資料驅動的多參數人工耳蝸復健成效預測分析

// Data-Driven Multiparameter Predictive Analysis of Cochlear Implant Rehabilitation Outcomes

回顧性研究用術前PTA（純音平均）與WRS（詞識別）預測約6月耳蝸植入後功效｜成功定義：WRS≥60%或ΔWRS≥20%｜植入耳整體預測較佳；<60歲若植入耳PTA<60 dB恢復較快，≥60歲則倚賴對側WRS≥60%，供個人化預後與恢復時間預估。

// This retrospective cohort study examined how preoperative audiometric measures predict post-cochlear implant hearing outcomes to improve counseling beyond binary candidacy. Researchers analyzed preoperative pure-tone average (PTA) and word recognition score (WRS) in both implanted and contralateral ears and tracked postoperative WRS to ~6 months, defining success as WRS≥60% or a clinically meaningful ΔWRS≥20%. Implanted-ear status showed slightly better overall predictive performance, but age modified relationships: patients <60 years improved faster when the implanted ear had residual hearing (pre-PTA<60 dB), while patients ≥60 years depended on a good contralateral WRS (≥60%) to improve. These age-stratified patterns enable more personalized prognostic counseling on time to functional hearing gains after implantation.

Published 2026年9月22日