OBJECTIVES: Early cochlear implantation has been widely promoted for @entity1 who derive inadequate benefit from conventional acoustic amplification. Universal newborn hearing screening has led to earlier identification and intervention, including cochlear implantation in much of the world. The purpose of this study was to examine age and time to cochlear implantation and to understand the factors that affected late cochlear implantation in @entity1 who received cochlear implants. DESIGN: In this population-based study, data were examined for all @entity1 who underwent cochlear implant surgery in one region of Canada from 2002 to 2013. Clinical characteristics were collected prospectively as part of a larger project examining outcomes from newborn hearing screening. For this study, audiologic details including age and severity of @entity393 at diagnosis, age at cochlear implant candidacy, and age at cochlear implantation were documented. Additional detailed medical chart information was extracted to identify the factors associated with late implantation for @entity1 who received cochlear implants more than 12 months after confirmation of @entity393 . RESULTS: The median age of diagnosis of permanent @entity393 for 187 @entity1 was 12.6 (interquartile range: 5.5, 21.7) months, and the age of cochlear implantation over the 12-year period was highly variable with a median age of 36.2 (interquartile range: 21.4, 71.3) months. A total of 118 (63.1%) received their first implant more than 12 months after confirmation of @entity393 . Detailed analysis of clinical profiles for these 118 @entity1 revealed that late implantation could be accounted for primarily by progressive @entity393 (52.5%), complex medical conditions (16.9%), family indecision (9.3%), geographical location (5.9%), and other miscellaneous known (6.8%) and unknown factors (8.5%). CONCLUSIONS: This study confirms that despite the trend toward earlier implantation, a substantial number of @entity1 can be expected to receive their first cochlear implant well beyond their first birthday because they do not meet audiologic criteria of severe to profound @entity393 for cochlear implantation at the time of identification of permanent @entity393 . This study underscores the importance of carefully monitoring all @entity1 with permanent @entity393 to ensure that optimal intervention including cochlear implantation occurs in a timely manner.

Pediatric Cochlear Implantation: Why Do XXXX Receive Implants Late?

@entity1 :: ('9606', 'Species') :: ['children'] @entity393 :: ('MESH:D034381', 'Disease') :: ['hearing loss']
@entity1 :: (9606,Species) :: ['Children']
