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Published on: February 5, 2019
Impact of Otitis Media Severity on Children's Quality of Life
David J Grindler1, Sarah J Blank1, Kristine A Schulz2
1Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.
Insights
Recurrent otitis media (OM) significantly impacts children's quality of life. Tympanostomy tubes improve health-related quality of life in infants suffering from this common ear infection.
Area of Science:
- Pediatric Health
- Otolaryngology
- Quality of Life Research
Background:
- Otitis media (OM) is a common childhood illness causing significant discomfort and affecting daily life.
- Symptoms include earache, sleep disturbances, and behavioral issues, impacting overall well-being.
Purpose of the Study:
- To quantify the burden of otitis media in children.
- To compare the impact of tympanostomy tubes on infant health-related quality of life (HR-QoL).
Main Methods:
- Prospective, multi-institutional cross-sectional study involving 1208 children aged 6-24 months.
- Utilized patient history, PedsQL Infant QoL survey, and the Otitis Media 6 (OM-6) survey.
Main Results:
- Children with recurrent OM had significantly worse HR-QoL scores (OM-6: 3.3 vs. 2.5) compared to healthy peers.
- Poorer HR-QoL scores correlated with higher OM burden (Pearson r = -0.558 to -0.581).
- Recommendation for tympanostomy tubes indicated higher disease burden, while prior tube placement showed improved HR-QoL.
Conclusions:
- Recurrent otitis media substantially diminishes health-related quality of life in young children.
- Tympanostomy tube insertion is associated with improved quality of life outcomes for children with OM.
Objective:
Children with otitis media (OM) suffer sleep disturbances, loss of appetite, earache, and behavioral problems. Our objective was to quantitate the average burden of OM and to compare the associated impact of tympanostomy tubes on infant health related quality of life (HR-QoL).
Study Design:
Multi-institutional prospective cross-sectional study.
Setting:
Otolaryngology, family practice, and pediatric clinics.
Subjects And Methods:
Children ages 6 to 24 months of age with or without recurrent OM. Patient history, the PedsQL Infant QoL survey, and the 6-item child with OM survey (Otitis Media 6 [OM-6]) were collected from providers and parents.
Results:
Data from 1208 patients were analyzed. Mean age was 14.7 months, and 54% were male. The mean OM-6 score of children with recurrent OM was 3.3, whereas similarly aged well-children had a mean OM-6 score of 2.5. The mean PedsQL Infant scores of recurrent OM patients were significantly worse than those of children from well-child visits. Worse OM-6 scores were correlated with poorer PedsQL Infant scores, Pearson r = -0.581 (1-12 months) and -0.558 (13-24 months), P < .001. Otolaryngology patients who were recommended to undergo ear tube placement had significantly poorer OM-6 scores and worse PedsQL Infant scores, whereas patients with prior tube placement had significantly better OM-6 and PedsQL Infant scores.
Conclusion:
Children with recurrent OM had significantly worse HR-QoL than similarly aged healthy children. Increased burden of OM strongly affected HR-QoL, and recommendation for tube placement was associated with increased disease burden and poorer HR-QoL. The presence of tympanostomy tubes was associated with better OM-6 and PedsQL Infant scores.
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