Safety‐relevant environmental sound identification in cochlear implant candidates and users

OBJECTIVES/HYPOTHESIS: To compare the identification of safety-relevant environmental sounds between experienced cochlear implant (CI) users and CI candidates. STUDY DESIGN: Cross-sectional. METHODS: A sample of 19 adult, postlingually deaf CI candidates (CI-Cs), 47 experienced CI users (CI-Es), and a control group of 37 age-matched normal-hearing adults were assessed using the Familiar Environmental Sounds Test-Identification (FEST-I). A subset of 11 sounds relevant for safety were selected for analysis in the current study. RESULTS: Analysis of safety-relevant sound identification accuracy revealed no significant difference in safety-relevant environmental sound identification skills between CI-E and CI-C participants, with average scores of 68.1% and 67.9%, respectively. Both performed substantially lower than age-matched normal hearing adults (95.1%). A significant moderate negative correlation (-0.4) was found between safety-relevant sound accuracy and chronological age only in one group, the CI-E group (r = -0.4, P < .005). CONCLUSIONS: These findings fail to demonstrate superior performance in safety-relevant environmental sound identification among CI-Es compared with CI-Cs. Although preliminary, these findings suggest that identification of safety-relevant sounds is a significant area of weakness for both CI-Es and CI-Cs, both of whom may benefit from rehabilitation. LEVEL OF EVIDENCE: 4 Laryngoscope, 130:1547-1551, 2020.