title: Hurricane Katrina and its effects on a regional cochlear implant program.
abstract: OBJECTIVE
  The purpose of this study was to analyze the effects Hurricane Katrina had on the demographics and outcomes of patients receiving cochlear implantation at our institution.
  
  
  METHODS
  This was a retrospective chart review of 179 patients (190 ears) receiving cochlear implantation from January 2003 to December 2007.
  
  
  METHODS
  Paper records and an outcome database were reviewed for analysis.
  
  
  RESULTS
  The number of implants performed pre-Katrina (pre-K) was 68 (2.1 per month), post-Katrina (post-K) the number rose to 122 (4.3 per month). The percentage of patients paying primarily with public funds (Medicare, Medicaid) was 41.2% pre-K and increased to 55.7% post-K (p=0.067). Post operative pure tone averages were 24.3 ( ± 11.05) dB pre-K and 23.7 ± 11.93) dB post-K (p=0.7272).
  
  
  CONCLUSIONS
  Despite the damage and displacement Hurricane Katrina caused we saw an increase in the number of patients receiving cochlear implants. Our patient population's payment means shifted toward a greater percentage utilizing public funds following the storm . We saw no change in our hearing outcomes as evidenced by PTA.
authors.affiliation: Tulane University Department of Otolaryngology, LA, USA. mlupa@tulane.edu
authors.forename: Michael
authors.initials: M
authors.lastname: Lupa
authors.forename: Timothy
authors.initials: T
authors.lastname: Molony
authors.forename: Ronald
authors.initials: R
authors.lastname: Amedee
mesh_terms: D000293:Adolescent; D000328:Adult; D016009:Chi-Square Distribution; D002648:Child; D003054:Cochlear Implants; D055867:Cyclonic Storms; D005260:Female; D006801:Humans; D008145:Louisiana; D008297:Male; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012189:Retrospective Studies