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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Audiological Society and Korean Otological Society
2023
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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. |
format | Online Article Text |
id | pubmed-10352687 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | The Korean Audiological Society and Korean Otological Society |
record_format | MEDLINE/PubMed |
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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