Chronic suppurative otitis media, middle ear pathology and corresponding hearing loss in a cohort of Greenlandic children

Avnstorp, Magnus Balslev; Homøe, Preben; Bjerregaard, Peter; Jensen, Ruth Helkiær

doi:10.1016/j.ijporl.2016.01.017

Cited by 46 publications

(32 citation statements)

References 32 publications

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“…Others have previously found a high incidence of otitis media among children in Greenland (18,19), which was also found in this study. The incidence of otitis media was 167.1 and 5.1 per 1,000 per year in the primary health care sector and in the outpatient clinics, respectively.…”

Section: Discussionsupporting

confidence: 91%

Children in Greenland: disease patterns and contacts to the health care system

Kløvgaard

Nielsen

Sørensen³

et al. 2016

International Journal of Circumpolar Health

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BackgroundPrevious studies of Greenlandic children’s disease pattern and contacts to the health care system are sparse and have focused on the primary health care sector.ObjectiveWe aimed to identify the disease pattern and use of health care facilities of children aged 0–10 in two Greenlandic cohorts.Methods and designIn a retrospective, descriptive follow-up of the Ivaaq (The Greenland Child Cohort) and the CLEAR (climate changes, environmental contaminants and reproductive health) birth cohorts (total n=1,000), we reviewed medical records of children aged 6–10 in 2012 with residence in Nuuk or Ilulissat (n=332). Data on diseases and health care system contacts were extracted. Diagnoses were validated retrospectively. Primary health care contacts were reviewed for a random sample of 1:6.ResultsIn 311 children with valid social security number, the total number of health care system contacts was 12,471 equalling 4.6 contacts per child per year. The annual incidence rate of hospital admissions was 1:10 children (total n=266, 1,220 days, 4.6 days/admission), outpatient contacts 2:10 children and primary care 3.6 per child. Contacts were overall more frequent in boys compared with girls, 39.5 versus 34.6 during the study period, p=0.02. The highest annual contact rates for diseases were: hospitalisations/acute respiratory diseases 13.9:1,000; outpatient contacts/otitis media 5.1:1,000; primary care/conjunctivitis or nasopharyngitis 410:1,000 children. Outpatient screening for respiratory tuberculosis accounted 6.2:1,000, primary care non-disease (Z-diagnosis) 2,081:1,000 annually. Complete adherence to the child vaccination programme was seen in 40%, while 5% did not receive any vaccinations.ConclusionsIn this first study of its kind, the health care contact pattern in Greenlandic children showed a relatively high hospitalisation rate and duration per admission, and a low primary health care contact rate. The overall contact rate and disease pattern resembled those in Denmark, except for tuberculosis screening. Adherence to the vaccination programme was low. These findings may be helpful for the organisation and dimensioning of the Greenlandic health care system for children.

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Section: Discussionsupporting

confidence: 91%

Children in Greenland: disease patterns and contacts to the health care system

Kløvgaard

Nielsen

Sørensen³

et al. 2016

International Journal of Circumpolar Health

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“…Early identification of ear diseases such as chronic suppurative otitis media relies upon recognition on otoscopy for a good outcome. Unfortunately, most medical devices including the TO are manufactured for high‐income country (HIC) markets .…”

Section: Discussionmentioning

confidence: 99%

A mixed methods comparative evaluation of a low cost otoscope (Arclight) with a traditional device in twenty‐one clinicians

Hey

Buckley

Shahsavari

et al. 2019

Clinical Otolaryngology

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“…Medical management of OM evolved considerably between 1950 and 1980, with the availability of broadspectrum antibiotics and middle ear ventilation tubes. 66,67 Although OM has often been shown to result in low-frequency or flat hearing loss, 68,69 other reports have emphasized associations with higher-frequency HI Ever had job where exposed to loud noise for 5 or more hours per week Outside of a job, ever exposed to steady loud noise or music for 5 or more hours per week as well. 70 Figure 2 shows that the hearing improvement in the 2005 to 2010 survey was mostly in high frequencies.…”

Section: Discussionmentioning

confidence: 99%

Kids Nowadays Hear Better Than We Did: Declining Prevalence of Hearing Loss in US Youth, 1966–2010

et al. 2018

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Objectives/Hypothesis To investigate factors associated with hearing impairment (HI) in adolescent youths during the period 1966–2010. Study Design Cross‐sectional analyses of US sociodemographic, health, and audiometric data spanning 5 decades. Methods Subjects were youths aged 12 to 17 years who participated in the National Health Examination Survey (NHES Cycle 3, 1966–1970; n = 6,768) and youths aged 12 to 19 years in the Third National Health and Nutrition Examination Survey (NHANES III, 1988–1994; n = 3,057) and NHANES (2005–2010; n = 4,374). HI prevalence was defined by pure‐tone average (PTA) ≥ 20 dB HL for speech frequencies (0.5, 1, 2, and 4 kHz) and high frequencies (3, 4, and 6 kHz). Multivariable logistic models were used to estimate the odds ratio (OR) and 95% confidence interval (CI). Results Overall speech‐frequency HI prevalence was 10.6% (95% CI: 9.7%‐11.6%) in NHES, 3.9% (95% CI: 2.8%‐5.5%) in NHANES III, and 4.5% (95% CI: 3.7%–5.4%) in NHANES 2005 to 2010. The corresponding high‐frequency HI prevalences were 32.8% (95% CI: 30.8%‐34.9%), 7.3% (95% CI: 5.9%‐9.0%), and 7.9% (95% CI: 6.8%‐9.2%). After adjusting for sociodemographic factors, overall high‐frequency HI was increased twofold for males and cigarette smoking. Other significant risk factors in NHANES 2005 to 2010 included very low birth weight, history of ear infections/otitis media, ear tubes, fair/poor general health, and firearms use. Conclusions HI declined considerably between 1966 to 1970 and 1988 to 1994, with no additional decline between 1988 to 1994 and 2005 to 2010. Otitis media history was a significant HI risk factor each period, whereas very low birth weight emerged as an important risk factor after survival chances improved. Reductions in smoking, job‐related noise, and firearms use may partially explain the reduction in high‐frequency HI. Loud music exposure may have increased, but does not account for HI differences. Level of Evidence NA Laryngoscope, 129:1922–1939, 2019

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Chronic suppurative otitis media, middle ear pathology and corresponding hearing loss in a cohort of Greenlandic children

Cited by 46 publications

References 32 publications

Children in Greenland: disease patterns and contacts to the health care system

Children in Greenland: disease patterns and contacts to the health care system

A mixed methods comparative evaluation of a low cost otoscope (Arclight) with a traditional device in twenty‐one clinicians

Kids Nowadays Hear Better Than We Did: Declining Prevalence of Hearing Loss in US Youth, 1966–2010

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