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Predictors of chronic suppurative otitis media in children.

Abstract

OBJECTIVE

To determine which factors predict development of chronic suppurative otitis media (CSOM) in children.

DESIGN

Case-control study, with univariate and multivariate logistic regression analysis applied to determine which factors independently predict CSOM.

SUBJECTS

Prognostic factors for CSOM were identified in (1) 100 children with CSOM and 161 controls aged 1 to 12 years and (2) 83 children who developed CSOM in the presence of a tympanostomy tube and 136 children with tympanostomy tubes who did not develop CSOM.

RESULTS

Independent predictors for CSOM were previous tympanostomy tube insertion (odds ratio [OR], 121.4 [95% confidence interval {CI}, 38.9-379.3]); having had more than 3 upper respiratory tract infections in the past 6 months (OR, 12.2 [95% CI, 3.5-42.3]); having parents with a low education level (OR, 14.1 [95% CI, 2.9-68.6]); and having older siblings (OR, 4.4 [95% CI, 1.6-12.6]). Independent predictors for CSOM after tympanostomy tube insertion were having experienced more than 3 episodes of otitis media in the past year (OR, 4.9 [95% CI, 2.2-11.0]; attending day care (OR, 3.6 [95% CI, 1.7-7.8]); and having older siblings (OR, 2.6 [95% CI, 1.2-5.5]).

CONCLUSIONS

Treatment with tympanostomy tubes is the most important prognostic factor for CSOM in children. In children who are being treated with tympanostomy tubes for persistent middle ear effusion, the most important prognostic factor for CSOM is a history of recurrent episodes of acute otitis media. This information should be taken into consideration and discussed with parents when considering insertion of tympanostomy tubes in children.

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  • Authors+Show Affiliations

    ,

    Department of Otorhinolaryngology, Wilhelmina Children's Hospital, and Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands. E.L.vanderVeen@umcutrecht.nl

    , , , ,

    Source

    MeSH

    Case-Control Studies
    Child
    Child, Preschool
    Chronic Disease
    Female
    Humans
    Infant
    Male
    Middle Ear Ventilation
    Otitis Media, Suppurative
    Prognosis
    Risk Factors
    Socioeconomic Factors

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    17043261

    Citation

    van der Veen, Erwin L., et al. "Predictors of Chronic Suppurative Otitis Media in Children." Archives of Otolaryngology--head & Neck Surgery, vol. 132, no. 10, 2006, pp. 1115-8.
    van der Veen EL, Schilder AG, van Heerbeek N, et al. Predictors of chronic suppurative otitis media in children. Arch Otolaryngol Head Neck Surg. 2006;132(10):1115-8.
    van der Veen, E. L., Schilder, A. G., van Heerbeek, N., Verhoeff, M., Zielhuis, G. A., & Rovers, M. M. (2006). Predictors of chronic suppurative otitis media in children. Archives of Otolaryngology--head & Neck Surgery, 132(10), pp. 1115-8.
    van der Veen EL, et al. Predictors of Chronic Suppurative Otitis Media in Children. Arch Otolaryngol Head Neck Surg. 2006;132(10):1115-8. PubMed PMID: 17043261.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Predictors of chronic suppurative otitis media in children. AU - van der Veen,Erwin L, AU - Schilder,Anne G M, AU - van Heerbeek,Niels, AU - Verhoeff,Monique, AU - Zielhuis,Gerhard A, AU - Rovers,Maroeska M, PY - 2006/10/18/pubmed PY - 2006/11/11/medline PY - 2006/10/18/entrez SP - 1115 EP - 8 JF - Archives of otolaryngology--head & neck surgery JO - Arch. Otolaryngol. Head Neck Surg. VL - 132 IS - 10 N2 - OBJECTIVE: To determine which factors predict development of chronic suppurative otitis media (CSOM) in children. DESIGN: Case-control study, with univariate and multivariate logistic regression analysis applied to determine which factors independently predict CSOM. SUBJECTS: Prognostic factors for CSOM were identified in (1) 100 children with CSOM and 161 controls aged 1 to 12 years and (2) 83 children who developed CSOM in the presence of a tympanostomy tube and 136 children with tympanostomy tubes who did not develop CSOM. RESULTS: Independent predictors for CSOM were previous tympanostomy tube insertion (odds ratio [OR], 121.4 [95% confidence interval {CI}, 38.9-379.3]); having had more than 3 upper respiratory tract infections in the past 6 months (OR, 12.2 [95% CI, 3.5-42.3]); having parents with a low education level (OR, 14.1 [95% CI, 2.9-68.6]); and having older siblings (OR, 4.4 [95% CI, 1.6-12.6]). Independent predictors for CSOM after tympanostomy tube insertion were having experienced more than 3 episodes of otitis media in the past year (OR, 4.9 [95% CI, 2.2-11.0]; attending day care (OR, 3.6 [95% CI, 1.7-7.8]); and having older siblings (OR, 2.6 [95% CI, 1.2-5.5]). CONCLUSIONS: Treatment with tympanostomy tubes is the most important prognostic factor for CSOM in children. In children who are being treated with tympanostomy tubes for persistent middle ear effusion, the most important prognostic factor for CSOM is a history of recurrent episodes of acute otitis media. This information should be taken into consideration and discussed with parents when considering insertion of tympanostomy tubes in children. SN - 0886-4470 UR - https://www.unboundmedicine.com/medline/citation/17043261/Predictors_of_chronic_suppurative_otitis_media_in_children_ L2 - https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/10.1001/archotol.132.10.1115 DB - PRIME DP - Unbound Medicine ER -