Birth characteristics and recurrent otitis media with effusion in young children

Engel, Joost A.M.; Straetemans, Masja; Zielhuis, Gerhard A.

doi:10.1016/j.ijporl.2004.11.026

Cited by 29 publications

(17 citation statements)

References 30 publications

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“…No statistically significant associations were shown between birth characteristics (such as gestational age, birth weight, and birth length) and the recurrence of OME [1]. In the present study, male patients were more likely to undergo tympanostomy tube insertion than females, consistent with many of the previous studies.…”

Section: Discussionsupporting

confidence: 90%

“…Myringotomy with tympanostomy tube insertion, performed following a failure of medical treatment or no spontaneous resolution of the middle ear effusion, is one of the most frequently performed surgical procedures in children [1][2][3][4][5][6]. Although this procedure is commonly performed, there is no certain consensus respecting the effective length of tube stay in place, the time of tube removal, effect of adenoidectomy and the most appropriate type-tubes.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Otitis media with effusion: Recurrence after tympanostomy tube extrusion

Yaman

Yılmaz

Güçlü

et al. 2010

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Otitis media with effusion: Recurrence after tympanostomy tube extrusion

Yaman

Yılmaz

Güçlü

et al. 2010

International Journal of Pediatric Otorhinolaryngology

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“…So far, a small number of studies have reported significant associations between smoking during pregnancy, alcohol consumption during pregnancy, gestational use of medication, maternal exposure to dioxin-like compounds, and exposure to organochlorines and early OM or ROM [7,24–29]. Many existing studies however, are not conclusive regarding which prenatal and environmental factors contributes to increased risk of early OM.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors of Early Otitis Media in the Danish National Birth Cohort

et al. 2016

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ObjectiveTo assess risk factors of otitis media (OM) in six-months-old children.MethodThe sample consisted of 69,105 mothers and their children from the Danish National Birth Cohort. The women were interviewed twice during pregnancy and again 6 months after birth. The outcome “one or more” maternal reported episodes of OM at age six months. In total 37 factors were assessed, covering prenatal, maternal, perinatal and postnatal factors.ResultsAt age six months 5.3% (95% CI 5.1–5.5) of the children had experienced one or more episodes of OM. From the regression analysis, 11 variables were associated with a risk of OM. When a Bonferroni correction was introduced, gender, prematurity, parity, maternal age, maternal self-estimated health, taking penicillin during pregnancy, and terminating breastfeeding before age six months, was associated with a risk of early OM. The adjusted ORs of OM for boys versus girls was 1.30 (95% CI 1.18–1.44). The OR having one sibling versus no siblings was 3.0 (95% CI 2.64–3.41). If the woman had been taking penicillin during pregnancy, the OR was 1.35 (95% CI 1.15–1.58). Children born before 38th gestational week had an increased OR for early OM of 1.49 (95% CI 1.21–1.82). Children of young women had an increased OR of early OM compared to children of older women. Additionally, children of women who rated their own health low compared to those rating their health as high, had an increased OR of 1.38 (95% CI 1.10–1.74). Finally, children being breastfeed less than 6 months, had an increased OR of 1.42 (95% CI 1.28–1.58) compared to children being breastfeed beyond 6 months.ConclusionThese findings indicate that prenatal factors are of less importance regarding early OM before the age of six months. Postnatal risk factors seem to pose the main risk of early OM.

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“…If there was misclassification of sick children into the reference group, and vice versa, this would most likely have attenuated associations, and effects would be stronger than estimated. The relationship between early life OM (including AOM, rAOM and OME) and low birth weight and low gestational age has been addressed in other studies without consistent findings [5,6,[10][11][12][13][14][15][16]. Methodological issues make comparison of effects from different studies difficult, as there is heterogeneity between selection of study participants, differences in reporting of outcomes by birth weight versus gestational age, varying ages and methods of OM assessment, and variations in adjustments for potential confounders.…”

Section: Discussionmentioning

confidence: 99%