{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T22:45:19Z","timestamp":1746485119800},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T00:00:00Z","timestamp":1707955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T00:00:00Z","timestamp":1707955200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Johann Wolfgang Goethe-Universit\u00e4t, Frankfurt am Main"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["HNO"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Mit der im Jahr 2020 aktualisierten AWMF-Leitlinie zur Versorgung mit einem Cochleaimplantat (CI) wurde erstmals der gesamte Prozess einer CI-Versorgung definiert. In der vorliegenden Studie wurden die Machbarkeit und die Ergebnisse einer sehr fr\u00fchen Rehabilitationsma\u00dfnahme (Reha) untersucht.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methodik<\/jats:title>\n                <jats:p>Es wurden 54\u00a0Patienten in die Interventionsgruppe (IG) eingeschlossen, bei der die Reha innerhalb von 14\u00a0(maximal\u00a028) Tagen nach der Implantation eingeleitet wurde. In eine Kontrollgruppe (KG, <jats:italic>n<\/jats:italic>\u202f=\u200921) wurden Patienten mit deutlich l\u00e4ngerer Wartezeit eingeschlossen. Neben dem Beginn und der Dauer der Reha wurde das mit CI erreichte Sprachverstehen zu verschiedenen Zeitpunkten innerhalb von 12\u00a0Monaten erfasst. Zus\u00e4tzlich wurde mit Frageb\u00f6gen der Aufwand der Anpassung des CI-Prozessors und die Zufriedenheit der Patienten mit dem Ergebnis sowie dem Zeitpunkt des Beginns der Reha ermittelt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Die Wartezeit zwischen Implantation und Beginn der Reha lag in der IG bei 14\u00a0Tagen und in der KG bei 106 Tagen (Mediane). Es konnten 92,6\u202f% der Patienten der IG die Reha innerhalb von 14\u00a0Tagen antreten. Der Effekt der Reha lag in der IG bei 35\u00a0und in der KG bei 25\u00a0Prozentpunkten (Freiburger Einsilbertest). Nach 6\u00a0und 12\u00a0Monaten (M) CI-Nutzung zeigten beide Gruppen sowohl in der Testbedingung in Ruhe (IG\/KG\u00a06M: 70\u202f%\/70\u202f%; 12M: 70\u202f%\/60\u202f%, Freiburger Einsilbertest) als auch im St\u00f6rger\u00e4usch (IG\/KG\u00a06M: \u22121,1\u202fdB SNR\/\u20130,85\u202fdB SNR; 12M: \u22120,65\u202fdB SNR\/0,3\u202fdB SNR, Oldenburger Satztest) vergleichbare Ergebnisse. Die mittels des Fragebogens Speech, Spatial and Qualities of Hearing Scale (SSQ) erfassten Ergebnisse f\u00fcr die Einsch\u00e4tzung der H\u00f6rqualit\u00e4t zeigten nach 6\u00a0Monaten eine bessere Bewertung in der IG, die sich nach 12\u00a0Monaten an die Ergebnisse der KG anglich. Die IG war mit dem Zeitpunkt des Beginns der Reha deutlich zufriedener als die KG. Alle anderen aus Frageb\u00f6gen ermittelten Daten zeigten keine Unterschiede zwischen den beiden Gruppen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Der sehr fr\u00fche Beginn einer station\u00e4ren Reha nach Cochleaimplantation ist erfolgreich umsetzbar. Die Reha konnte innerhalb von 7\u00a0Wochen nach der Implantation abgeschlossen werden. Der Vergleich der Ergebnisse der Tests des Sprachverstehens vor und nach der Reha zeigte eine deutliche Steigerung. Somit ist ein deutlicher Reha-Effekt nachweisbar. Die Aufnahme der CI-Rehabilitation in den Katalog der Anschlussheilbehandlungen ist somit wissenschaftlich begr\u00fcndet und damit dringend zu empfehlen.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00106-024-01440-z","type":"journal-article","created":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T14:02:12Z","timestamp":1708005732000},"page":"412-422","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Frankfurter Konzept einer station\u00e4ren Cochleaimplantat-Fr\u00fchrehabilitation","Frankfurt concept of early inpatient rehabilitation after cochlear implant treatment"],"prefix":"10.1007","volume":"72","author":[{"given":"Stefanie","family":"Bruschke","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roland","family":"Zeh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uwe","family":"Baumann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silke","family":"Helbig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timo","family":"St\u00f6ver","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,2,15]]},"reference":[{"issue":"4","key":"1440_CR1","doi-asserted-by":"publisher","first-page":"e130","DOI":"10.1097\/MAO.0000000000000266","volume":"35","author":"RM Alsabellha","year":"2014","unstructured":"Alsabellha\u00a0RM, Hagr\u00a0A, Al-Momani\u00a0MO, Garadat\u00a0SN (2014) Cochlear implant device activation and programming: 5\u00a0days postimplantation. 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F\u00fcr die Durchf\u00fchrung der Studie lag ein positives Votum der Ethikkommission des Fachbereichs Medizin der J. W. Goethe-Universit\u00e4t Frankfurt am Main vor (Gesch\u00e4ftsnummer 19-3089). Von allen beteiligten Patient\/-innen liegt eine Einverst\u00e4ndniserkl\u00e4rung vor.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}