Does passive smoking affect the outcome of grommet insertion in children?

Praveen, C. V.; Terry, R. M.

doi:10.1258/0022215054273197

Cited by 15 publications

(9 citation statements)

References 21 publications

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“…From 360 titles published since 1997 identified in the literature search, 55 abstracts were deemed potentially eligible, and of these, 36 were included following the fulltext review (Figure 1). The reasons for exclusion were not having a comparative group without the outcome, [15][16][17] not assessing SHTS as an exposure, 18 not assessing MED as an outcome, 19,20 being published in a lan- guage other than English, [21][22][23][24][25][26][27] only reporting statistical significance (P value) of the result without data, [28][29][30][31] or only having exposure to SHTS data as a confounder in the analysis. 32 Combining the results from this updated search with the previous review (25 studies) resulted in 61 epidemiological studies (eTable and eReferences(http://www .archpediatrics.com); Figure 1).…”

Section: Resultsmentioning

confidence: 99%

Parental Smoking and the Risk of Middle Ear Disease in Children

Jones¹

2012

Arch Pediatr Adolesc Med

130

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A systematic review and meta-analysis of studies of the association between secondhand tobacco smoke (SHTS) and middle ear disease (MED) in children. Data Sources: MEDLINE, EMBASE, and CAB abstracts (through December 2010) and reference lists. Study Selection: Sixty-one epidemiological studies of children assessing the effect of SHTS on outcomes of MED. Articles were reviewed, and the data were extracted and synthesized by 2 researchers. Main Outcome Exposures: Children's SHTS exposure. Main Outcome Measures: Middle ear disease in children. Results: Living with a smoker was associated with an increased risk of MED in children by an odds ratio (OR) of 1.62 (95% CI, 1.33-1.97) for maternal postnatal smoking and by 1.37 (95% CI, 1.25-1.50) for any household member smoking. Prenatal maternal smoking (OR, 1.11; 95% CI, 0.93-1.31) and paternal smoking (OR, 1.24; 95% CI, 0.98-1.57) were associated with a nonsignificant increase in the risk of MED. The strongest effect was on the risk of surgery for MED, where maternal postnatal smoking increased the risk by an OR of 1.86 (95% CI, 1.31-2.63) and paternal smoking by 1.83 (95% CI, 1.61-2.07). Conclusions: Exposure to SHTS, particularly to smoking by the mother, significantly increases the risk of MED in childhood; this risk is particularly strong for MED requiring surgery. We have shown that per year 130 200 of child MED episodes in the United Kingdom and 292 950 of child frequent ear infections in the United States are directly attributable to SHTS exposure in the home.

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Section: Resultsmentioning

confidence: 99%

Parental Smoking and the Risk of Middle Ear Disease in Children

Jones¹

2012

Arch Pediatr Adolesc Med

130

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“…Kaplan-Meier analyses were used to determine the effect of parent smoking on tube survival among 606 children with tympanostomy tubes in a prospective clinical study conducted by Praveen and Terry [39]. For those exposed to parental smoking, tubes stayed in place for 59 weeks, compared to 86 weeks for those not exposed to smoke.…”

Section: Passive Smoke Exposurementioning

confidence: 99%

Epidemiology, natural history, and risk factors: Panel report from the Ninth International Research Conference on Otitis Media

Daly

Hoffman

Kværner

et al. 2010

International Journal of Pediatric Otorhinolaryngology

107

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“…Many risk factors have been associated with this disease: young age (6,7) lack of breast feeding (6,8,9) low mother education, (9)(10)(11) low socioeconomic status (6,10) day care attendance (8,11) parental smoking, (6,11,12) upper respiratory tract infections (6,9,11) allergy (6,9,11,13,14) and snoring. (6,9) Although it is a self-limiting condition in the majority of cases, OME may become chronic to the extent that it affects child education and quality of life.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Risk Factors of Otitis Media with Effusion in School Children in Qassim Region of Saudi Arabia

Alhumaid¹,

Abou-Halawa²

2014

IJHS

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Abstract:Objective: To determine the prevalence of otitis media with effusion (OME) among school children in Qassim region of Kingdom of Saudi Arabia and to determine relevant risk factors in affected children. Methods:Through a cross-sectional study, 1488 children in the age range 6-12 years were randomly selected from 25 primary schools in Qassim region. A questionnaire was used to determine risk factors for OME. Otoscopy and tympanometry were used to diagnose and confirm OME. Pure tone average for children with confirmed OME was measured. Teachers of children were asked to complete a questionnaire evaluating child's level of school performance. Results:Prevalence of OME in the study population was 7.5% (112/1488). In univariate analysis, it was strongly associated with age less than 8 years (p< 0.0001; OR= 4.23, 95% CI: 2.85-6.29 ), family size more than 4 members in the household((p<0.0001; OR= 4.45, 95% CI: 2.23-8.88), mother education less than secondary school education (p<0.0001; OR=2.2, 95% CI: 1.47-3.29), recurrent acute otitis media (AOM) (p<0.0001; OR=5.73, 95% CI: 3.47-9.45), and hearing loss symptom (p< 0.0001; OR= 3.39, 95% CI: 1.92-5.99). It is less strongly associated with history of preschool AOM (p= 0.002; OR= 3.15, 95% CI: 1.67-5.97), nasal discharge (p= 0.003; OR= 1.91, 95% CI: 1.24-2.93) and snoring (p=0.03; OR= 1.76, 95% CI: 1.06-2.94). OME was significantly higher in schools located in rural districts (p<0.001, OR= 2.82, 95% CI: 1.86 -4.28). In multivariate regression model, five of these factors were found to be predictors of OME: age less than 8 years (OR= 5.052, 95% CI:3.289-7.762), family size more than4 members in the household) (OR= 4.192, 95% CI: 2.033-8.643), rural school district (OR=3.037, 95% CI: 1.933-4.772), mother education lower than secondary school education) (OR=2.041, 95% CI:1.602-3.877) and recurrent AOM (OR=4.914, 95% CI: 2.677-9.02). Children with OME tend to have poorer school performance compared to normal children (p=0.067). No significant correlation was found between OME and type of feeding during the first two years of life (p=0.62; OR= 0.87, 95% CI: 0.51-1.49), preschool daycare attendance (p=0.17; OR= 0.71, 95% CI: 0.44-1.16), home exposure to cigarette smoke (p=0.4; OR= 1.34, 95% CI:0.68 -2.65), visits to ENT clinic (p=0.13; OR= 0.58, 95% CI:0.29-1.18), and ENT operations (p=0.12; OR= 0.46, 95% CI: 0.17-1.27). Conclusion:Prevalence of OME in Qassim region reaches 7.5% in school children. Age less than 8 years, family size more than 4 members in the household, mother education less than secondary school education, living in rural area and recurrent AOM are found to be predictors of OME in Qassim region. In this population of children, otoscopy and tympanometry should be used as screening tools for OME.

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Does passive smoking affect the outcome of grommet insertion in children?

Cited by 15 publications

References 21 publications

Parental Smoking and the Risk of Middle Ear Disease in Children

Parental Smoking and the Risk of Middle Ear Disease in Children

Epidemiology, natural history, and risk factors: Panel report from the Ninth International Research Conference on Otitis Media

Prevalence and Risk Factors of Otitis Media with Effusion in School Children in Qassim Region of Saudi Arabia

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