Impact of Otitis Media Severity on Children's Quality of Life.
Impact of Otitis Media Severity on Children's Quality of Life.
复制标题
DOI：
10.1177/0194599814525576
复制
发表时间：
2014-08
期刊：
影响因子：
--
通讯作者：
Lieu JE
中科院分区：
文献类型：
--
作者：
Grindler DJ;Blank SJ;Schulz KA;Witsell DL;Lieu JE
患有中耳炎（OM）的儿童会出现睡眠障碍、食欲不振、耳痛和行为问题。我们的目的是量化OM的平均负担，并比较鼓膜造口管对婴儿健康相关生活质量（HR-QoL）的相关影响。多机构前瞻性横断面研究。耳鼻喉科、家庭医疗和儿科诊所。6至24个月的儿童，有或无复发性OM。从提供者和父母处收集患者病史、PedsQL婴儿QoL调查和OM儿童6项调查（中耳炎6 [OM-6]）。分析了1208例患者的数据。平均年龄为14.7个月，54%为男性。复发性OM儿童的平均OM-6评分为3.3，而年龄相似的健康儿童的平均OM-6评分为2.5。复发性OM患者的平均PedsQL婴儿评分显著差于健康儿童访视的儿童。OM-6评分越差，PedsQL婴儿评分越差，Pearson r =-0.581（1-12个月）和-0.558（13-24个月），P <0.001。建议进行耳管放置的耳鼻喉科患者的OM-6评分和PedsQL婴儿评分显著较差，而之前放置耳管的患者的OM-6和PedsQL婴儿评分显著较好。复发性OM儿童的HR-QoL显著低于同龄健康儿童。OM负担的增加强烈影响HR-QoL，并且插管放置的建议与疾病负担增加和HR-QoL较差相关。鼓膜造口管的存在与更好的OM-6和PedsQL婴儿评分相关。
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). Multi-institutional prospective cross-sectional study. Otolaryngology, family practice, and pediatric clinics. 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. 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. 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.
登录
查看更多内容
影响因子：
--
作者：
Rosenfeld, RM;Bhaya, MH;Smith, RJH
通讯作者：
Smith, RJH
影响因子：
3.5
作者：
Varni, James W.;Limbers, Christine A.;Alonso, Estella M.
通讯作者：
Alonso, Estella M.
影响因子：
3.4
作者：
Boruk, Marina;Lee, Paul;Rosenfeld, Richard M.
通讯作者：
Rosenfeld, Richard M.
影响因子：
4.4
作者：
Chenevier, DG;LeLorier, J
通讯作者：
LeLorier, J
影响因子：
7.2
作者：
JUNIPER, EF;GUYATT, GH;GRIFFITH, LE
通讯作者：
GRIFFITH, LE