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Passive smoking after tympanostomy and risk of recurrent acute otitis media.
Int J Pediatr Otorhinolaryngol 2007; 71(8):1305-10IJ

Abstract

OBJECTIVE

Exposure to environmental tobacco smoke has been reported to be a risk factor for childhood otitis media. The effect of parental smoking on the risk of otitis media after the insertion of tympanostomy tubes is unknown. We evaluated the effect of parental smoking on the risk of recurrent otitis media in children who had received tympanostomy tubes.

METHODS

We enrolled 217 children aged 1-4 years who underwent insertion of tympanostomy tubes because of middle ear disease. The children were followed-up for 12 months. Otitis media episodes were recorded in patient diaries by primary care physicians. Parental smoking habits were assessed by a questionnaire at the start of the trial and after the 12 month follow-up had ended. The main outcome measure was risk of recurrent otitis media as defined by four or more otitis media episodes after tympanostomy. Altogether 198 children completed the follow-up.

RESULTS

Maternal smoking was associated with a highly increased risk of recurrent acute otitis media (OR 4.15, 95% CI 1.45-11.9) after the insertion of tympanostomy tubes.

CONCLUSION

Exposure to passive smoking is associated with four-fold risk of recurrent otitis media after tympanostomy. This finding should be used to encourage parents to stop smoking even after the insertion of tympanostomy tubes to their children.

Authors+Show Affiliations

Department of Otorhinolaryngology, Helsinki University Central Hospital, Helsinki, Finland.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17582514

Citation

Hammarén-Malmi, Sari, et al. "Passive Smoking After Tympanostomy and Risk of Recurrent Acute Otitis Media." International Journal of Pediatric Otorhinolaryngology, vol. 71, no. 8, 2007, pp. 1305-10.
Hammarén-Malmi S, Saxen H, Tarkkanen J, et al. Passive smoking after tympanostomy and risk of recurrent acute otitis media. Int J Pediatr Otorhinolaryngol. 2007;71(8):1305-10.
Hammarén-Malmi, S., Saxen, H., Tarkkanen, J., & Mattila, P. S. (2007). Passive smoking after tympanostomy and risk of recurrent acute otitis media. International Journal of Pediatric Otorhinolaryngology, 71(8), pp. 1305-10.
Hammarén-Malmi S, et al. Passive Smoking After Tympanostomy and Risk of Recurrent Acute Otitis Media. Int J Pediatr Otorhinolaryngol. 2007;71(8):1305-10. PubMed PMID: 17582514.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Passive smoking after tympanostomy and risk of recurrent acute otitis media. AU - Hammarén-Malmi,Sari, AU - Saxen,Harri, AU - Tarkkanen,Jussi, AU - Mattila,Petri S, Y1 - 2007/06/19/ PY - 2007/01/25/received PY - 2007/05/09/revised PY - 2007/05/14/accepted PY - 2007/6/22/pubmed PY - 2007/10/10/medline PY - 2007/6/22/entrez SP - 1305 EP - 10 JF - International journal of pediatric otorhinolaryngology JO - Int. J. Pediatr. Otorhinolaryngol. VL - 71 IS - 8 N2 - OBJECTIVE: Exposure to environmental tobacco smoke has been reported to be a risk factor for childhood otitis media. The effect of parental smoking on the risk of otitis media after the insertion of tympanostomy tubes is unknown. We evaluated the effect of parental smoking on the risk of recurrent otitis media in children who had received tympanostomy tubes. METHODS: We enrolled 217 children aged 1-4 years who underwent insertion of tympanostomy tubes because of middle ear disease. The children were followed-up for 12 months. Otitis media episodes were recorded in patient diaries by primary care physicians. Parental smoking habits were assessed by a questionnaire at the start of the trial and after the 12 month follow-up had ended. The main outcome measure was risk of recurrent otitis media as defined by four or more otitis media episodes after tympanostomy. Altogether 198 children completed the follow-up. RESULTS: Maternal smoking was associated with a highly increased risk of recurrent acute otitis media (OR 4.15, 95% CI 1.45-11.9) after the insertion of tympanostomy tubes. CONCLUSION: Exposure to passive smoking is associated with four-fold risk of recurrent otitis media after tympanostomy. This finding should be used to encourage parents to stop smoking even after the insertion of tympanostomy tubes to their children. SN - 0165-5876 UR - https://www.unboundmedicine.com/medline/citation/17582514/Passive_smoking_after_tympanostomy_and_risk_of_recurrent_acute_otitis_media_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(07)00207-8 DB - PRIME DP - Unbound Medicine ER -