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Revista de otorrinolaringología y cirugía de cabeza y cuello

versão On-line ISSN 0718-4816

Resumo

GUZMAN O., Cristián; FUENTES-LOPEZ, Eduardo  e  CARDEMIL M., Felipe. Results of the national program of cochlear implants and explicit health guarantees in beneficiaries belonging to the Aconcagua health service. Rev. Otorrinolaringol. Cir. Cabeza Cuello [online]. 2020, vol.80, n.3, pp.273-279. ISSN 0718-4816.  http://dx.doi.org/10.4067/S0718-48162020000300273.

Introduction:

In Chile, since the implementation of public policies linked to the program of cochlear implants, the only published studies were prepared in the Metropolitan Region, that have sought to describe the results that these responses have obtained in the population.

Aim:

Describe the results of the National Cochlear Implants Program and explicit health guarantees in beneficiary patients belonging to Aconcagua health service.

Material and Method:

Cross-sectional study. The results of all the patients benefited implanted in the period 2003-2016 are reported.

Results:

Of the total number of people nominated nationwide, 3% (n = 17) were chosen from the Aconcagua health service, of which 58.8% (n = 10) were benefited with cochlear implants. All the benefited patients were investigated through consultation in the Otolaryngology polyclinic. The median auditory diagnosis was 22 months (Q1-Q3: 16-24), hearing aid implementation 24 months (Q1-Q3: 17-25), cochlear implant implementation 50-month (Q1-Q3: 29-56) and on of cochlear implant 52 months (Q1-Q3: 33-57). The median functional gain with implant was 58.4 dB (Q1-Q3: 46-65); statistically significant (p < 0.05).

Conclusion:

The results in patients using cochlear implants are satisfactory. It is necessary to expand the coverage of these public policies in the Aconcagua valley, consistent with the improvement of the processes related to the timely diagnosis of hearing loss and subsequent implementation of hearing aids in the times that the relevant evidence.

Palavras-chave : hearing loss; cochlear implant; public health policies.

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