{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T03:09:38Z","timestamp":1785294578752,"version":"3.55.0"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the impact of the COVID\u201019 pandemic on cochlear implant (CI) usage in children by comparing hearing hour percentage (HHP) during the pandemic to prepandemic levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective Cohort Study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Primary Children's Hospital, Utah.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective chart review was conducted for children aged 9 months to 18.9 years old who underwent CI between January 2018 and September 2023. Inclusion criteria comprised first\u2010time CI recipients with at least 1 year of follow\u2010up data. HHP was calculated by dividing total wear time by the expected daily awake time based on the patient's age. Multivariate linear regression analysis was performed to control for confounding variables of HHP, with demographic, clinical, and procedural variables entered as independent variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 156 patients were included. A significant decline in HHP was observed during the pandemic, from 55.0% (SE\u2009=\u20094.3, n\u2009=\u200930) in 2019 to 26.2% (SE\u2009=\u20095.5, n\u2009=\u200922) in 2020. Regression analyses also revealed a significant decrease in HHP during both the early pandemic period (2020\u20102021) (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.0014) and late in the pandemic period (2022\u20102023) (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.011) compared to pre\u2010pandemic levels. After controlling for confounders, the late pandemic period remained significantly associated with a reduction in HHP (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u221215.6,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.018), but the decline in HHP during the early phase of the pandemic was no longer significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pandemic\u2010related disruptions led to a decline in pediatric CI use, underscoring the need for targeted support during public health crises.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.70068","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T20:15:56Z","timestamp":1763496956000},"page":"257-264","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of the COVID\u201019 Pandemic on Cochlear Implant Usage in Children"],"prefix":"10.1002","volume":"174","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2885-7108","authenticated-orcid":false,"given":"Peter","family":"Kfoury","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Utah School of Medicine Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Tonkovich","sequence":"additional","affiliation":[{"name":"Department of Audiology Primary Children's Hospital\u2013Intermountain Health Care Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2463-4912","authenticated-orcid":false,"given":"Eun Kyung","family":"Jeon","sequence":"additional","affiliation":[{"name":"Department of Communication Sciences and Disorders University of Iowa Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan C.","family":"Stout","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Utah School of Medicine Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Christensen","sequence":"additional","affiliation":[{"name":"Noorda College of Osteopathic Medicine Provo Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megna D.","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Utah School of Medicine Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew A.","family":"Firpo","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Utah School of Medicine Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9089-3014","authenticated-orcid":false,"given":"Albert H.","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery and Department of Pediatrics University of Utah School of Medicine Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,18]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"National Health Service National Institute for Health and Clinical Excellence (NICE).Cochlear Implants for Children and Adults with Severe to Profound Deafness.National Institute for Health and Clinical Excellence;2019. Accessed January 31 2025.https:\/\/www.nice.org.uk\/guidance\/ta566"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000915"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1044\/2019_AJA-19-0073"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/14670100.2019.1670487"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.3766\/jaaa.17051"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000818"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2011.12.004"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.3766\/jaaa.15138"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1044\/2021_LSHSS-21-00063"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/14670100.2017.1418161"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1159\/000519908"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1159\/000517148"},{"issue":"3","key":"e_1_2_8_14_1","first-page":"1","article-title":"Likely Impact of the COVID\u201019 Pandemic on Newborn Hearing Screening and Follow\u2010up Services in the United States in 2020","volume":"7","author":"Dundon K","year":"2022","journal-title":"J Early Hear Detect Interv"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2024.112187"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.39042"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000003778"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000003291"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.5866"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599819880348"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2000.102180"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.255"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000821"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnhum.2023.1141065"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-4274"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000004331"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000452"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/00034894231170588"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.3109\/14992027.2015.1017660"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.70068","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ohn.70068","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.70068","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T15:29:01Z","timestamp":1768404541000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ohn.70068"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,18]]},"references-count":28,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/ohn.70068"],"URL":"https:\/\/doi.org\/10.1002\/ohn.70068","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,18]]},"assertion":[{"value":"2025-07-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}