Impaired Cognitive Functioning in Cochlear Implant Recipients Over the Age of 55 Years: A Cross-Sectional Study Using the Repeatable Battery for the Assessment of Neuropsychological Status for Hearing-Impaired Individuals (RBANS-H)
Primary Objective: To compare cognitive functioning among experienced, unilateral cochlear implant (CI) recipients and normal-hearing (NH) controls by means of the Repeatable Battery for the Assessment of Neuropsychological Status for Hearing-impaired individuals (RBANS-H).Methods: Sixty-one post-li...
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doaj-1632acf80a374cb5a2175965eef753ef2020-11-24T21:35:14ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2018-08-011210.3389/fnins.2018.00580338480Impaired Cognitive Functioning in Cochlear Implant Recipients Over the Age of 55 Years: A Cross-Sectional Study Using the Repeatable Battery for the Assessment of Neuropsychological Status for Hearing-Impaired Individuals (RBANS-H)Annes J. Claes0Annes J. Claes1Paul Van de Heyning2Paul Van de Heyning3Annick Gilles4Annick Gilles5Annick Gilles6Anouk Hofkens-Van den Brandt7Vincent Van Rompaey8Vincent Van Rompaey9Griet Mertens10Griet Mertens11Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Antwerp, BelgiumExperimental Lab of Translational Neurosciences and Dento-Otolaryngology, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, BelgiumDepartment of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Antwerp, BelgiumExperimental Lab of Translational Neurosciences and Dento-Otolaryngology, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, BelgiumDepartment of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Antwerp, BelgiumExperimental Lab of Translational Neurosciences and Dento-Otolaryngology, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, BelgiumDepartment of Human and Social Welfare, University College Ghent, Ghent, BelgiumDepartment of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Antwerp, BelgiumDepartment of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Antwerp, BelgiumExperimental Lab of Translational Neurosciences and Dento-Otolaryngology, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, BelgiumDepartment of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Antwerp, BelgiumExperimental Lab of Translational Neurosciences and Dento-Otolaryngology, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, BelgiumPrimary Objective: To compare cognitive functioning among experienced, unilateral cochlear implant (CI) recipients and normal-hearing (NH) controls by means of the Repeatable Battery for the Assessment of Neuropsychological Status for Hearing-impaired individuals (RBANS-H).Methods: Sixty-one post-lingually and bilaterally severely hearing-impaired CI recipients (median age: 71.0, range: 58.3 to 93.9 years) with at least 1 year of CI experience (median: 12.4, range: 1.1 to 18.6 years) and 81 NH control participants (median age: 69.9, range: 50.1 to 87.1 years) took part in this cross-sectional study. The RBANS-H was performed, as well as an audiometric assessment, including best-aided speech audiometry in quiet (monosyllabic words) and in noise (Leuven Intelligibility Sentences test).Results: The RBANS-H performances of the CI recipients (mean: 88.1 ± 14.9) were significantly poorer than the those of the NH participants (mean: 100.5 ± 13.2), with correction of age, sex, and education differences (general linear model: p = 0.001). The mean difference, corrected for the effects of these three demographic factors, was 8.8 (± 2.5) points. Additionally, in both groups, a significant correlation was established between overall cognition and speech perception, both in quiet and in noise, independently of age.Conclusion: Experienced, unilateral CI recipients present subnormal cognitive functioning, beyond the effect of age, sex and education. This has implications for auditory rehabilitation after CI and may highlight the need for additional cognitive rehabilitation in the long term after implantation. Long-term prospective and longitudinal investigations are imperative to improve our understanding of cognitive aging in severely hearing-impaired individuals receiving CIs and its association with CI outcomes.https://www.frontiersin.org/article/10.3389/fnins.2018.00580/fullcognitioncochlear implantationRBANS-Holder adultsprofound hearing lossRBANS |
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language |
English |
format |
Article |
sources |
DOAJ |
author |
