Risk Factors for Postoperative Recurrence of Chronic Suppurative Otitis Media

Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae
Zhao Yun XieZhong Ling Yang

Abstract

Objective To analyze the risk factors for postoperative recurrence of chronic suppurative otitis media(CSOM) and explore the intervention measures to prevent postoperative recurrence of CSOM. Methods A total of 1066 patients with CSOM who underwent concurrent surgical treatment and achieved clinical cure in our hospital from January 2012 to December 2018 were enrolled.The clinical data and laboratory findings were reviewed by using an electronic medical record system and the patients were followed up for 1 year.The patients were divided into the non-recurrent group and the recurrent group.Chi-square test and multivariate logistic regression were used to compare the factors may contribute to the postoperative recurrence. Results The recurrence rate of CSOM was 6.38%.Multi-drug-resistant(MDR) infection before surgery(χ 2=16.338,P=0.000),aged ≥60 years(χ 2=5.182,P=0.023),frequency of occurrence ≥3 times/year(χ 2=4.388,P=0.036),duration of active period>7 d(χ 2=4.729,P=0.030),repeated upper respiratory tract infection>3 times/year(χ 2=11.913,P=0.001),accompanied by chronic sinusitis(χ 2=11.077,P=0.001),blood glucose>6.11 mmol/L(χ 2=15.327,P=0.000),postoperative serum procalcitonin(PCT)>0.5 μg/L(χ 2=8.337,P=0.004) were the risk fact...Continue Reading

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