Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-07T20:07:12.391Z Has data issue: false hasContentIssue false
  • English
  • Français

Recurrent acute otitis media detracts from health-related quality of life

Published online by Cambridge University Press:  11 January 2017

T Kujala ,
O-P Alho ,
A Kristo ,
M Uhari ,
M Renko ,
T Pokka  and
P Koivunen
T Kujala*
Affiliation:
Department of Otolaryngology, University of Oulu, Finland
O-P Alho
Affiliation:
Department of Otolaryngology, University of Oulu, Finland
A Kristo
Affiliation:
Department of Otolaryngology, University of Oulu, Finland
M Uhari
Affiliation:
Department of Pediatrics, University of Oulu, Finland
M Renko
Affiliation:
Department of Pediatrics, University of Oulu, Finland
T Pokka
Affiliation:
Department of Pediatrics, University of Oulu, Finland
P Koivunen
Affiliation:
Department of Otolaryngology, University of Oulu, Finland
*
Address for correspondence: Dr Tiia Kujala, Department of Otolaryngology, Oulu University Central Hospital, PL 21, 90029 OYS, Finland Fax: +358 8 315 3459 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

Acute otitis media causes discomfort to children and inconvenience to their parents. This study evaluated the quality of life in children with recurrent acute otitis media aged less than 24 months.

Methods:

Quality of life was evaluated in 149 children aged 10 to 24 months who were referred to the Oulu University Hospital on account of recurrent acute otitis media. The children were treated with or without surgery. Age-matched controls were selected randomly from the general child population. Parents completed the Child Health Questionnaire.

Results:

The children with recurrent acute otitis media had a significantly poorer quality of life than control children. The control children with a history of a few acute otitis media episodes had a significantly poorer quality of life than those without any such history. The quality of life of the children with recurrent acute otitis media improved during the one-year follow up, regardless of the treatment, but did not reach the same level as healthy children.

Conclusion:

Acute otitis media detracted from quality of life when a generic measure was used. The mode of treatment used to prevent further recurrences of acute otitis media did not influence quality of life improvement.

