TABLE III.
Effect of sensorineural hearing loss on intelligence and neurocognitive function
Predictor | Neurocognitive Measure1 | ||||
---|---|---|---|---|---|
FSIQ | VCI2 | PRI | PSI | WMI | |
Coeff [95%CI] | Coeff [95%CI] | Coeff [95%CI] | Coeff [95%CI] | Coeff [95%CI] | |
Age at diagnosis (yrs) | −0.84 [−2.03,0.35] | −0.25 [−1.43,0.94] | −0.67 [−1.91, 0.58] | −0.28 [−1.88, 1.32] | −0.36 [−1.46, 0.75] |
Underwent SCT | 12.85 [−0.03,25.73] | 6.63 [−6.41,19.68] | 5.62 [−6.62,17.85] | 24.19 [7.03, 41.36]** | 13.71 [0.80, 26.61]* |
Presence of PFS | 5.09 [−3.48,13.66] | 2.65 [−7.22,12.52] | 2.42 [−6.27,11.11] | −0.78 [−12.93,11.37] | −7.80 [−15.75, 0.15] |
Radiation Therapy | |||||
Dose to WB (cGy) | −0.02 [−0.31,0.27] | −0.02 [−0.31,0.27] | 0.03 [−0.27, 0.32] | 0.26 [−0.18, 0.71] | 0.42 [0.10, 0.74]* |
Dose to PF (cGy) | −0.06 [−0.34,0.21] | −0.22 [−0.50,0.05] | −0.08 [−0.35, 0.18] | −0.09 [−0.28, 0.47] | 0.27 [−0.02, 0.56] |
Presence of Hearing Loss3 | −16.14 [−25.66,−6.63]† | −13.19 [−23.04,−3.34]** | −16.09 [−25.93,−6.26]** | −15.41 [−29.02, −1.81]* | −17.10 [−25.76, −8.43]† |
Intercept | 99.61 [80.94,118.28] | 98.31 [78.86,117.75] | 105.57 [86.85,124.30] | 77.73 [70.39, 112.87] | 83.81 [63.59, 104.02] |
Individual hierarchical linear regression models constructed for each neurocognitive measure, significance set at α<0.05 (bolded). See statistical methods for additional details.
Model additionally includes ethnicity and diagnosis 3Significant hearing loss defined as Chang Grade ≥2b.
95%CI=95% Confidence Interval, SCT=hematopoietic stem cell transplant, PFS=posterior fossa syndrome, WB=Whole Brain, PF=Additive dose to posterior fossa. IQ = Intelligence Quotient. VCI = Verbal Comprehension Index. PRI = Perceptual Reasoning Index/Performance IQ. WMI = Working Memory Index. PSI – Processing Speed Index. VMI = Visual-Motor Integration score.
p<0.05,
p≤0.010,
p≤0.001.