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  1. Trends in educational placement and cost-benefit considerations in children with cochlear implants.

    Article, Communication - En anglais

    International Cochlear Implant Conference. New York, NY, USA, 1997/05/02.

    Objectives 

    To study the effect of cochlear implantation on the use of educational resources by profoundly hearing-impaired children and to determine trends in educational cost vs benefit.

    Design 

    Retrospective study and cost-benefit analysis.

    Setting 

    Outpatient pediatric cochlear implant program in an academic institution (The Listening Center at Johns Hopkins University School of Medicine, Baltimore, Md), in collaboration with public schools in Maryland and surrounding states.

    Patients or Other Participants 

    School-aged children with profound prelingual hearing impairment without other clearly defined disabilities.

    Thirty-five children with multiple-channel cochlear prostheses and a comparison group of 10 children without implants from « total communication » programs in the Maryland public school system.

    Interventions 

    Multiple-channel cochlear implantation and at least 1 year of a systematic auditory skill development program at the Listening Center, compared with standard educational management of children with conventional amplification.

    Main Outcome Measures 

    Classroom placement and number of hours of special educational support used.

    Results 

    A correlation was observed between the length of cochlear implant experience and the rate of full-time placement in mainstream classrooms (r=0.10 ; P=04). (...)

    Mots-clés Pascal : Surdité cochléaire, Implantation chirurgicale, Cochlée, Analyse avantage coût, Education, Rétrospective, Traitement, Economie, Enfant, Homme, ORL pathologie, Trouble audition, Surdité perception, Oreille interne pathologie, Chirurgie

    Mots-clés Pascal anglais : Sensory hearing loss, Surgical implantation, Cochlea, Cost benefit analysis, Education, Retrospective, Treatment, Economy, Child, Human, ENT disease, Auditory disorder, Perception hearing loss, Internal ear disease, Surgery

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0291686

    Code Inist : 002B30A04B. Création : 16/11/1999.