Abstract
To assess the event rate of myringotomy and tube placement (M&T) in the pediatric patient population with sickle cell disease (SCD). Four hundred and forty-nine children with confirmed SCD have been followed over a period of 11.5 years at two hospital-based pediatric hematology and otolaryngology offices, and three tertiary care hospitals. Children with SCD who had undergone M&T were identified via computer search of International Classification of Diseases codes by the medical records departments of the three hospitals, and from two databases of the hematology offices. The inpatient and outpatient medical records of all children identified were reviewed. For the 449 patients, mean duration of SCD follow-up was 6.13 +/- 3.36 years. Of these, eight patients (four boys, four girls, mean age 9 +/- 3.5 years; four patients had hemoglobin SC disease, and four patients had sickle cell anemia type SS) underwent M&T. Two children met criteria for severe SCD. The event rate for M&T insertion was 0.29/100 person-years, 95% CI (0.15, 0.58). The event rate for M&T in children with SCD, compared to a historical control group, is lower than that of the general population. Type and severity of SCD were not predictive of the need for tube inse...Continue Reading
References
Jul 1, 1992·Archives of Disease in Childhood·M P SamuelsD P Southall
Aug 1, 1992·The Pediatric Infectious Disease Journal·C D BluestoneL M Martin
May 1, 1992·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·W Y WongD R Powars
Apr 18, 1990·JAMA : the Journal of the American Medical Association·J L ParadiseR H Schwarzbach
May 1, 1990·American Journal of Diseases of Children·N CroteauC Infante-Rivard
Mar 1, 1989·The Annals of Otology, Rhinology, and Laryngology·B R MaddernR C Beckerman
Dec 3, 1987·The New England Journal of Medicine·G A GatesJ C Cooper
Mar 1, 1981·Reviews of Infectious Diseases·J O Klein
Aug 1, 1995·International Journal of Pediatric Otorhinolaryngology·M L CasselbrantC D Bluestone
Jun 1, 1995·Journal of Epidemiology and Community Health·N Black
Jul 1, 1993·American Journal of Public Health·R A BrightP M Hamilton
Mar 1, 1997·Pediatrics·J L ParadiseJ E Janosky
May 23, 2000·The Pediatric Infectious Disease Journal·K A Daly, G S Giebink
Jun 8, 2000·The New England Journal of Medicine·J Horan, N Lerner