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Surgery for otitis media and infectious susceptibility in 10-year old school children.
Int J Pediatr Otorhinolaryngol 2009; 73(4):603-6IJ

Abstract

OBJECTIVES

Assess infectious susceptibility in children previously operated for otitis media and evaluate reliability of parental reported otitis media surgery in the same group of children.

METHODS

Population based, cross-sectional survey of 10-year olds in the city of Oslo, Norway studying otitis media and surgical intervention in n=3406 with reliability assessments in a subset of n=2027.

RESULTS

Ten percent of children had otitis media surgery. Peak age was 2.5 years for adenoidectomy and tympanostomy tubes and 3 years for myringotomy. The crude odds ratio (cOR) with 95% confidence interval (95% CI) for one or more episodes of otitis media at 10 years in children with previous otitis media surgery was 3.4 (2.7-4.4). Intervention after the child was 4 years increased the risk further, crude odds ratio 4.2 (2.9-6.1). Kappa coefficients for agreement in answers to questions on otitis media surgery performed in children between 0 and 4 years were 0.9 for adenoidectomy, 1.0 for tympanostomy tubes, and 0.6 for myringotomy.

CONCLUSION

Otitis media in 10-year old children was associated with previous surgical intervention, particularly when performed after 4 years of age. Parental reports of tympanostomy tubes and adenoidectomy in early childhood were found reliable.

Authors+Show Affiliations

Faculty Division of Akershus University Hospital, University of Oslo, Norway. gunnhild.karevold.@medisin.uio.noNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19167763

Citation

Karevold, Gunnhild, et al. "Surgery for Otitis Media and Infectious Susceptibility in 10-year Old School Children." International Journal of Pediatric Otorhinolaryngology, vol. 73, no. 4, 2009, pp. 603-6.
Karevold G, Bentdal YE, Nafstad P, et al. Surgery for otitis media and infectious susceptibility in 10-year old school children. Int J Pediatr Otorhinolaryngol. 2009;73(4):603-6.
Karevold, G., Bentdal, Y. E., Nafstad, P., & Kvaerner, K. J. (2009). Surgery for otitis media and infectious susceptibility in 10-year old school children. International Journal of Pediatric Otorhinolaryngology, 73(4), pp. 603-6. doi:10.1016/j.ijporl.2008.12.007.
Karevold G, et al. Surgery for Otitis Media and Infectious Susceptibility in 10-year Old School Children. Int J Pediatr Otorhinolaryngol. 2009;73(4):603-6. PubMed PMID: 19167763.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgery for otitis media and infectious susceptibility in 10-year old school children. AU - Karevold,Gunnhild, AU - Bentdal,Yngvild E, AU - Nafstad,Per, AU - Kvaerner,Kari Jorunn, Y1 - 2009/01/23/ PY - 2008/10/10/received PY - 2008/12/12/revised PY - 2008/12/12/accepted PY - 2009/1/27/entrez PY - 2009/1/27/pubmed PY - 2009/6/16/medline SP - 603 EP - 6 JF - International journal of pediatric otorhinolaryngology JO - Int. J. Pediatr. Otorhinolaryngol. VL - 73 IS - 4 N2 - OBJECTIVES: Assess infectious susceptibility in children previously operated for otitis media and evaluate reliability of parental reported otitis media surgery in the same group of children. METHODS: Population based, cross-sectional survey of 10-year olds in the city of Oslo, Norway studying otitis media and surgical intervention in n=3406 with reliability assessments in a subset of n=2027. RESULTS: Ten percent of children had otitis media surgery. Peak age was 2.5 years for adenoidectomy and tympanostomy tubes and 3 years for myringotomy. The crude odds ratio (cOR) with 95% confidence interval (95% CI) for one or more episodes of otitis media at 10 years in children with previous otitis media surgery was 3.4 (2.7-4.4). Intervention after the child was 4 years increased the risk further, crude odds ratio 4.2 (2.9-6.1). Kappa coefficients for agreement in answers to questions on otitis media surgery performed in children between 0 and 4 years were 0.9 for adenoidectomy, 1.0 for tympanostomy tubes, and 0.6 for myringotomy. CONCLUSION: Otitis media in 10-year old children was associated with previous surgical intervention, particularly when performed after 4 years of age. Parental reports of tympanostomy tubes and adenoidectomy in early childhood were found reliable. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/19167763/Surgery_for_otitis_media_and_infectious_susceptibility_in_10_year_old_school_children_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(08)00595-8 DB - PRIME DP - Unbound Medicine ER -