PMID: 19141240Jan 15, 2009Paper

Risk factors for otitis media with effusion in children

Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery
Ping ChenDan Zhang

Abstract

To identify the risk factors for otitis media with effusion (OME) in some kindergarten children in Wuhan City of China and analyze the results with reference to the review of the literature. The study subjects were 3 to 6 years old children drawn from a school screening program for OME in Wuhan. All subjects were assessed with routine otorhinolaryngologic examination, otoscopic examination and tympanometry. During the test, parents were interviewed to provide information with regard to the children's birth history, neonatal history, feeding history, family smoke history, otological history, rhinorrhea, sneeze, nasal obstruction, snoring, tonsillitis episodes history, et al. These data formed the basis in the estimation of potential risk factors for OME. In the univariate analysis of 144 cases and 288 controls, significantly elevated odds ratios (OR) for OME were detected on the symptoms of nasal obstruction (OR = 2.60, P = 0.002), rhinorrhoea (OR = 1.442, P = 0.003), high hard palate (OR = 4.411, P < 0.0001), and previous history of acute otitis media (OR = 1.77, P = 0.025). However, four factors were found to be significant in the multivariate logistic regression model, including feeding history (OR = 0.746, P = 0.047), nasal ...Continue Reading

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