Hospitalisation with otitis media in early childhood and cognitive function in young adult life: a prevalence study

Marie Mortensen1, Rikke Beck Nielsen, Niels Fisker

  • 1Department of Clinical Epidemiology, Aarhus University Hospital, Olof Palmes Allé 43-45, Aarhus N, Denmark. mm@dce.au.dk

BMC Pediatrics
|January 17, 2013
PubMed

Insights

Hospitalization for otitis media (OM) in early childhood was linked to slightly lower cognitive function in adulthood. However, OM hospitalizations did not significantly affect General Certificate of Secondary Education (GCSE) achievement.

Area of Science:

  • Pediatrics
  • Neuroscience
  • Public Health

Background:

  • Otitis media (OM) is a prevalent childhood illness impacting critical developmental periods.
  • Early childhood OM may affect cognitive and educational trajectories into adulthood.

Purpose of the Study:

  • To investigate the association between early childhood hospitalisation for OM and cognitive function in early adulthood.
  • To examine the relationship between early OM hospitalisation and educational attainment (GCSE).

Main Methods:

  • Population-based cohort study using Danish healthcare and conscription records (1977-1983).
  • Identified OM hospitalisations before age 8.
  • Assessed cognitive function using the Boerge Prien intelligence test (BPP) and educational level (GCSE).
  • Adjusted for confounders and stratified by hearing impairment.

Main Results:

  • Hospitalisation with OM before age 8 was associated with a higher prevalence of lower cognitive function (BPP bottom quartile: PR 1.20).
  • No significant difference in GCSE prevalence was observed based on early OM hospitalisation.
  • The association between OM and cognitive function persisted across different BPP score levels and hearing impairment statuses.

Conclusions:

  • Early childhood hospitalisation for otitis media is associated with a modest decrease in cognitive function in early adulthood.
  • Hospitalisation for OM does not appear to significantly impact the likelihood of achieving a GCSE, even when cognitive function is considered.
Abstract

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