{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T05:12:55Z","timestamp":1782450775765,"version":"3.54.5"},"reference-count":28,"publisher":"BMJ","issue":"11","license":[{"start":{"date-parts":[[2021,11,28]],"date-time":"2021-11-28T00:00:00Z","timestamp":1638057600000},"content-version":"unspecified","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Faculty of Medicine, Khon Kaen University","award":["AS64207"],"award-info":[{"award-number":["AS64207"]}]},{"name":"Health Systems Research Institute of Thailand","award":["61-070"],"award-info":[{"award-number":["61-070"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2021,11,8]]},"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To report the status and outcomes of cochlear implantation in Thailand.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary care and university hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Patients who underwent cochlear implant surgery in Thailand.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions<\/jats:title><jats:p>This project collected data from all government and university hospitals in Thailand where cochlear implant surgery was performed between 2016 and 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Primary and secondary outcome measures<\/jats:title><jats:p>Baseline characteristics, operation data, complications, audiological outcomes and quality of life were reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This study included 458 patients, and nearly half of the patients were children and adolescents (46.94%). The mean age of the patients was 2.96\u00b15.83 years. At 1\u2009year postoperatively, the mean pure tone average of the hearing threshold in the implanted ear significantly improved from unaided preoperative baseline (mean difference (MD) 64.23\u2009dB HL; 95% CI 59.81 to 68.65; p&lt;0.001). The mean speech recognition threshold also improved (MD 55.96\u2009dB HL; 95%\u2009CI 49.50 to 62.42, p&lt;0.001). The quality-of-life scores of the EQ-5D-5L, PedsQL and HUI3 questionnaires at 1\u2009year showed improved mobility (range, 0\u20135; MD 0.65; 95%\u2009CI 0.05 to 1.25; p=0.037), hearing (range, 0\u20136; MD 0.96; 95%\u2009CI 0.30 to 1.61; p=0.006) and speech (range, 0\u20135; MD 0.44; 95%\u2009CI 0.04 to 0.84; p=0.031). Common complications included electrode dislodgement (2.18%), vertigo (1.23%) and meningitis (1.93%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Excellent audiological outcomes and improvement in the quality of life in the mobility, hearing and speech domains were observed in patients who underwent cochlear implantation in Thailand.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bmjopen-2021-054041","type":"journal-article","created":{"date-parts":[[2021,11,29]],"date-time":"2021-11-29T16:11:30Z","timestamp":1638202290000},"page":"e054041","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Multicentre cohort study of cochlear implantation outcomes in Thailand"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2195-4837","authenticated-orcid":false,"given":"Patorn","family":"Piromchai","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Napas","family":"Tanamai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sivaporn","family":"Kiatthanabumrung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suwicha","family":"Kaewsiri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanthong","family":"Thongyai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viraporn","family":"Atchariyasathian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panida","family":"Thanawirattananit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chitsuda","family":"Wacharasindhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tulakan","family":"Mukkun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Permsarp","family":"Isipradit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwanchanok","family":"Yimtae","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,11,29]]},"reference":[{"key":"2024102804524899000_11.11.e054041.1","first-page":"S81","article-title":"Ear, nose, throat and craniofacial diseases community services initiative of Khon Kaen university","volume":"99","author":"Piromchai","year":"2016","journal-title":"J Med Assoc Thai"},{"key":"2024102804524899000_11.11.e054041.2","first-page":"77","article-title":"Ear, nose, throat, and craniofacial disease screening in primary school: Khon Kaen university 2017 initiative","volume":"101","author":"Piromchai","year":"2018","journal-title":"J Med Assoc Thai"},{"key":"2024102804524899000_11.11.e054041.3","first-page":"128","article-title":"Prevalence of Ear, Nose, and Throat Diseases in the Elderly: Khon Kaen University\u2019s Community Service from 2017 to 2018","volume":"102","author":"Piromchai","year":"2019","journal-title":"J Med Assoc Thai"},{"key":"2024102804524899000_11.11.e054041.4","unstructured":"Department of Empowerment of Persons with Disabilities of Thailand . 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