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Long‐Term Cognitive Prognosis of Profoundly Deaf Older Adults After Hearing Rehabilitation Using Cochlear Implants.

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Title: Long‐Term Cognitive Prognosis of Profoundly Deaf Older Adults After Hearing Rehabilitation Using Cochlear Implants.
Authors: Mosnier, Isabelle, Vanier, Antoine, Bonnard, Damien, Lina‐Granade, Geneviève, Truy, Eric, Bordure, Philippe, Godey, Benoit, Marx, Mathieu, Lescanne, Emmanuel, Venail, Frédéric, Poncet, Christine, Sterkers, Olivier, Belmin, Joël
Source: Journal of the American Geriatrics Society. Aug2018, Vol. 66 Issue 8, p1553-1561. 9p. 1 Color Photograph, 1 Diagram, 3 Charts, 2 Graphs.
Subjects: Cochlear implants, Cognition in old age, Deafness, Cognition disorders in old age, Speech perception, Prognosis
Abstract: Objectives: To analyze long‐term cognitive status and function after cochlear implantation in profoundly deaf individuals. Design: Prospective observational longitudinal study. Setting: Ten academic medical centers referent for cochlear implantation. Participants: Individuals aged 65 and older who qualified for cochlear implantation (N=70). Measurements: Cognitive tests were administered before cochlear implantation and 1 and 5 or more years after cochlear implantation. Evaluation consisted of 6 tests assessing attention, memory, orientation, executive function, mental flexibility, and fluency. Cognitive status was determined as normal, mild cognitive impairment (MCI), or dementia. Speech perception in quiet and noisy conditions was assessed using disyllabic words, and quality of life was assessed using the Nijmegen Cochlear Implant Questionnaire. Results: Mean follow‐up was 6.8 years (range 5.5–8.5 years). Speech perception scores and quality of life remained stable from 1 to 7 years after cochlear implantation. Of 31 participants (45%) with MCI before cochlear implantation, 2 (6%) developed dementia during follow‐up, 19 (61%) remained stable, and 10 (32%) returned to normal cognition. None of the 38 with normal cognition developed dementia during follow‐up, although 12 (32%) developed MCI. Conclusion: MCI is highly prevalent in older adults with profound hearing loss. Nevertheless, we observed a low rate of progression to dementia, and cognitive function improved in some individuals with MCI at baseline. These results highlight that cochlear implantation should be strongly considered in profoundly deaf individuals, even those with MCI, who may have a specific subtype of MCI, with a possible positive effect of hearing rehabilitation on neurocognitive functioning. [ABSTRACT FROM AUTHOR]
Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Long‐Term Cognitive Prognosis of Profoundly Deaf Older Adults After Hearing Rehabilitation Using Cochlear Implants.
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  Data: <searchLink fieldCode="AR" term="%22Mosnier%2C+Isabelle%22">Mosnier, Isabelle</searchLink><br /><searchLink fieldCode="AR" term="%22Vanier%2C+Antoine%22">Vanier, Antoine</searchLink><br /><searchLink fieldCode="AR" term="%22Bonnard%2C+Damien%22">Bonnard, Damien</searchLink><br /><searchLink fieldCode="AR" term="%22Lina‐Granade%2C+Geneviève%22">Lina‐Granade, Geneviève</searchLink><br /><searchLink fieldCode="AR" term="%22Truy%2C+Eric%22">Truy, Eric</searchLink><br /><searchLink fieldCode="AR" term="%22Bordure%2C+Philippe%22">Bordure, Philippe</searchLink><br /><searchLink fieldCode="AR" term="%22Godey%2C+Benoit%22">Godey, Benoit</searchLink><br /><searchLink fieldCode="AR" term="%22Marx%2C+Mathieu%22">Marx, Mathieu</searchLink><br /><searchLink fieldCode="AR" term="%22Lescanne%2C+Emmanuel%22">Lescanne, Emmanuel</searchLink><br /><searchLink fieldCode="AR" term="%22Venail%2C+Frédéric%22">Venail, Frédéric</searchLink><br /><searchLink fieldCode="AR" term="%22Poncet%2C+Christine%22">Poncet, Christine</searchLink><br /><searchLink fieldCode="AR" term="%22Sterkers%2C+Olivier%22">Sterkers, Olivier</searchLink><br /><searchLink fieldCode="AR" term="%22Belmin%2C+Joël%22">Belmin, Joël</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+the+American+Geriatrics+Society%22">Journal of the American Geriatrics Society</searchLink>. Aug2018, Vol. 66 Issue 8, p1553-1561. 9p. 1 Color Photograph, 1 Diagram, 3 Charts, 2 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Cochlear+implants%22">Cochlear implants</searchLink><br /><searchLink fieldCode="DE" term="%22Cognition+in+old+age%22">Cognition in old age</searchLink><br /><searchLink fieldCode="DE" term="%22Deafness%22">Deafness</searchLink><br /><searchLink fieldCode="DE" term="%22Cognition+disorders+in+old+age%22">Cognition disorders in old age</searchLink><br /><searchLink fieldCode="DE" term="%22Speech+perception%22">Speech perception</searchLink><br /><searchLink fieldCode="DE" term="%22Prognosis%22">Prognosis</searchLink>
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  Label: Abstract
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  Data: Objectives: To analyze long‐term cognitive status and function after cochlear implantation in profoundly deaf individuals. Design: Prospective observational longitudinal study. Setting: Ten academic medical centers referent for cochlear implantation. Participants: Individuals aged 65 and older who qualified for cochlear implantation (N=70). Measurements: Cognitive tests were administered before cochlear implantation and 1 and 5 or more years after cochlear implantation. Evaluation consisted of 6 tests assessing attention, memory, orientation, executive function, mental flexibility, and fluency. Cognitive status was determined as normal, mild cognitive impairment (MCI), or dementia. Speech perception in quiet and noisy conditions was assessed using disyllabic words, and quality of life was assessed using the Nijmegen Cochlear Implant Questionnaire. Results: Mean follow‐up was 6.8 years (range 5.5–8.5 years). Speech perception scores and quality of life remained stable from 1 to 7 years after cochlear implantation. Of 31 participants (45%) with MCI before cochlear implantation, 2 (6%) developed dementia during follow‐up, 19 (61%) remained stable, and 10 (32%) returned to normal cognition. None of the 38 with normal cognition developed dementia during follow‐up, although 12 (32%) developed MCI. Conclusion: MCI is highly prevalent in older adults with profound hearing loss. Nevertheless, we observed a low rate of progression to dementia, and cognitive function improved in some individuals with MCI at baseline. These results highlight that cochlear implantation should be strongly considered in profoundly deaf individuals, even those with MCI, who may have a specific subtype of MCI, with a possible positive effect of hearing rehabilitation on neurocognitive functioning. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Group: Ab
  Data: <i>Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/jgs.15445
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      – Code: eng
        Text: English
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        PageCount: 9
        StartPage: 1553
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      – SubjectFull: Cochlear implants
        Type: general
      – SubjectFull: Cognition in old age
        Type: general
      – SubjectFull: Deafness
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      – SubjectFull: Cognition disorders in old age
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      – SubjectFull: Speech perception
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      – SubjectFull: Prognosis
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      – TitleFull: Long‐Term Cognitive Prognosis of Profoundly Deaf Older Adults After Hearing Rehabilitation Using Cochlear Implants.
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              Text: Aug2018
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