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

Tiia Kujala, Alho Op, A. Kristo, Matti Uhari, M. Renko, T. Pokka, Peppi Koivunen
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引用次数: 14

Abstract

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.
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复发性急性中耳炎降低与健康相关的生活质量
摘要目的:急性中耳炎给患儿带来不适,给家长带来不便。本研究评估年龄小于24个月的复发性急性中耳炎患儿的生活质量。方法:对因复发性急性中耳炎转诊至奥卢大学医院的149例10 ~ 24个月儿童的生活质量进行评价。这些孩子接受了或不接受手术治疗。从一般儿童人群中随机选择年龄匹配的对照。家长填写儿童健康问卷。结果:复发性急性中耳炎患儿的生活质量明显低于对照组。有几次急性中耳炎发作史的对照组儿童的生活质量明显低于无此类病史的对照组儿童。在一年的随访中,复发性急性中耳炎患儿的生活质量有所改善,但没有达到与健康儿童相同的水平。结论:急性中耳炎的生活质量下降时,通用措施的使用。用于预防急性中耳炎进一步复发的治疗方式对生活质量的改善没有影响。
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