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Volume 14
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10.3390/jcm14030774
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This is an early access version, the complete PDF, HTML, and XML versions will be available soon.
Article

Utilization of the Spanish Bisyllable Word Recognition Test to Assess Cochlear Implant Performance Trajectory

by
Meredith A. Holcomb
1,*,
Erin Williams
1,
Sandra Prentiss
1,
Chrisanda M. Sanchez
1,
Molly R. Smeal
2,
Tina Stern
1,
Amanda K. Tolen
3,
Sandra Velandia
1 and
Jennifer Coto
1
1
Department of Otolaryngology, University of Miami, Miami, FL 33136, USA
2
Section of Audiology, Cleveland Clinic, Cleveland, OH 44103, USA
3
Department of Rehabilitative Services, Kapi’olani Medical Center for Women & Children, Honolulu, HI 96826, USA
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2025, 14(3), 774; https://doi.org/10.3390/jcm14030774
Submission received: 30 December 2024 / Revised: 20 January 2025 / Accepted: 23 January 2025 / Published: 24 January 2025
(This article belongs to the Special Issue The Challenges and Prospects in Cochlear Implantation)
Versions Notes

Abstract

Objectives: The aims of this study were to compare pre- and post-operative word recognition scores (WRSs) for the adult Spanish-speaking population and to describe their cochlear implant (CI) performance trajectory. Methods: A retrospective chart review (n = 115) was completed for Spanish-speaking post-lingually deafened adults who underwent a traditional CI evaluation and subsequent surgery between 2018 and 2023. Pre- and post-CI (3, 6, 12-month) Spanish Bisyllable WRSs and CI datalogging (hours per day) were collected for 66 subjects who met inclusion. Patients were, on average, 61.4 years of age (SD = 14.9) at the time of their first CI, and all were Hispanic and White (100%). Results: The outcomes of the 66 subjects who met the inclusion criteria were analyzed. Spanish Bisyllable WRSs improved at all post-CI test intervals, though the mean change between intervals showed a decreasing trend over time, with a plateau in WRSs occurring by 6 months post-CI. Time was a significant predictor of increased post-CI WRSs at 6 months (p = 0.004) and 12 months (p < 0.001). Sex, the implanted ear, electrode type, CI manufacturer, and datalogging hours did not significantly predict Bisyllable WRSs. Conclusions: This study used the largest cohort dataset to date to describe pre-and post-CI WRSs for Spanish-speaking adults. The post-CI performance trajectory is similar in Spanish-speaking CI recipients compared to English-speaking cohorts. This study is fundamental in providing evidence-based outcomes for Spanish-speaking CI recipients and will assist clinicians with pre-CI counseling based on realistic expectations.
Keywords: bisyllables; cochlear implant; cochlear implant outcomes; Spanish; Spanish-speaking outcomes; Spanish word recognition; Spanish cochlear implant test battery bisyllables; cochlear implant; cochlear implant outcomes; Spanish; Spanish-speaking outcomes; Spanish word recognition; Spanish cochlear implant test battery

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MDPI and ACS Style

Holcomb, M.A.; Williams, E.; Prentiss, S.; Sanchez, C.M.; Smeal, M.R.; Stern, T.; Tolen, A.K.; Velandia, S.; Coto, J. Utilization of the Spanish Bisyllable Word Recognition Test to Assess Cochlear Implant Performance Trajectory. J. Clin. Med. 2025, 14, 774. https://doi.org/10.3390/jcm14030774

AMA Style

Holcomb MA, Williams E, Prentiss S, Sanchez CM, Smeal MR, Stern T, Tolen AK, Velandia S, Coto J. Utilization of the Spanish Bisyllable Word Recognition Test to Assess Cochlear Implant Performance Trajectory. Journal of Clinical Medicine. 2025; 14(3):774. https://doi.org/10.3390/jcm14030774

Chicago/Turabian Style

Holcomb, Meredith A., Erin Williams, Sandra Prentiss, Chrisanda M. Sanchez, Molly R. Smeal, Tina Stern, Amanda K. Tolen, Sandra Velandia, and Jennifer Coto. 2025. "Utilization of the Spanish Bisyllable Word Recognition Test to Assess Cochlear Implant Performance Trajectory" Journal of Clinical Medicine 14, no. 3: 774. https://doi.org/10.3390/jcm14030774

APA Style

Holcomb, M. A., Williams, E., Prentiss, S., Sanchez, C. M., Smeal, M. R., Stern, T., Tolen, A. K., Velandia, S., & Coto, J. (2025). Utilization of the Spanish Bisyllable Word Recognition Test to Assess Cochlear Implant Performance Trajectory. Journal of Clinical Medicine, 14(3), 774. https://doi.org/10.3390/jcm14030774

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