Annes J. Claes Annes J. Claes Paul Van de Heyning Paul Van de Heyning Annick Gilles Annick Gilles Annick Gilles Anouk Hofkens-Van den Brandt Vincent Van Rompaey Vincent Van Rompaey Griet Mertens Griet Mertens |
spellingShingle |
Annes J. Claes Annes J. Claes Paul Van de Heyning Paul Van de Heyning Annick Gilles Annick Gilles Annick Gilles Anouk Hofkens-Van den Brandt Vincent Van Rompaey Vincent Van Rompaey Griet Mertens Griet Mertens Impaired Cognitive Functioning in Cochlear Implant Recipients Over the Age of 55 Years: A Cross-Sectional Study Using the Repeatable Battery for the Assessment of Neuropsychological Status for Hearing-Impaired Individuals (RBANS-H) Frontiers in Neuroscience cognition cochlear implantation RBANS-H older adults profound hearing loss RBANS |
author_facet |
Annes J. Claes Annes J. Claes Paul Van de Heyning Paul Van de Heyning Annick Gilles Annick Gilles Annick Gilles Anouk Hofkens-Van den Brandt Vincent Van Rompaey Vincent Van Rompaey Griet Mertens Griet Mertens |
author_sort |
Annes J. Claes |
title |
Impaired Cognitive Functioning in Cochlear Implant Recipients Over the Age of 55 Years: A Cross-Sectional Study Using the Repeatable Battery for the Assessment of Neuropsychological Status for Hearing-Impaired Individuals (RBANS-H) |
title_short |
Impaired Cognitive Functioning in Cochlear Implant Recipients Over the Age of 55 Years: A Cross-Sectional Study Using the Repeatable Battery for the Assessment of Neuropsychological Status for Hearing-Impaired Individuals (RBANS-H) |
title_full |
Impaired Cognitive Functioning in Cochlear Implant Recipients Over the Age of 55 Years: A Cross-Sectional Study Using the Repeatable Battery for the Assessment of Neuropsychological Status for Hearing-Impaired Individuals (RBANS-H) |
title_fullStr |
Impaired Cognitive Functioning in Cochlear Implant Recipients Over the Age of 55 Years: A Cross-Sectional Study Using the Repeatable Battery for the Assessment of Neuropsychological Status for Hearing-Impaired Individuals (RBANS-H) |
title_full_unstemmed |
Impaired Cognitive Functioning in Cochlear Implant Recipients Over the Age of 55 Years: A Cross-Sectional Study Using the Repeatable Battery for the Assessment of Neuropsychological Status for Hearing-Impaired Individuals (RBANS-H) |
title_sort |
impaired cognitive functioning in cochlear implant recipients over the age of 55 years: a cross-sectional study using the repeatable battery for the assessment of neuropsychological status for hearing-impaired individuals (rbans-h) |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Neuroscience |
issn |
1662-453X |
publishDate |
2018-08-01 |
description |
Primary Objective: To compare cognitive functioning among experienced, unilateral cochlear implant (CI) recipients and normal-hearing (NH) controls by means of the Repeatable Battery for the Assessment of Neuropsychological Status for Hearing-impaired individuals (RBANS-H).Methods: Sixty-one post-lingually and bilaterally severely hearing-impaired CI recipients (median age: 71.0, range: 58.3 to 93.9 years) with at least 1 year of CI experience (median: 12.4, range: 1.1 to 18.6 years) and 81 NH control participants (median age: 69.9, range: 50.1 to 87.1 years) took part in this cross-sectional study. The RBANS-H was performed, as well as an audiometric assessment, including best-aided speech audiometry in quiet (monosyllabic words) and in noise (Leuven Intelligibility Sentences test).Results: The RBANS-H performances of the CI recipients (mean: 88.1 ± 14.9) were significantly poorer than the those of the NH participants (mean: 100.5 ± 13.2), with correction of age, sex, and education differences (general linear model: p = 0.001). The mean difference, corrected for the effects of these three demographic factors, was 8.8 (± 2.5) points. Additionally, in both groups, a significant correlation was established between overall cognition and speech perception, both in quiet and in noise, independently of age.Conclusion: Experienced, unilateral CI recipients present subnormal cognitive functioning, beyond the effect of age, sex and education. This has implications for auditory rehabilitation after CI and may highlight the need for additional cognitive rehabilitation in the long term after implantation. Long-term prospective and longitudinal investigations are imperative to improve our understanding of cognitive aging in severely hearing-impaired individuals receiving CIs and its association with CI outcomes. |
topic |
cognition cochlear implantation RBANS-H older adults profound hearing loss RBANS |
url |
https://www.frontiersin.org/article/10.3389/fnins.2018.00580/full |
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