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[Secretory otitis media in pediatric patients 0-6 years of age]
1Kolding Sygehus, paediatrisk afdeling.
Insights
Secretory otitis media (SOM) is common in hospitalized children aged 0-6 years, affecting 68% of those studied. This condition is linked to emergency admissions and younger age groups, particularly infants.
Area of Science:
- Otolaryngology
- Pediatrics
- Epidemiology
Context:
- Secretory otitis media (SOM) is a prevalent condition in pediatric populations.
- Hospitalized children represent a vulnerable group for ear health issues.
- Tympanometry is a standard diagnostic tool for assessing middle ear conditions.
Purpose:
- To determine the prevalence of secretory otitis media (SOM) in hospitalized pediatric patients aged 0-6 years.
- To identify factors associated with SOM in this population.
- To highlight the clinical and research significance of SOM in emergency-admitted children.
Summary:
- A screening investigation using tympanometry was conducted on 357 hospitalized children aged 0-6 years.
- SOM, characterized by a type B tympanogram, was diagnosed in 68% of participants.
- Prevalence was significantly higher in infants (80% in 0-1 year olds) and associated with emergency admission (p=0.003) and younger age (p<0.001).
- Catarrhal symptoms were also linked to SOM (p=0.02).
Impact:
- Findings indicate a high frequency of SOM in young, hospitalized children, especially those admitted emergently.
- This demographic warrants focused clinical attention and further research.
- Understanding SOM prevalence can inform targeted interventions and improve pediatric ear health outcomes.
Abstract:
During the period 4.1.1988-19.5.1988, a screening investigation with tympanometry was performed with the object of determining the prevalence of secretory otitis media (SOM) in hospitalized paediatric patients aged 0-6 years. A total of 357 children participated in the investigation. SOM, defined as the occurrence of a flat tympanogram (type B tympanogram) in at least one year, was found in 68% of the children examined. SOM was associated with emergency admission (p = 0.003) and age (p less than 0.001). Infants aged 0-1 year comprized 62% of the population investigated and had a prevalence of SOM of 80%. No sex difference was observed in the incidence of SOM (p = 0.12). 87% of the children were admitted as emergencies and SOM was associated with this form of admission (p = 0.003). Catarrhal symptoms were encountered in 52% of the children. SOM was associated with this (p = 0.02). SOM appears to be a condition which occurs frequently, particularly in paediatric patients aged 0-6 years admitted as emergencies. This population deserves particular interest both clinically and from the point of view of research.