neuroreport,
Peter R Dixon, and David Shipp, and Kari Smilsky, and Vincent Y Lin, and Trung Le, and Joseph M Chen
January 2001, Scandinavian audiology,
Peter R Dixon, and David Shipp, and Kari Smilsky, and Vincent Y Lin, and Trung Le, and Joseph M Chen
October 2018, Journal of the Association for Research in Otolaryngology : JARO,
Peter R Dixon, and David Shipp, and Kari Smilsky, and Vincent Y Lin, and Trung Le, and Joseph M Chen
June 2020, Journal of speech, language, and hearing research : JSLHR,
Peter R Dixon, and David Shipp, and Kari Smilsky, and Vincent Y Lin, and Trung Le, and Joseph M Chen
September 2023, Journal of the American Academy of Audiology,
Peter R Dixon, and David Shipp, and Kari Smilsky, and Vincent Y Lin, and Trung Le, and Joseph M Chen
January 1997, Advances in oto-rhino-laryngology,
Copied contents to your clipboard!