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July 22, 2026Otology & Neurotology

Does Age Impact Relative Baseline Performance and Improvement on Clinical Speech Recognition Tests in Adult Cochlear Implant Recipients?

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Authors

BSB SpectorKBKatelyn A. BergMCMichael W. Canfarotta

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Overview

Retrospective review shows age negatively affects speech recognition in adults with cochlear implants, suggesting tailored counseling is needed.

Key Points

  • The aim is to examine how advancing age affects speech recognition performance before and after cochlear implantation.
  • Retrospective review of data from 75 cochlear implant recipients aged 20 to 88 years.
  • Assessment of speech recognition performance on various tests before and after cochlear implantation.
  • Multivariate regression models were used to analyze the effects of age and other covariates.
  • Age negatively predicted pre-CI performance on AzBio sentences in quiet and noise (β=-0.18, P=0.025; β=-0.17, P=0.024).
  • Older age predicted less post-CI improvement in AzBio sentences in noise (β=-0.30, P=0.024).
  • Daily CI usage was a strong predictor of post-CI improvement in CNC and AzBioQ tests, significantly affecting outcomes.

Cite This Study

Spector et al. (2026) studied this question.

synapsesocial.com/papers/6a605e5b4163e025518d80ddhttps://doi.org/10.1097/mao.0000000000005020
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