Recurrent acute otitis media detracts from health-related quality of life

Kujala, Tiia; Op, Alho; Kristo, Aila; Uhari, Matti; Renko, Marjo; Pokka, Tytti; Koivunen, Petri

doi:10.1017/s0022215116009944

Cited by 15 publications

(8 citation statements)

References 34 publications

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“…A key influence on decision-making in the health-care setting is the impact of illness on quality of life. Thus far, most research investigating the impact of OM on children's quality of life has relied on structured questionnaires or telephone surveys (11)(12)(13)(14)(15). Most of these have primarily focused on the physiological impact of the illness on the child.…”

Section: Introductionmentioning

confidence: 99%

Parents Need More Support: A Qualitative Study of the Experiences of Australian Parents Who Are Waiting for Surgical Intervention for Their Children With Otitis Media

Stephens

O’Keefe

Schembri

et al. 2019

Journal of Patient Experience

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Objective: To explore the experiences, expectations, and motivations of parents/caregivers of children with otitis media who were booked to undergo tympanostomy tube insertion. Method: A cross-sectional cohort study was conducted using semistructured interviews with 39 parents. Interviews were conducted via telephone and analyzed for key themes. Results: Three themes emerged that incorporated a range of subthemes: (1) the impact of the child’s underlying condition on the family, (2) the cues and prompts that influenced parents to seek intervention, and (3) the parents’ expectations of the health-care system. The child’s otitis media disrupted the day-to-day functioning of the family and the child’s well-being, but despite this, the families found ways to adapt and cope. Parents were influenced by their friends, family, and medical practitioners when making treatment decisions and had differing expectations of the health-care system. Conclusion: Parents need support during their child’s illness to help with pressures placed on the family and also in making health-care decisions for their child. Clinicians should consider these issues when discussing treatment options with parents.

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Section: Introductionmentioning

confidence: 99%

Parents Need More Support: A Qualitative Study of the Experiences of Australian Parents Who Are Waiting for Surgical Intervention for Their Children With Otitis Media

Stephens

O’Keefe

Schembri

et al. 2019

Journal of Patient Experience

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“…OM is the leading cause of antibiotic use and impaired quality of life in children. They pose significant economic and social burdens on families and the health care system [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Air Pollution and Otitis Media in Children: A Systematic Review of Literature

Bowatte

Tham

Perret

et al. 2018

IJERPH

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Young children are particularly vulnerable to otitis media (OM) which globally affects over 80% of children below the age of 3 years. Although there is convincing evidence for an association between environmental tobacco smoke exposure and OM in children, the relationship with ambient air pollution is not clear. We aimed to systematically review the literature on the relationship between ambient air pollution exposure and OM in children. A systematic search was performed in PubMed and EMBASE databases. Of 934 references identified, 24 articles were included. There is an increasing body of evidence supporting an association between higher ambient air pollution exposure and a higher risk of OM in children. While NO2 showed the most consistent association with OM, other specific pollutants showed inconsistent associations. Studies were mainly conducted in high/middle income countries with limited evidence from low-income countries. Although there was a general consensus that higher air pollution exposure is associated with a greater prevalence of OM, the evidence for associations with specific pollutants is inconsistent. More well-designed studies on associations between specific air pollutants as risk factors for OM are warranted, especially in low income countries with high air pollution levels.

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“…It is estimated that up to 10% of primary care consultations in children in Australia are related to OM [1,2], and that the annual costs related to OM treatment in Australia are between AUD 100 and 400 million [2]. Recurrent OM is shown to cause a significant deterioration in the quality of life of both children and parents [3], as well as causing a long-term burden because of hearing loss.…”

Section: Introductionmentioning

confidence: 99%

The Indoor Environment and Otitis Media among Australian Children: A National Cross-Sectional Study

Veivers

Williams

Toelle

et al. 2022

IJERPH

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The association between the indoor environment and lifetime prevalence of otitis media (OM) in Australian children was assessed. We analysed data from a cross-sectional study of children, aged 7–11 years, performed in twelve Australian cities during 2007–2008. The main outcome was a parental report of their child’s diagnosis with OM by a doctor. Information on the indoor environment (energy sources used for heating, cooling, and cooking, pets, and second-hand smoke exposure), in the first year of life and at present, was collected from parents by a questionnaire. Multi-level logistic regression models were used to adjust for individual- and area-level confounders. Our analysis comprised 2872 children (51% female, mean age: 10.0 (SD 1.2)). Of those, 1097 (39%) were reported to have OM. Exposure to gas heating in the first year of life was significantly associated with higher odds of OM in adjusted models (OR:1.22; 95% CI: 1.00,1.47), as was current exposure to reverse-cycle air conditioning (OR: 1.52, 95% CI: 1.27,1.82). Ownership of a cat or dog at any time was also associated with high odds of OM (OR: 1.50; 95% CI: 1.17,1.92). No other significant associations were observed. In this national study of Australian children, indoor environmental exposures associated with the lifetime prevalence of OM were gas heating, reverse-cycle air conditioning and pet ownership. Exposures in both early life and later childhood may both play a role in OM.

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Recurrent acute otitis media detracts from health-related quality of life

Abstract: Acute otitis media detracted from quality of life when a generic measure was used. The mode of treatment used to prevent further recurrences of acute otitis media did not influence quality of life improvement.

Cited by 15 publications

References 34 publications

Parents Need More Support: A Qualitative Study of the Experiences of Australian Parents Who Are Waiting for Surgical Intervention for Their Children With Otitis Media

Parents Need More Support: A Qualitative Study of the Experiences of Australian Parents Who Are Waiting for Surgical Intervention for Their Children With Otitis Media

Air Pollution and Otitis Media in Children: A Systematic Review of Literature

The Indoor Environment and Otitis Media among Australian Children: A National Cross-Sectional Study

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