Predictive value of parent-reported symptoms in the assessment of otitis media with effusion during infancy

Engel, Lucien Anteunis Joost

doi:10.1080/02813430050202514

Cited by 20 publications

(12 citation statements)

References 12 publications

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“…Admittedly, in the group of hearing loss, parents suspected that there was a problem with their child’s hearing (12.5%) significantly more often than in the group with normal hearing (5.6%); however, parental perception was still not appropriate. These results are in line with other researchers’ findings [ 43 , 44 , 45 ] and has shown that parents have low levels of sensitivity to hearing problems in their children. However, the reason for this remains an open question.…”

Section: Discussionsupporting

confidence: 93%

Hearing Screening among First-Grade Children in Rural Areas and Small Towns in Małopolskie Voivodeship, Poland

et al. 2021

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Undiagnosed hearing deficits hamper a child’s ability to learn. Hearing screening in school aged children helps detect educationally significant hearing loss and prevents negative impacts on academic achievement. The main purpose of this study was to improve early detection and assess the incidence of hearing disorders in first-graders from rural areas and small towns in the Małopolskie Voivodeship of Poland. There were 5029 children aged 6–7 years. Hearing thresholds were measured over the frequency range 0.5–8 kHz. A result was considered positive (abnormal) if the hearing threshold was worse than 20 dB HL at one or more frequencies. The prevalence of hearing loss was estimated in terms of four-frequency hearing loss, high-frequency hearing loss, and low-frequency hearing loss. Parents filled in a brief audiological questionnaire. The analysis was performed using IBM SPSS Statistics, version 24. Of all the children, 20.5% returned a positive result and were referred for further audiological diagnoses. The estimated prevalence of hearing loss was 11.6%, made up of 6.5% with FFHL, 7.6% with HFHL, and 8.2% with LFHL. This study showed that large numbers of children in the district had hearing problems. Adoption of hearing screening in primary schools is recommended as a routine procedure within preventive pediatric health care.

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Section: Discussionsupporting

confidence: 93%

Hearing Screening among First-Grade Children in Rural Areas and Small Towns in Małopolskie Voivodeship, Poland

et al. 2021

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“…The overall prevalence of OM before six months of age was estimated to be 5.3% and thus in the lower end compared to a prevalence between 2% and 20% found by Engel and colleagues[42]. Another study that assessed early onset OM in a high-risk population of American Indians found that 63% of the children had experienced at least one episode of OM before the age of six months.…”

Section: Discussionmentioning

confidence: 91%

“…The outcome measure of maternal-reported OM has been validated in other studies[42–46]. Maternal-reported OM was not specified into acute OM, OM with effusion or ROM.…”

Section: Discussionmentioning

confidence: 99%

“…Kvestad et al[46] reported, that inconsistency between parent-reported disease and otological findings, were related to less severe disease. In contrast, additional questions regarding disease incidence and treatment increased accuracy of parent-reported OM[42]. In a study by Alho et al[43], the parent-reported cumulative incidence between children younger than two years of age, was lower than the incidence found in medical records.…”

Section: Discussionmentioning

confidence: 99%

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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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“…The relationship between increased awareness and improved illness recognition has been well established ( 32 , 33 ). In otitis media, for example, knowledge of acute otitis media and parent-reported symptoms have been identified as a tool to predict the illness more accurately ( 34 ). Determining the correlation between parent knowledge of sepsis and concern was outside the scope of this study.…”

Section: Discussionmentioning

confidence: 99%

Impact of parental and healthcare professional concern on the diagnosis of pediatric sepsis: a diagnostic accuracy study

et al. 2023

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ObjectiveThe Surviving Sepsis Campaign recommends systematic screening for sepsis. Although many sepsis screening tools include parent or healthcare professional concern, there remains a lack of evidence to support this practice. We aimed to test the diagnostic accuracy of parent and healthcare professional concern in relation to illness severity, to diagnose sepsis in children.DesignThis prospective multicenter study measured the level of concern for illness severity as perceived by the parent, treating nurse and doctor using a cross-sectional survey. The primary outcome was sepsis, defined as a pSOFA score >0. The unadjusted area under receiver-operating characteristic curves (AUC) and adjusted Odds Ratios (aOR) were calculated.SettingTwo specialised pediatric Emergency Departments in QueenslandPatientsChildren aged 30 days to 18 years old that were evaluated for sepsisInterventionNoneMain Results492 children were included in the study, of which 118 (23.9%) had sepsis. Parent concern was not associated with sepsis (AUC 0.53, 95% CI: 0.46–0.61, aOR: 1.18; 0.89–1.58) but was for PICU admission (OR: 1.88, 95% CI: 1.17–3.19) and bacterial infection (aOR: 1.47, 95% CI: 1.14–1.92). Healthcare professional concern was associated with sepsis in both unadjusted and adjusted models (nurses: AUC 0.57, 95% CI-0.50, 0.63, aOR: 1.29, 95% CI: 1.02–1.63; doctors: AUC 0.63, 95% CI: 0.55, 0.70, aOR: 1.61, 95% CI: 1.14–2.19).ConclusionsWhile our study does not support the broad use of parent or healthcare professional concern in isolation as a pediatric sepsis screening tool, measures of concern may be valuable as an adjunct in combination with other clinical data to support sepsis recognition.Clinical Trial RegistrationACTRN12620001340921.

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Predictive value of parent-reported symptoms in the assessment of otitis media with effusion during infancy

Cited by 20 publications

References 12 publications

Hearing Screening among First-Grade Children in Rural Areas and Small Towns in Małopolskie Voivodeship, Poland

Hearing Screening among First-Grade Children in Rural Areas and Small Towns in Małopolskie Voivodeship, Poland

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

Impact of parental and healthcare professional concern on the diagnosis of pediatric sepsis: a diagnostic accuracy study

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