Relationship between proximity to a cochlear implant center and early presentation in children with congenital hearing loss

To  determine whether distance from a cochlear implant (CI) center can influences the ages of presentation and intervention for CI, which thus may influence CI outcomes in Saudi Arabia. This study comprised a retrospective cross-sectional analysis of 221 patients who presented to the CI committee be...

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Bibliographic Details
Published in:Saudi medical journal 2020-03, Vol.41 (3), p.314-317
Main Authors: Al-Shawi, Yazeed A, Alrawaf, Fahad K, Al-Gazlan, Najd S, Al-Qahtani, Munahi M, Almuhawas, Fida A
Format: Article
Language:English
Subjects:
Age Factors
Brief Communication
Child
Child health
Child, Preschool
Childhood hearing disorders
Children
Cochlear implants
Cochlear Implants - statistics & numerical data
Congenital diseases
Cross-Sectional Studies
Deaf persons
Delayed Diagnosis
Early Diagnosis
Female
Genetic disorders
Health care access
Health screening
Health Services Accessibility - statistics & numerical data
Hearing loss
Hearing Loss - congenital
Hearing Loss - diagnosis
Hearing Loss - rehabilitation
Hearing Tests
Humans
Infant
Male
Pediatrics
Prognosis
Prostheses and implants
Retrospective Studies
Saudi Arabia
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Summary:To  determine whether distance from a cochlear implant (CI) center can influences the ages of presentation and intervention for CI, which thus may influence CI outcomes in Saudi Arabia. This study comprised a retrospective cross-sectional analysis of 221 patients who presented to the CI committee between March 2016 and March 2018 at King Abdullah Ear Specialist Center, Riyadh, Saudi Arabia. Through phone interviews and patients' files, age at suspicion, audiology testing, diagnosis, hearing aid fitting, and CI discussion were recorded for prelingually deaf children; additionally, demographic information were recorded. Patients were divided into 3 groups based on the distance between their place of residence and the nearest CI center (residing within 200 km, 200-500 km, and greater than 500 km). Patients living within 200 km showed the youngest mean age for all tested checkpoints; however, there were no statistically significant differences among the groups. In Saudi Arabia, distance from CI center does not have a significant effect on age of presentation for CI intervention.
ISSN:0379-5284
1658-3175
DOI:10.15537/smj.2020.3.24918