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Incidence of pediatric acute mastoiditis: 1997-2006

Cedric V Pritchett1, Marc C Thorne

  • 1Division of Pediatric Otolaryngology, Department of Otolaryngology, C. S. Mott Children's Hospital, University of Michigan, Ann Arbor, MI 48109, USA.

Archives of Otolaryngology--Head & Neck Surgery
|April 18, 2012
PubMed

Insights

The incidence of acute mastoiditis in children in the U.S. remained stable from 1997 to 2006. This study suggests that changes in hospital factors, not a true increase in cases, may explain perceived trends in acute mastoiditis.

Area of Science:

  • Pediatric infectious diseases
  • Epidemiology
  • Otolaryngology

Background:

  • Acute mastoiditis is a serious complication of otitis media in children.
  • Conflicting reports exist regarding trends in acute mastoiditis incidence.
  • Understanding incidence patterns is crucial for public health and resource allocation.

Purpose of the Study:

  • To determine the incidence of acute mastoiditis in U.S. children from 1997 to 2006.
  • To investigate factors contributing to perceived changes in incidence.
  • To provide population-level data on acute mastoiditis trends.

Main Methods:

  • Analysis of the Healthcare Costs and Utilization Project-Kids' Inpatient Database (HCUP-KID).
  • Examination of nationally weighted estimates of hospital discharges for children under 18.
  • Inclusion of demographic, hospital, and insurance characteristics from 1997-2006.

Main Results:

  • No significant change in acute mastoiditis incidence was observed over the decade (1.88 to 1.62 per 100,000 person-years).
  • Increased odds of admission for acute mastoiditis were associated with teaching hospitals, children's hospitals, and metropolitan locations.
  • Calendar time did not significantly influence the overall incidence rate.

Conclusions:

  • The incidence of acute mastoiditis in the United States has not increased.
  • Shifts in hospital characteristics and reporting may account for the perception of rising incidence.
  • Population-level data analysis is essential for accurate epidemiological trend assessment.
Abstract

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