The Role of Diet in Tympanostomy Tube Otorrhea.

IF 2.6 3区 医学 Q1 OTORHINOLARYNGOLOGY
Kavita Dedhia, Alyssa Tindall, Jillian Karpink, Ashley Williams, Terri Giordano, Virginia Stallings
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引用次数: 0

Abstract

Objective: The objective of this study was to evaluate the role of diet quality in children with tympanostomy tube placement (TTP) complicated by tympanostomy tube otorrhea (TTO).

Study design: Three-day 24-hour diet recall.

Setting: Tertiary care medical center.

Methods: Children between the ages of 2 to 6 years old with TTP performed 6 months to 2 years prior to enrollment were included. Children with a history of Down syndrome, cleft palate, craniofacial syndromes, known immunodeficiency, g-tube dependent, or a non-English speaking family were excluded. The primary outcome variable was TTO. The primary predictor was total caloric intake measured by percent estimated energy rate (%EER).

Results: A total of 120 families completed the 3-day diet recall. The median age was 27 months (interquartile range: 7.9-68.5), with 57% male sex. Most children reported dietary intake within the recommended range percent intake for carbohydrates and fat and less than recommended range for percent vitamin D. Within this cohort 63 (52.5%) participants had >1 TTO episode and 57 (47.5%) $\le $ 1 TTO episode. Children with an EER% that was average or high were at higher odds of >1 TTO episodes compared to participants with a low EER% with ORs of 4.6 (95% confidence interval [CI]: 1.4, 15.6) and 5.7 (95% CI: 1.5, 22.1) respectively.

Conclusion: Children with a typical or high total daily caloric intake are approximately 5 to 6 times more likely to have multiple TTO episodes compared to those with low intake.

饮食在鼓室造口管溢耳中的作用。
研究目的本研究旨在评估饮食质量在鼓室造口术管置入术(TTP)并发鼓室造口术管溢耳症(TTO)患儿中的作用:研究设计:三天 24 小时饮食回忆:研究设计:三天 24 小时饮食回顾:方法:纳入在入组前 6 个月至 2 年进行过 TTP 的 2 至 6 岁儿童。有唐氏综合征、腭裂、颅面综合征病史、已知免疫缺陷、插管依赖或非英语家庭的儿童除外。主要结果变量为 TTO,主要预测指标为总热量摄入,以估计能量率(%EER)衡量:共有 120 个家庭完成了 3 天饮食回顾。中位年龄为 27 个月(四分位数间距:7.9-68.5),男性占 57%。大多数儿童报告的膳食摄入量中,碳水化合物和脂肪的摄入百分比均在推荐范围内,而维生素 D 的摄入百分比则低于推荐范围。与EER%较低的参与者相比,EER%一般或较高的儿童发生>1次TTO的几率更高,OR值分别为4.6(95%置信区间[CI]:1.4,15.6)和5.7(95%置信区间:1.5,22.1):结论:与摄入量低的儿童相比,每日总热量摄入量一般或较高的儿童发生多次 TTO 的可能性要高出约 5 到 6 倍。
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
Otolaryngology- Head and Neck Surgery
Otolaryngology- Head and Neck Surgery 医学-耳鼻喉科学
CiteScore
6.70
自引率
2.90%
发文量
250
审稿时长
2-4 weeks
期刊介绍: Otolaryngology–Head and Neck Surgery (OTO-HNS) is the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. The mission of Otolaryngology–Head and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery (ear, nose, throat, head, and neck disorders) that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.
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