Keywords

ChildRandomized Controlled TrialOtitis MediaQuality of Life
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 2 , February 2017 , pp. 128 - 137
Copyright
Copyright © JLO (1984) Limited 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Sipila, M, Pukander, J, Karma, P. Incidence of acute otitis media up to the age of 1 1/2 years in urban infants. Acta Otolaryngol 1987;104:138–45CrossRefGoogle Scholar
2 Teele, DW, Klein, JO, Rosner, B. Epidemiology of otitis media during the first seven years of life in children in greater Boston: a prospective, cohort study. J Infect Dis 1989;160:83–94 CrossRefGoogle ScholarPubMed
3 Klein, JO. Otitis media. Clin Infect Dis 1994;19:823–33Google Scholar
4 Alho, OP. How common is recurrent acute otitis media? Acta Otolaryngol Suppl 1997;529:8–10 CrossRefGoogle ScholarPubMed
5 Kilpi, T, Herva, E, Kaijalainen, T, Syrjanen, R, Takala, AK. Bacteriology of acute otitis media in a cohort of Finnish children followed for the first two years of life. Pediatr Infect Dis J 2001;20:654–62CrossRefGoogle Scholar
6 Niemela, M, Uhari, M, Jounio-Ervasti, K, Luotonen, J, Alho, OP, Vierimaa, E. Lack of specific symptomatology in children with acute otitis media. Pediatr Infect Dis J 1994;13:765–8Google Scholar
7 Ruuskanen, O, Heikkinen, T. Otitis media: etiology and diagnosis. Pediatr Infect Dis J 1994;13:23–6Google Scholar
8 Heikkinen, T, Ruuskanen, O. Signs and symptoms predicting acute otitis media. Arch Pediatr Adolesc Med 1995;149:26–9Google Scholar
9 Kontiokari, T, Koivunen, P, Niemela, M, Pokka, T, Uhari, M. Symptoms of acute otitis media. Pediatr Infect Dis J 1998;17:676–9Google Scholar
10 Koivunen, P, Uhari, M, Laitakari, K, Alho, OP, Luotonen, J. Otoacoustic emissions and tympanometry in children with otitis media. Ear Hear 2000;21:212–17Google Scholar
11 Dempster, JH, MacKenzie, K. Tympanometry in the detection of hearing impairments associated with otitis media with effusion. Clin Otolaryngol Allied Sci 1991;16:157–9Google Scholar
12 Winskel, H. The effects of an early history of otitis media on children's language and literacy skill development. Br J Educ Psychol 2006;76:727–44Google Scholar
13 Luotonen, M, Uhari, M, Aitola, L, Lukkaroinen, AM, Luotonen, J, Uhari, M. A nation-wide, population-based survey of otitis media and school achievement. Int J Pediatr Otorhinolaryngol 1998;43:41–51 Google Scholar
14 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 1990;162:685–94Google Scholar
15 Paradise, JL, Dollaghan, CA, Campbell, TF, Feldman, HM, Bernard, BS, Colborn, DK et al. Language, speech sound production, and cognition in three-year-old children in relation to otitis media in their first three years of life. Pediatrics 2000;105:1119–30CrossRefGoogle ScholarPubMed
16 Haapala, S, Niemitalo-Haapola, E, Raappana, A, Kujala, T, Suominen, K, Kujala, T et al. Effects of recurrent acute otitis media on cortical speech-sound processing in 2-year old children. Ear Hear 2014;35:75–83 Google Scholar
17 Kujala, T, Alho, OP, Kristo, A, Uhari, M, Renko, M, Pokka, T et al. Quality of life after surgery for recurrent otitis media in a randomized controlled trial. Pediatr Infect Dis J 2014;33:715–19Google Scholar
18 Lee, J, Witsell, DL, Dolor, RJ, Stinnett, S, Hannley, M. Quality of life of patients with otitis media and caregivers: a multicenter study. Laryngoscope 2006;116:1798–804Google Scholar
19 Brouwer, CN, Rovers, MM, Maille, AR, Veenhooven, RH, Grobbee, DE, Sanders, EA et al. The impact of recurrent acute otitis media on the quality of life of children and their caregivers. Clin Otolaryngol 2005;30:258–65Google Scholar
20 Stewart, MG, Friedman, EM, Sulek, M, Hulka, GF, Kuppersmith, RB, Harrill, WC et al. Quality of life and health status in pediatric tonsil and adenoid disease. Arch Otolaryngol Head Neck Surg 2000;126:45–8Google Scholar
21 Kujala, T, Alho, OP, Luotonen, J, Kristo, A, Uhari, M, Renko, M et al. Tympanostomy with and without adenoidectomy for the prevention of recurrences of acute otitis media: a randomized controlled trial. Pediatr Infect Dis J 2012;31:565–9Google Scholar
22 Landgraf, J, Abetz, L, Ware, JE. Child Health Questionnaire (CHQ): A User's Manual. Boston: Landgraf & Ware, 1999 Google Scholar
23 Pelkonen, P, Ruperto, N, Honkanen, V, Hannula, S, Savolainen, A, Lahdenne, P et al. The Finnish version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clin Exp Rheumatol 2001;19:S55–9Google Scholar
24 Ruperto, N, Ravelli, A, Pistorio, A, Malattia, C, Cavuto, S, Gado-West, L et al. Cross-cultural adaptation and psychometric evaluation of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ) in 32 countries. Review of the general methodology. Clin Exp Rheumatol 2001;19:1–9 Google Scholar
25 Raat, H, Bonsel, GJ, Essink-Bot, ML, Landgraf, JM, Gemke, RJ. Reliability and validity of comprehensive health status measures in children: The Child Health Questionnaire in relation to the Health Utilities Index. J Clin Epidemiol 2002;55:67–76 Google Scholar
26 Merikallio, VJ, Mustalahti, K, Remes, ST, Valovirta, EJ, Kaila, M. Comparison of quality of life between asthmatic and healthy school children. Pediatr Allergy Immunol 2005;16:332–40Google Scholar
27 Rovers, MM, Krabbe, PF, Straatman, H, Ingels, K, van der Wilt, GJ, Zielhuis, GA. Randomised controlled trial of the effect of ventilation tubes (grommets) on quality of life at age 1–2 years. Arch Dis Child 2001;84:45–9CrossRefGoogle ScholarPubMed
28 Rosenfeld, RM, Bhaya, MH, Bower, CM, Brookhouser, PE, Casselbrant, ML, Chan, KH et al. Impact of tympanostomy tubes on child quality of life. Arch Otolaryngol Head Neck Surg 2000;126:585–92Google Scholar
29 Richards, M, Giannoni, C. Quality-of-life outcomes after surgical intervention for otitis media. Arch Otolaryngol Head Neck Surg 2002;128:776–82Google Scholar
30 Chow, Y, Wabnitz, DA, Ling, J. Quality of life outcomes after ventilating tube insertion for otitis media in an Australian population. Int J Pediatr Otorhinolaryngol 2007;71:1543–7Google Scholar
31 Boruk, M, Lee, P, Faynzilbert, Y, Rosenfeld, RM. Caregiver well-being and child quality of life. Otolaryngol Head Neck Surg 2007;136:159–68Google Scholar
32 Aitken, ME, Tilford, JM, Barrett, KW, Parker, JG, Simpson, P, Landgraf, J et al. Health status of children after admission for injury. Pediatrics 2002;110:337–42Google Scholar
33 Hullmann, SE, Ryan, JL, Ramsey, RR, Chaney, JM, Mullins, LL. Measures of general pediatric quality of life: Child Health Questionnaire (CHQ), DISABKIDS Chronic Generic Measure (DCGM), KINDL-R, Pediatric Quality of Life Inventory (PedsQL) 4.0 Generic Core Scales, and Quality of My Life Questionnaire (QoML). Arthritis Care Res (Hoboken) 2011;63(S11):420–30Google Scholar
34 HealthActCHQ. Confidential Scoring Rules, Infant Toddler Quality of Life Questionnaire-97 (ITQOL-97). Boston: HealthAct, 2008 Google Scholar
35 Alho, OP, Koivu, M, Sorri, M, Oja, H, Kilkku, O. Which children are being operated on for recurrent acute otitis media? Arch Otolaryngol Head Neck Surg 1994;120:807–11CrossRefGoogle ScholarPubMed
36 Alsarraf, R, Jung, CJ, Perkins, J, Crowley, C, Alsarraf, NW, Gates, GA. Measuring the indirect and direct costs of acute otitis media. Arch Otolaryngol Head Neck Surg 1999;125:12–18 Google Scholar
37 Niemela, M, Uhari, M, Mottonen, M, Pokka, T. Costs arising from otitis media. Acta Paediatr 1999;88:553–6Google Scholar