PMID- 29447813
OWN - NLM
STAT- MEDLINE
DCOM- 20180402
LR  - 20191210
IS  - 1872-8464 (Electronic)
IS  - 0165-5876 (Linking)
VI  - 105
DP  - 2018 Feb
TI  - Long-term outcomes of Universiti Kebangsaan Malaysia Cochlear Implant Program 
      among pediatric implantees.
PG  - 27-32
LID - S0165-5876(17)30567-0 [pii]
LID - 10.1016/j.ijporl.2017.11.024 [doi]
AB  - OBJECTIVES: Cochlear implant (CI) greatly enhances auditory performance as 
      compared to hearing aids and has dramatically affected the educational and 
      communication outcomes for profoundly deaf children. Universiti Kebangsaan 
      Malaysia (UKM) pioneered CI program in 1995 in the South East Asia. We would like 
      to report the long-term outcomes of UKM paediatric cochlear implantation in terms 
      of: the proportion of children who were implanted and still using the device, the 
      children's modes of communication, their educational placements, and their 
      functional auditory/oral performance. We also examined the factors that affected 
      the outcomes measured. STUDY DESIGN: This was a cross sectional observational 
      study. METHODS: Two sets of questionnaires were given to 126 parents or primary 
      caregivers of the implantees. The first set of questionnaire contained questions 
      to assess the children's usage of CI, their types of education placement, and 
      their modes of communication. The second set of questionnaire was the Parent's 
      Evaluation Of Aural/Oral Performance of Children (PEACH) to evaluate the 
      children's auditory functionality. RESULTS: Our study showed that among the 
      implantees, 97.6% are still using their CI, 69.8% communicating orally, and 58.5% 
      attending mainstream education. For implantees that use oral communication and 
      attend mainstream education, their mean age of implantation is 38 months. This is 
      significantly lower compared to the mean age of implantation of implantees that 
      use non-oral communication and attend non-mainstream education. Simple logistic 
      regression analysis shows age of implantation reliably predicts implantees 
      (N = 126) would communicate using oral communication with odds ratio of 0.974, 
      and also predict mainstream education (N = 118) with odds ratio of 0.967. The 
      median score of PEACH rating scale is 87.5% in quiet, and this significantly 
      correlates with an earlier age of implantation (r = -0.235 p = 0.048). 
      CONCLUSIONS: UKM Cochlear Implant Program has achieved reasonable success among 
      the pediatric implantees, with better outcomes seen in those implanted at the age 
      of less than 4 years old.
CI  - Copyright (c) 2017 Elsevier B.V. All rights reserved.
FAU - Goh, Bee-See
AU  - Goh BS
AD  - Department of Otorhinolaryngology and Head and Neck Surgery, Level 9, Clinical 
      Block, Hospital Canselor Tuanku Mukhriz, Universiti Kebangsaan Malaysia Medical 
      Center, Jalan Yaacob Latiff, 56000 Cheras, Kuala Lumpur, Malaysia. Electronic 
      address: irenegbs@yahoo.com.
FAU - Fadzilah, Noraziana
AU  - Fadzilah N
AD  - Department of Otorhinolaryngology, Hospital Sultanah Nora Ismail, Jalan Korma, 
      Taman Soga, 83000 Batu Pahat, Johor, Malaysia.
FAU - Abdullah, Asma
AU  - Abdullah A
AD  - Department of Otorhinolaryngology and Head and Neck Surgery, Level 9, Clinical 
      Block, Hospital Canselor Tuanku Mukhriz, Universiti Kebangsaan Malaysia Medical 
      Center, Jalan Yaacob Latiff, 56000 Cheras, Kuala Lumpur, Malaysia.
FAU - Othman, Basyariatul Fathi
AU  - Othman BF
AD  - Institute of Ear, Hearing and Speech (Institute-HEARS), Block 8, 3rd Floor, 
      Universiti Kebangsaan Malaysia, Jalan Temerloh, 53200 Kuala Lumpur, Malaysia.
FAU - Umat, Cila
AU  - Umat C
AD  - School of Rehabilitation Sciences, Faculty of Health Sciences, Universiti 
      Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20171124
PL  - Ireland
TA  - Int J Pediatr Otorhinolaryngol
JT  - International journal of pediatric otorhinolaryngology
JID - 8003603
SB  - IM
MH  - Child
MH  - Child, Preschool
MH  - Cochlear Implantation/methods/*statistics & numerical data
MH  - Cochlear Implants/*statistics & numerical data
MH  - Communication
MH  - Cross-Sectional Studies
MH  - Deafness/*surgery
MH  - Female
MH  - Humans
MH  - Infant
MH  - Mainstreaming, Education/statistics & numerical data
MH  - Malaysia
MH  - Male
MH  - Parents
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Cochlear implant
OT  - Education
OT  - Long term
OT  - Outcomes
OT  - Pediatrics
EDAT- 2018/02/16 06:00
MHDA- 2018/04/03 06:00
CRDT- 2018/02/16 06:00
PHST- 2017/09/04 00:00 [received]
PHST- 2017/11/19 00:00 [revised]
PHST- 2017/11/21 00:00 [accepted]
PHST- 2018/02/16 06:00 [entrez]
PHST- 2018/02/16 06:00 [pubmed]
PHST- 2018/04/03 06:00 [medline]
AID - S0165-5876(17)30567-0 [pii]
AID - 10.1016/j.ijporl.2017.11.024 [doi]
PST - ppublish
SO  - Int J Pediatr Otorhinolaryngol. 2018 Feb;105:27-32. doi: 
      10.1016/j.ijporl.2017.11.024. Epub 2017 Nov 24.