Risk factors of otitis media with effusion during infancy

Engel, Joost A.M.; Anteunis, Lucien J. C.; Volovics, A.; Hendriks, Jacques; Marres, E. H. M. A.

doi:10.1016/s0165-5876(99)00037-3

Cited by 70 publications

(58 citation statements)

References 19 publications

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“…Further, we realise that the results of this study and the inferences that can be made about predictive values in this setting may be different to the predictive value of patients who are actually consulting primary care with complaints. However, we believe that this difference will not be significant, as we found earlier that consultation of a primary physician was not significantly related to OME (16). The 3-month period to which our questionnaire refers appears reliable (17), and corresponds with the anamnesis which is often taken by the physician in primary care (9).…”

Section: Discussionmentioning

confidence: 84%

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

Engel

2000

Scandinavian Journal of Primary Health Care

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Section: Discussionmentioning

confidence: 84%

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

Engel

2000

Scandinavian Journal of Primary Health Care

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“…Our results are similar to study done Kiris et al, and by Engel et al In these studies, neither male nor female gender was identified as strong predictor of OME in school children. (6,24) Other studies showed higher prevalence among girls (9) or among boys. (21,26) According to Tos et al, gender difference in otitis media represents mainly the influence of cultural factors.…”

Section: Discussionmentioning

confidence: 95%

“…Our results go with the opinion that age is one of the most important risk factors for OME. (6,7,23,24) Zielhuis et al, used the age specific prevalence of OME and concluded that there are two peaks for the disease: one around 2 years and the other around 5 years While OME generally decreases after the age of five, it continues to be seen in a significant proportion of schoolage children. (25) In our study, we found no significant association between genders in prevalence of OME (OR=1.05 95% CI=0.71-1.54).…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Risk Factors of Otitis Media with Effusion in School Children in Qassim Region of Saudi Arabia

Alhumaid¹,

Abou-Halawa²

2014

IJHS

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Abstract:Objective: To determine the prevalence of otitis media with effusion (OME) among school children in Qassim region of Kingdom of Saudi Arabia and to determine relevant risk factors in affected children. Methods:Through a cross-sectional study, 1488 children in the age range 6-12 years were randomly selected from 25 primary schools in Qassim region. A questionnaire was used to determine risk factors for OME. Otoscopy and tympanometry were used to diagnose and confirm OME. Pure tone average for children with confirmed OME was measured. Teachers of children were asked to complete a questionnaire evaluating child's level of school performance. Results:Prevalence of OME in the study population was 7.5% (112/1488). In univariate analysis, it was strongly associated with age less than 8 years (p< 0.0001; OR= 4.23, 95% CI: 2.85-6.29 ), family size more than 4 members in the household((p<0.0001; OR= 4.45, 95% CI: 2.23-8.88), mother education less than secondary school education (p<0.0001; OR=2.2, 95% CI: 1.47-3.29), recurrent acute otitis media (AOM) (p<0.0001; OR=5.73, 95% CI: 3.47-9.45), and hearing loss symptom (p< 0.0001; OR= 3.39, 95% CI: 1.92-5.99). It is less strongly associated with history of preschool AOM (p= 0.002; OR= 3.15, 95% CI: 1.67-5.97), nasal discharge (p= 0.003; OR= 1.91, 95% CI: 1.24-2.93) and snoring (p=0.03; OR= 1.76, 95% CI: 1.06-2.94). OME was significantly higher in schools located in rural districts (p<0.001, OR= 2.82, 95% CI: 1.86 -4.28). In multivariate regression model, five of these factors were found to be predictors of OME: age less than 8 years (OR= 5.052, 95% CI:3.289-7.762), family size more than4 members in the household) (OR= 4.192, 95% CI: 2.033-8.643), rural school district (OR=3.037, 95% CI: 1.933-4.772), mother education lower than secondary school education) (OR=2.041, 95% CI:1.602-3.877) and recurrent AOM (OR=4.914, 95% CI: 2.677-9.02). Children with OME tend to have poorer school performance compared to normal children (p=0.067). No significant correlation was found between OME and type of feeding during the first two years of life (p=0.62; OR= 0.87, 95% CI: 0.51-1.49), preschool daycare attendance (p=0.17; OR= 0.71, 95% CI: 0.44-1.16), home exposure to cigarette smoke (p=0.4; OR= 1.34, 95% CI:0.68 -2.65), visits to ENT clinic (p=0.13; OR= 0.58, 95% CI:0.29-1.18), and ENT operations (p=0.12; OR= 0.46, 95% CI: 0.17-1.27). Conclusion:Prevalence of OME in Qassim region reaches 7.5% in school children. Age less than 8 years, family size more than 4 members in the household, mother education less than secondary school education, living in rural area and recurrent AOM are found to be predictors of OME in Qassim region. In this population of children, otoscopy and tympanometry should be used as screening tools for OME.

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“…[21][22][23] Also, in Southwestern (Nigeria), Lasisi et al, (2007) reported a strong association between low socioeconomic status and OM. [12] Low SES itself is a risk factor, and at the same time it is closely associated with others risk factors such as overcrowding.…”

Section: Discussion:-mentioning

confidence: 99%

Mothers knowledge about the otitis media risk factors among children: Multi-centric Saudi study.

Alatabani.¹,

Mashi.²,

Mahdi.³

et al. 2017

IJAR

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Risk factors of otitis media with effusion during infancy

Cited by 70 publications

References 19 publications

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

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

Prevalence and Risk Factors of Otitis Media with Effusion in School Children in Qassim Region of Saudi Arabia

Mothers knowledge about the otitis media risk factors among children: Multi-centric Saudi study.

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