Variables associated with repeated ventilation tube insertion in healthy non-syndromic children
| Autor: | Yaser Alrajhi, Han Zhang, Hamdy El-Hakim |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
Reoperation Pediatrics medicine.medical_specialty Adolescent Craniofacial abnormality Aftercare Day care Alberta 03 medical and health sciences 0302 clinical medicine Risk Factors 030225 pediatrics Ventilation tube medicine Humans Practice Patterns Physicians' 030223 otorhinolaryngology Child Retrospective Studies business.industry Otitis Media with Effusion Attendance Infant Retrospective cohort study General Medicine medicine.disease Middle Ear Ventilation Otitis Media Otorhinolaryngology Child Preschool Pediatrics Perinatology and Child Health Pacifier Acute Disease Chronic Disease Female business Breast feeding Cohort study |
| Zdroj: | International journal of pediatric otorhinolaryngology. 84 |
| ISSN: | 1872-8464 |
| Popis: | The objectives of this study was to determine variables associated with rVT insertions for rAOM and/or OME in otherwise healthy children.This was designed as a retrospectively controlled cohort study. Patients were identified from a prospectively collected surgical database. Eligible subjects were those who had undergone rVT and a consecutive concurrent control group who received only one ventilation tube (VT). Exclusion criteria included craniofacial abnormalities and syndromes. Demographics, tympanic membrane characteristics, parental smoking, breast-feeding history, large day-care attendance, and soother use was collected.Over a period of 10 years, 59 patients underwent rVT (5.6%). 180 children who underwent VT were included in the control group. There was no difference in gender distribution (p=1, 1.73:1 vs. 1.76:1), mean age (p=0.69, 4.7±3.33 vs. 4.4±3.17) or chronic rhinitis (p=0.36, OR 1.376, 95% CI: 0.69-2.74). The rVT group was associated significantly more with a smoking parent (p=0, OR 61.8, 95% CI 21.26-176.07), large day care attendance (p=0, OR 23.39, 95% CI: 8.637-57.54), breast feeding3months (p=0, OR -0.074, 95% CI: 0.028-0.331), soother use (p=0, OR 21.49, 95% CI: 7.81-55.87), and tympanic membrane atelectasis (p0.0005). The same factors were also found to be significant upon multiple regression analysis (p0.05).Otherwise healthy children with rAOM and/or OME are at a greater risk of rVT if they attend large day cares, were not breast fed for ≥3 months, if their tympanic membranes were atelectatic and most significantly if their parents smoke. |
| Databáze: | OpenAIRE |
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