9岁和13岁儿童中耳炎对噪音中言语测试的长期影响。

IF 1.6 4区医学 Q2 OTORHINOLARYNGOLOGY

Laryngoscope Investigative Otolaryngology Pub Date : 2025-01-15 DOI:10.1002/lio2.70077

Stefanie N. H. Reijers, Jantien L. Vroegop, Bernd Kremer, Marc P. van der Schroeff

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引用次数: 0

摘要

目的：探讨儿童早期中耳炎（OM）病史与儿童后期言语接受阈值（SRT）的关系，采用9岁和13岁的荷兰数字噪声（DIN）测试。方法：本研究是在R世代研究中进行的，这是荷兰鹿特丹的一个前瞻性出生队列。儿童在9岁（2011-2015年）和13岁（2016-2020年）时接受纯音听力测定和DIN测试。回归分析和线性混合模型用于检查噪声中OM史和SRT之间的关系，考虑到个体内的重复测量。结果：在基线（9岁）时，纳入2063名儿童，平均SRT为-5.6 （SD = 2.0）。在随访（13岁）时，纳入3382名儿童，平均SRT为-7.4 （SD = 1.4）。复发性急性OM （RAOM）与DIN测试结果呈正相关，估计系数为0.55 (95% CI = 0.26, 0.84；t值= 3.70)。社会经济地位和多语言能力对DIN测试成绩没有显著的预测作用。结论：RAOM病史可能会影响儿童后期的SRT结果，在RAOM组观察到更高的DIN评分。虽然两组之间的效应大小从小到中等，但这些发现强调了在临床实践和未来研究中考虑OM潜在长期影响的重要性。需要进一步的研究来更好地理解这些关系。证据水平：2（队列研究）。

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The Long-Term Effect of Childhood Otitis Media on Speech-in-Noise Testing at Ages 9 and 13

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The Long-Term Effect of Childhood Otitis Media on Speech-in-Noise Testing at Ages 9 and 13

Objective

To investigate the relationship between a history of otitis media (OM) in early childhood and speech reception thresholds (SRT) in later childhood, using the Dutch digits-in-noise (DIN) test at ages 9 and 13 years.

Methods

This study was conducted within the Generation R study, a prospective birth cohort in Rotterdam, the Netherlands. Children underwent pure-tone audiometry and DIN testing at ages 9 (2011–2015) and 13 (2016–2020) years. Regression analyses and a linear mixed model were used to examine associations between OM history and SRT in noise, accounting for repeated measurements within individuals.

Results

At baseline (age 9 years), 2063 children were included with a mean SRT of −5.6 (SD = 2.0). At follow-up (age 13 years), 3382 children were included with a mean SRT of −7.4 (SD = 1.4). A positive association was found between recurrent acute OM (RAOM) and DIN test outcomes, with an estimated coefficient of 0.55 (95% CI = 0.26, 0.84; t-value = 3.70). Socioeconomic status and multilingualism did not significantly predict DIN test performance.

Conclusion

A history of RAOM may potentially influence SRT outcomes in later childhood, with higher DIN scores observed in the RAOM group. While the effect sizes between the groups are small to moderate, these findings highlight the importance of considering the potential long-term effects of OM in both clinical practice and future research. Further studies are needed to better understand these relationships.