title: Prevalence of cochlear implants in postlingually deafened adults in a Swedish region.
abstract: Cochlear implantation (CI) rates vary between countries, depending on identification routines and economic restrictions. The present study aimed at determining the prevalence of CIs in postlingually deafened, aged 20-69 years old, in Göteborg, Sweden. Three patient databases with information on PTA, a questionnaire, medical records and consultations identified 88 subjects with sensorineural hearing loss >/=80 dB HL (PTA of 500, 1000, 3000 Hz), PB word score of </=30% (better ear), regular use of hearing-aid, and oral language. The prevalence of CIs was 11.8 per 100 000 population, and of subjects fulfilling the audiometric candidacy criteria 18.6 per 100 000. The mean PTA (op. ear) of subjects awaiting operation was 97 dB HL (SD 12.3), and of already implanted subjects 106 dB HL (SD 10.2). Mean PB word score was 9% (SD 8.9) and 3% (SD 4.9) respectively. Subjects awaiting operation had significantly better residual hearing, emphasizing recent changes in candidacy criteria. Comparing with prevalence from other countries demonstrated that more patients could be candidates for cochlear implantation.
authors.affiliation: Department of Otorhinolaryngology, Sahlgrenska University Hospital, Göteborg, Sweden.
authors.forename: M
authors.initials: M
authors.lastname: Claeson
authors.forename: A
authors.initials: A
authors.lastname: Ringdahl
mesh_terms: D000328:Adult; D000368:Aged; D001301:Audiometry, Pure-Tone; D002391:Catchment Area, Health; D003054:Cochlear Implants / Q000706:statistics & numerical data*; D005260:Female; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012720:Severity of Illness Index; D013548:Sweden / Q000453:epidemiology