使用新工具对人工耳蜗使用者听觉表现进行远程分析：远程检查。

文献信息

中文摘要

目的： 通过移动设备使用远程检查（Remote Check）工具评估和描述人工耳蜗（CI）使用者的听觉表现。
方法： 开展了一项前瞻性横断面分析研究。31名语前和语后人工耳蜗使用者参与了研究，植入体使用时间至少6个月，无与听力损失相关的认知或智力改变。远程检查通过Nucleus Smart应用程序提供，并由My Cochlear Professional平台管理。参与者对测试作出应答，并收集了关于数字三联体测试（DTT）、助听听阈测试（ATT）和使用时间的数据。
结果： 比较测试表明，语后和语前听力损失人群组之间的噪声中言语水平存在显著差异。至于听阈，在不同频率上观察到显著差异，并随使用情况而变化。此外，效应量分析显示噪声中言语和某些频率存在中等差异，而左耳250 Hz以及右耳佩戴者的设备使用时间存在高效应。
结论： 远程检查是一种有效的工具，可有助于描述人工耳蜗使用者的特征。能够在数据记录阶段、听阈评估和噪声中言语测试中描绘CI使用者的特征。
证据等级： 2（第2步）。

英文摘要

OBJECTIVE: To evaluate and characterize the auditory performance of Cochlear Implant (CI) users through Remote Check tool via mobile device.
METHODS: A prospective cross-sectional analytical study was carried out. Thirty-one cochlear implant users prelingual and postlingual participated in the study, with at least 6-months of implant use, without cognitive or intellectual changes associated with hearing loss. Remote Check was made available via the Nucleus Smart app and managed by the My Cochlear Professional platform. Participants responded to the test and data regarding Digit Triplets Test (DTT), Aided Threshold Test (ATT) and time of use were collected.
RESULTS: Comparative tests indicated significant differences in speech-in-noise levels between groups of people with post-lingual and pre-lingual hearing loss. As for the hearing thresholds, significant difference was observed at different frequencies, varying according to use. In addition, the analysis of effect size showed moderate differences in speech in noise and some frequencies, and high effect at 250 Hz on left ear and device usage time for those wearing on right ear.
CONCLUSION: Remote Check is an effective tool that can assist in describing the profile of cochlear implant users. It was possible to trace the profile of CI users in the stage of datalogging, assessment of auditory thresholds and in speech-in-noise tests.
LEVEL OF EVIDENCE: 2 (Step 2).