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Listen up: children with early identified hearing loss achieve age-appropriate speech/language outcomes by 3 years-of-age.
Int J Pediatr Otorhinolaryngol. 2012 Dec; 76(12):1785-94.IJ

Abstract

OBJECTIVES

Age-appropriate speech/language outcomes for children with early identified hearing loss are a possibility but not a certainty. Identification of children most likely to achieve optimal outcomes is complicated by the heterogeneity of the children involved in outcome research, who present with a range of malleable (e.g. age of identification and cochlear implantation, type of intervention, communication mode) and non-malleable (e.g. degree of hearing loss) factors. This study considered whether a homogenous cohort of early identified children (≤ 12 months), with all severities of hearing loss and no other concomitant diagnoses could not only significantly outperform a similarly homogenous cohort of children who were later identified (>12 months to <5 years), but also achieve and maintain age-appropriate speech/language outcomes by 3, 4 and 5 years of age.

METHODS

A mixed prospective/retrospective comparative study of a homogenous cohort of 45 early identified (≤ 12 months) and 49 late identified (> 12 months to < 5 years) children with hearing loss was conducted. The children all attended the same oral auditory-verbal early intervention programme. Speech/language assessments standardized on typically developing hearing children were conducted at 3, 4 and 5 years of age.

RESULTS

The early identified children significantly outperformed the late identified at all ages and for all severities of HL. By 3 years of age, 93% of all early identified participants scored within normal limits (WNL) for speech; 90% were WNL for understanding vocabulary; and 95% were WNL for receptive and expressive language. Progress was maintained and improved so that by 5 years of age, 96% were WNL for speech, with 100% WNL for language.

CONCLUSIONS

This study found that most children with all severities of hearing loss and no other concomitant diagnosed condition, who were early diagnosed; received amplification by 3 months; enrolled into AV intervention by 6 months and received a cochlear implant by 18 months if required, were able to "keep up with" rather than "catch up to" their typically hearing peers by 3 years of age on measures of speech and language, including children with profound hearing loss. By 5 years, all children achieved typical language development and 96% typical speech.

Authors+Show Affiliations

The Shepherd Centre, Sydney, Australia. anne.fulcher@sydney.edu.auNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study

Language

eng

PubMed ID

23084781

Citation

Fulcher, Anne, et al. "Listen Up: Children With Early Identified Hearing Loss Achieve Age-appropriate Speech/language Outcomes By 3 Years-of-age." International Journal of Pediatric Otorhinolaryngology, vol. 76, no. 12, 2012, pp. 1785-94.
Fulcher A, Purcell AA, Baker E, et al. Listen up: children with early identified hearing loss achieve age-appropriate speech/language outcomes by 3 years-of-age. Int J Pediatr Otorhinolaryngol. 2012;76(12):1785-94.
Fulcher, A., Purcell, A. A., Baker, E., & Munro, N. (2012). Listen up: children with early identified hearing loss achieve age-appropriate speech/language outcomes by 3 years-of-age. International Journal of Pediatric Otorhinolaryngology, 76(12), 1785-94. https://doi.org/10.1016/j.ijporl.2012.09.001
Fulcher A, et al. Listen Up: Children With Early Identified Hearing Loss Achieve Age-appropriate Speech/language Outcomes By 3 Years-of-age. Int J Pediatr Otorhinolaryngol. 2012;76(12):1785-94. PubMed PMID: 23084781.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Listen up: children with early identified hearing loss achieve age-appropriate speech/language outcomes by 3 years-of-age. AU - Fulcher,Anne, AU - Purcell,Alison A, AU - Baker,Elise, AU - Munro,Natalie, Y1 - 2012/10/17/ PY - 2012/07/05/received PY - 2012/08/23/revised PY - 2012/09/03/accepted PY - 2012/10/23/entrez PY - 2012/10/23/pubmed PY - 2013/5/8/medline SP - 1785 EP - 94 JF - International journal of pediatric otorhinolaryngology JO - Int. J. Pediatr. Otorhinolaryngol. VL - 76 IS - 12 N2 - OBJECTIVES: Age-appropriate speech/language outcomes for children with early identified hearing loss are a possibility but not a certainty. Identification of children most likely to achieve optimal outcomes is complicated by the heterogeneity of the children involved in outcome research, who present with a range of malleable (e.g. age of identification and cochlear implantation, type of intervention, communication mode) and non-malleable (e.g. degree of hearing loss) factors. This study considered whether a homogenous cohort of early identified children (≤ 12 months), with all severities of hearing loss and no other concomitant diagnoses could not only significantly outperform a similarly homogenous cohort of children who were later identified (>12 months to <5 years), but also achieve and maintain age-appropriate speech/language outcomes by 3, 4 and 5 years of age. METHODS: A mixed prospective/retrospective comparative study of a homogenous cohort of 45 early identified (≤ 12 months) and 49 late identified (> 12 months to < 5 years) children with hearing loss was conducted. The children all attended the same oral auditory-verbal early intervention programme. Speech/language assessments standardized on typically developing hearing children were conducted at 3, 4 and 5 years of age. RESULTS: The early identified children significantly outperformed the late identified at all ages and for all severities of HL. By 3 years of age, 93% of all early identified participants scored within normal limits (WNL) for speech; 90% were WNL for understanding vocabulary; and 95% were WNL for receptive and expressive language. Progress was maintained and improved so that by 5 years of age, 96% were WNL for speech, with 100% WNL for language. CONCLUSIONS: This study found that most children with all severities of hearing loss and no other concomitant diagnosed condition, who were early diagnosed; received amplification by 3 months; enrolled into AV intervention by 6 months and received a cochlear implant by 18 months if required, were able to "keep up with" rather than "catch up to" their typically hearing peers by 3 years of age on measures of speech and language, including children with profound hearing loss. By 5 years, all children achieved typical language development and 96% typical speech. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/23084781/Listen_up:_children_with_early_identified_hearing_loss_achieve_age_appropriate_speech/language_outcomes_by_3_years_of_age_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(12)00507-1 DB - PRIME DP - Unbound Medicine ER -