Questionnaire to assess the significance of history taking in assessment of otitis media with effusion in children

Authors

  • Reem Mohamed AlQaed Department of Ear Nose Throat, King Hamad University Hospital, Alsayah, Bahrain
  • Ayman Salman King Hamad University Hospital, Alsayah, Barain
  • Salman Mohamed Aljawder Department of Ear Nose Throat, King Hamad University Hospital, Alsayah, Bahrain
  • Andrew Nabil Riskalla Department of Ear Nose Throat, King Hamad University Hospital, Alsayah, Bahrain

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20231807

Keywords:

Otitis media, Otitis media with effusion, Pediatric, School age, Preschool age

Abstract

Background: There is a high prevalence of Otitis media with effusion (OME) with diagnoses of least 50% of children under the age of one, and 60% of children under the age of two. Complications have a significant impact on a child’s quality of life including hearing impairment, language acquisition delay, declining school performance, and behavioral problems. The objective of the study is to develop and test the reliability of a simple questionnaire based on common complaints given by caregivers of children with OME.

Methods: 100 patients were included from the ENT Clinic at King Hamad University Hospital and categorized into preschool age (1-4 years) and School age (5-15 years). A bilingual binary questionnaire was developed (Cronbach’s Alpha: 0.89).  

Results: There were 22 preschool age patients, and 78 school age patients. Six complaints were significant where the child does not respond to name calling (p=0.031), needs to raise the TV volume (p=0.000), occasionally talks loudly (p=0.003), uses verbal communication for their needs (p=0.000), has episodes of clumsiness and dizziness (p=0.000), and doesn’t pronounce words correctly according to their age (p=0.008).

Conclusions: Questionnaires based on complaints can aid the diagnosis of OME as caregiver’s assessment is often limited.

References

Schilder AGM, Chonmaitree T, Cripps AW, Rosenfeld RM, Casselbrant ML, Haggard MP, et al. Otitis media. Nat Rev Dis Primers. 2016;2(1):16063

Simon F, Haggard M, Rosenfeld RM, Jia H, Peer S, Calmels MN, et al. International consensus (ICON) on management of otitis media with effusion in children. Eur Ann Otorhinolaryngol Head Neck Dis. 2018;135(1S):S33-9.

Rosenfeld RM, Shin JJ, Schwartz SR, Coggins R, Gagnon L, Hackell JM, et al. Clinical Practice Guideline: Otitis Media with Effusion (Update). Otolaryngol Head Heck Surg. 2016;154(1 Suppl):S1-S41.

Qureishi A, Lee Y, Belfield K, Birchall JP, Daniel M. Update on otitis media - prevention and treatment. Infect Drug Resist. 2014;7:15-24.

Vanneste P, Page C. Otitis media with effusion in children: Pathophysiology, diagnosis, and treatment. A review. J Otol. 2019;14(2):33-9

Aljohani Z, Alghonaim A, Alhaddad R, ALShaif W,

AlThomali R, Asiry A, et al. Otitis media causes and management. Int J Community Med Public Health. 2018;5(9):3703-8.

Heidemann CH, Godballe C, Kjeldsen AD, Johansen ECJ, Faber CE, Lauridsen HH. The Otitis Media-6 questionnaire: psychometric properties with emphasis on factor structure and interpretability. Health Qual Life Outcomes. 2013;11:201.

Gan RWC, Daniel M, Ridley M, Barry JG. Quality of questionnaires for the assessment of otitis media with effusion in children. Clin Otolaryngol. 2018;43(2):572-83.

Teele DW, Klein JO, Chase C, Menyuk P, Rosner BA. Otitis Media in Infancy and Intellectual Ability, School Achievement, Speech, and Language at Age 7 Years. J Infect Dis. 1990;162(3):685-94.

Casselbrant ML, Furman JM, Mandel EM, Fall PA, Kurs-Lasky M, Rockette HE. Past History of Otitis Media and Balance in Four-Year-Old Children. Laryngoscope. 2000;110(5):773-8.

Rosenfeld RM, Goldsmith AJ, Madell JR. How accurate is parent rating of hearing for children with otitis media? Arch Otolaryngol Head Neck Surg. 1998;124(9):989-92.

Bagatto MP, Moodie ST, Seewald RC, Bartlett DJ, Scollie SD. A Critical Review of Audiological Outcome Measures for Infants and Children. Trends Amplif. 2011;15(1-2):23-33.

Zielhuis GA, Rach GH, Van Den Broek P. The occurrence of otitis media with effusion in Dutch pre-school children. Clin Otolaryngol Allied Sci. 1990;15(2):147-53.

Marchant CD, Shurin PA, Turczyk VA, Wasikowski DE, Tutihasi MA, Kinney SE. Course and outcome of otitis media in earlyinfancy: A prospective study. J Pediatr. Published online 1984. doi:10.1016/S0022-3476(84)80475-8.

Teele DW, Klein JO, Chase C, Menyuk P, Rosner BA. Otitis media in infancy and intellectual ability, school achievement, speech, and language at age 7 years. Greater Boston Otitis Media Study Group. J Infect Dis. Published online 1990.

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Published

2023-06-26

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Original Research Articles