Prospective long-term follow-up after grommet insertion: Hearing and functional health outcomes in children

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2024-10-20 DOI:10.1016/j.ijporl.2024.112142

Michelle A. Pokorny , Wiremu MacFater , Inbal Meshulam-Weiss , Zahoor Ahmad

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引用次数: 0

Abstract

Objectives

To assess hearing levels and functional health outcomes of children two years after routine grommet surgery with standard care follow-up (discharge to General Practitioner (GP) care or Ear Nose and Throat (ENT) clinic appointment at 4–8 weeks).

Methods

Prospective cohort study of 89 children (average age of 7.98 years) recalled for audiological assessment 2 years after grommet surgery in a large ENT outpatient service in South Auckland, New Zealand. Functional health was assessed using parent-reported responses to the OMQ20 questionnaire.

Results

46 (51.7 %) children had hearing loss in at least one ear with 28 (31.5 %) children having bilateral hearing loss. Māori children had statistically higher odds compared to non-Māori children (odds ratio 5.491, p = .003) to have bilateral hearing loss after controlling for age, household deprivation, gender, season, and mode of follow-up. Most parents reported concerns with their child's hearing, speech, attention-seeking behaviours, and nasal symptoms, but not ear problems. Bilateral hearing loss (p < .001) was found to significantly predict functional health status (total OMQ20 score).

Conclusions

The high prevalence of hearing loss and functional health concerns suggest that the standard follow-up care is not adequately managing children after routine grommet insertion. Māori children are disproportionately impacted, and post-grommet follow-up schedules must consider individualised approaches to address these inequities in outcomes.

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植入扣环后的前瞻性长期随访：儿童听力和功能健康结果

目的评估儿童常规索环手术两年后的听力水平和功能性健康结果，并进行标准护理随访（出院后接受全科医生（GP）护理或耳鼻喉科（ENT）门诊预约 4-8 周）：方法：对新西兰南奥克兰一家大型耳鼻喉科门诊服务机构的 89 名儿童（平均年龄 7.98 岁）进行前瞻性队列研究，这些儿童在索环手术 2 年后重新接受听力评估。功能健康状况通过家长对 OMQ20 问卷的回答进行评估：46名儿童（51.7%）至少有一只耳朵听力受损，其中28名儿童（31.5%）双耳听力受损。在控制年龄、家庭贫困程度、性别、季节和随访方式后，毛利儿童与非毛利儿童相比，患有双耳听力损失的几率更高（几率比5.491，p = .003）。大多数家长对孩子的听力、言语、注意力寻求行为和鼻部症状表示担忧，但不包括耳部问题。双侧听力损失（P听力损失和功能性健康问题的高发率表明，标准的随访护理不能充分管理常规扣环植入术后的儿童。毛利儿童受到的影响尤为严重，索环植入术后的随访计划必须考虑个性化的方法，以解决这些不平等的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.