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Recovery From Otitis Media and Associated Factors Among 1- to 6-Year-Old Children in South India: A Longitudinal Study

BACKGROUND AND OBJECTIVES: This study was aimed at assessing recovery from otitis media (OM) and variables associated with it among 1- to 6-year-old children. SUBJECTS AND METHODS: We assessed 87 children with OM otologically and audiologically. Medicines were prescribed, and medication compliance w...

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Autores principales: Harinath, Sathya, Lakshmanan, Somu, James, Saji, Maruthy, Sandeep
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Audiological Society and Korean Otological Society 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10352687/
https://www.ncbi.nlm.nih.gov/pubmed/37340774
http://dx.doi.org/10.7874/jao.2022.00542
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author Harinath, Sathya
Lakshmanan, Somu
James, Saji
Maruthy, Sandeep
author_facet Harinath, Sathya
Lakshmanan, Somu
James, Saji
Maruthy, Sandeep
author_sort Harinath, Sathya
collection PubMed
description BACKGROUND AND OBJECTIVES: This study was aimed at assessing recovery from otitis media (OM) and variables associated with it among 1- to 6-year-old children. SUBJECTS AND METHODS: We assessed 87 children with OM otologically and audiologically. Medicines were prescribed, and medication compliance was ensured. The children were followed up after 3 months to judge the status of OM as resolved or recurrent. Data were statistically analyzed to derive the risk of recurrence of OM with effusion (OME) and acute OM by degree of hearing loss, type of tympanogram, age group, and sex. RESULTS: The overall recurrence rate was 26%. The risk of recurrence was higher for OME (odds ratio [OR]=4.33; 95% confidence interval [CI]: 1.90 to 9.83); at AC auditory brainstem peak V responses up to 40 dBnHL (OR=5.20; 95% CI: 2.05 to 13), 50 dBnHL (OR=3.47; 95% CI: 0.5 to 23), and 60 dBnHL (OR=16.09; 95% CI: 4.36 to 1.2); in B (OR= 3.16; 95% CI: 1.36 to 7.33) and C tympanograms (OR=2.83; 95% CI: 0.70 to 11.41); and in the age group of 5-6 years (OR=8, 95% CI: 2.23 to 28). The risk of recurrence of OM did not differ between male and female patients. CONCLUSIONS: The rate of recurrence was comparable to or lower than that reported in the pediatric population of other countries. The findings suggest that children with OME, severe pathology, or age of 5-6 years require more attention and frequent monitoring to minimize the risk of recurrence.
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spelling pubmed-103526872023-07-19 Recovery From Otitis Media and Associated Factors Among 1- to 6-Year-Old Children in South India: A Longitudinal Study Harinath, Sathya Lakshmanan, Somu James, Saji Maruthy, Sandeep J Audiol Otol Original Article BACKGROUND AND OBJECTIVES: This study was aimed at assessing recovery from otitis media (OM) and variables associated with it among 1- to 6-year-old children. SUBJECTS AND METHODS: We assessed 87 children with OM otologically and audiologically. Medicines were prescribed, and medication compliance was ensured. The children were followed up after 3 months to judge the status of OM as resolved or recurrent. Data were statistically analyzed to derive the risk of recurrence of OM with effusion (OME) and acute OM by degree of hearing loss, type of tympanogram, age group, and sex. RESULTS: The overall recurrence rate was 26%. The risk of recurrence was higher for OME (odds ratio [OR]=4.33; 95% confidence interval [CI]: 1.90 to 9.83); at AC auditory brainstem peak V responses up to 40 dBnHL (OR=5.20; 95% CI: 2.05 to 13), 50 dBnHL (OR=3.47; 95% CI: 0.5 to 23), and 60 dBnHL (OR=16.09; 95% CI: 4.36 to 1.2); in B (OR= 3.16; 95% CI: 1.36 to 7.33) and C tympanograms (OR=2.83; 95% CI: 0.70 to 11.41); and in the age group of 5-6 years (OR=8, 95% CI: 2.23 to 28). The risk of recurrence of OM did not differ between male and female patients. CONCLUSIONS: The rate of recurrence was comparable to or lower than that reported in the pediatric population of other countries. The findings suggest that children with OME, severe pathology, or age of 5-6 years require more attention and frequent monitoring to minimize the risk of recurrence. The Korean Audiological Society and Korean Otological Society 2023-07 2023-06-22 /pmc/articles/PMC10352687/ /pubmed/37340774 http://dx.doi.org/10.7874/jao.2022.00542 Text en Copyright © 2023 The Korean Audiological Society and Korean Otological Society https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Harinath, Sathya
Lakshmanan, Somu
James, Saji
Maruthy, Sandeep
Recovery From Otitis Media and Associated Factors Among 1- to 6-Year-Old Children in South India: A Longitudinal Study
title Recovery From Otitis Media and Associated Factors Among 1- to 6-Year-Old Children in South India: A Longitudinal Study
title_full Recovery From Otitis Media and Associated Factors Among 1- to 6-Year-Old Children in South India: A Longitudinal Study
title_fullStr Recovery From Otitis Media and Associated Factors Among 1- to 6-Year-Old Children in South India: A Longitudinal Study
title_full_unstemmed Recovery From Otitis Media and Associated Factors Among 1- to 6-Year-Old Children in South India: A Longitudinal Study
title_short Recovery From Otitis Media and Associated Factors Among 1- to 6-Year-Old Children in South India: A Longitudinal Study
title_sort recovery from otitis media and associated factors among 1- to 6-year-old children in south india: a longitudinal study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10352687/
https://www.ncbi.nlm.nih.gov/pubmed/37340774
http://dx.doi.org/10.7874/jao.2022.00542
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