{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T06:01:24Z","timestamp":1780639284245,"version":"3.54.1"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,2,22]],"date-time":"2023-02-22T00:00:00Z","timestamp":1677024000000},"content-version":"vor","delay-in-days":52,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["OTO Open"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To identify trends in timing of pediatric cochlear implant (CI) care during COVID\u201019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary care center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients under 18 years of age who underwent CI between 1\/1\/2016 and 2\/29\/2020 were included in the pre\u2010COVID\u201019 group, and patients implanted between 3\/1\/2020 and 12\/31\/2021 comprised the COVID\u201019 group. Revision and sequential surgeries were excluded. Time intervals between care milestones including severe\u2010to\u2010profound hearing loss diagnosis, initial CI candidacy evaluation, and surgery were compared among groups, as were the number and type of postoperative visits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 98 patients met criteria; 70 were implanted pre\u2010COVID\u201019 and 28 during COVID\u201019. A significant increase in the interval between CI candidacy evaluation and surgery was seen among patients with prelingual deafness during COVID\u201019 compared with pre\u2010COVID\u201019 (<jats:italic>\u00b5<\/jats:italic>\u2009=\u200947.3 weeks, 95% confidence interval [CI]: 34.8\u201059.9 vs <jats:italic>\u00b5<\/jats:italic>\u2009=\u200920.5 weeks, 95% CI: 13.1\u201027.9; <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Patients in the COVID\u201019 group attended fewer in\u2010person rehabilitation visits in the 12 months after surgery (<jats:italic>\u00b5<\/jats:italic>\u2009=\u200914.9 visits, 95% CI: 9.7\u201020.1 vs <jats:italic>\u00b5<\/jats:italic>\u2009=\u200920.9, 95% CI: 18.1\u201023.7; <jats:italic>p<\/jats:italic>\u2009=\u2009.04). Average age at implantation in the COVID\u201019 group was 5.7 years (95% CI: 4.0\u20107.5) versus 3.7 years in the pre\u2010COVID\u201019 group (95% CI: 2.9\u20104.6; <jats:italic>p<\/jats:italic>\u2009=\u2009.05). The time interval between hearing loss confirmation and CI surgery was on average 99.7 weeks for patients implanted during COVID\u201019 (95% CI: 48.8\u2010150) versus 54.2 weeks for patients implanted pre\u2010COVID (95% CI: 39.6\u201068.8), which was not a statistically significant difference (<jats:italic>p<\/jats:italic>\u2009=\u2009.1).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>During the COVID\u201019 pandemic patients with prelingual deafness experienced delays in care relative to patients implanted before the pandemic.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oto2.37","type":"journal-article","created":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T01:49:07Z","timestamp":1677116947000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Trends in Timing and Provision of Pediatric Cochlear Implant Care During COVID\u201019"],"prefix":"10.1002","volume":"7","author":[{"given":"Kimberley S.","family":"Noij","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily Y.","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Walsh","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis X.","family":"Creighton","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepa","family":"Galaiya","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen P.","family":"Bowditch","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. 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