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

2017 ◽  
Vol 131 (2) ◽  
pp. 128-137 ◽  
Author(s):  
T Kujala ◽  
O-P Alho ◽  
A Kristo ◽  
M Uhari ◽  
M Renko ◽  
...  

AbstractObjective: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.

Author(s):  
Bikash Lal Shrestha ◽  
Ram Chhaya Man Amatya ◽  
Ashish Dhakal ◽  
Akash Pradhan ◽  
Pradip Rajbhandari

<p class="abstract"><strong>Background:</strong> The study was conducted to compare the pre and post-operative outcome of quality of life in patients who underwent cartilage myringoplasty with COMOT-15 (Chronic otitis media outcome test-15).</p><p class="abstract"><strong>Methods:</strong> 37 patients were included in the study that underwent endoscopic cartilage myringoplasty. COMOT-15 questionnaire was used pre and 6 months post-operatively to see the quality of life outcome. Along with that audiological testing was also performed.  </p><p class="abstract"><strong>Results:</strong> There were total 37 patients (males 19 and females 18) with the mean age of 24.32±/-11.1years, and age range of 18-61years participated in all questionings and examination. The comparison of COMOT-15 Pre and Post-operative questionnaires analysis showed statistically significant improvement in all scales except for mental health. The audiological result also showed clear association of audiometry results with hearing function.</p><p><strong>Conclusions:</strong> The cartilage myringoplasty has beneficial effect in disease specific health related quality of life, as well there is clear association between hearing function scale and audiological evaluation. So, it is useful to perform cartilage myringoplasty wherever necessary.</p>


2005 ◽  
Vol 132 (4) ◽  
pp. 647-652 ◽  
Author(s):  
Haytham Kubba ◽  
Iain R. C. Swan ◽  
Stuart Gatehouse

OBJECTIVES: TNO-AZL Preschool Quality of Life Questionnaire (TAPQOL) is one of the few instruments designed to assess health-related quality of life in preschool children but its applicability to otolaryngology is unknown. STUDY DESIGN AND SETTING: We studied a consecutive series of children aged 1 to 5 years referred to hospital with recurrent sore throats, recurrent acute otitis media, or otitis media with effusion. RESULTS: TAPQOL domain scores were not influenced by age, sex, or socio-economic class, but correlated with markers of disease severity (frequency of sore throat or pyrexia, time off school), ear-related handicap (assessed with the OM6 questionnaire), and other measures of health-related quality of life (visual analogue scale, 5-point rating scale and the Health Utilities Index mark III). Comparison with published data from healthy children suggests that these common otolaryngologic problems have a large impact on a child's quality of life. CONCLUSIONS: TAPQOL seems to be appropriate for use in this context. Marked ceiling effects in some domains, however, may limit their sensitivity.


2019 ◽  
Vol 38 (1) ◽  
Author(s):  
Oksana Kamenskaya ◽  
Asya Klinkova ◽  
Irina Loginova ◽  
Alexander Chernyavskiy ◽  
Dmitry Sirota ◽  
...  

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Huailiang Wu ◽  
Weiwei Sun ◽  
Hanqing Chen ◽  
Yanxin Wu ◽  
Wenjing Ding ◽  
...  

Abstract Background Pregnant women experience physical, physiological, and mental changes. Health-related quality of life (HRQoL) is a relevant indicator of psychological and physical behaviours, changing over the course of pregnancy. This study aims to assess HRQoL of pregnant women during different stages of pregnancy. Methods This cross-sectional study was performed using the The EuroQoL Group’s five-dimension five-level questionnaire (EQ-5D-5L) to assess the HRQoL of pregnant women, and demographic data were collected. This study was conducted in a regional university hospital in Guangzhou, China. Results A total of 908 pregnant women were included in this study. Pregnant women in the early 2nd trimester had the highest HRQoL. The HRQoL of pregnant women rose from the 1st trimester to the early 2nd trimester, and dropped to the bottom at the late 3rd trimester due to some physical and mental changes. Reports of pain/discomfort problem were the most common (46.0%) while self-care were the least concern. More than 10% of pregnant women in the 1st trimester had health-related problems in at least one dimension of whole five dimensions. In the whole sample, the EuroQoL Group’s visual analog scale (EQ-VAS) was 87.86 ± 9.16. Across the gestational stages, the HRQoL remained stable during the pregnancy but the highest value was observed in the 1st trimester (89.65 ± 10.13) while the lowest was in the late 3rd trimester (87.28 ± 9.13). Conclusions During pregnancy, HRQoL were associated with gestational trimesters in a certain degree. HRQoL was the highest in the early 2nd trimester and then decreased to the lowest in the late 3rd trimester due to a series of physical and psychological changes. Therefore, obstetric doctors and medical institutions should give more attention and care to pregnant women in the late 3rd trimester.


2017 ◽  
Vol 16 ◽  
pp. S154
Author(s):  
M. Van Horck ◽  
B. Winkens ◽  
G. Wesseling ◽  
K. de Winter-de Groot ◽  
I. De Vreede ◽  
...  

2017 ◽  
Vol 30 (5) ◽  
pp. 381
Author(s):  
Ana Rita Lameiras ◽  
Deodato Silva ◽  
Assunção O'Neill ◽  
Pedro Escada

Introduction: Otitis media is one of the most prevalent childhood diseases. The impact of otitis media on quality of life of Portuguese children is unknown, because of the unavailability of a tool validated in European Portuguese to assess this consequence of otitis media. The Otitis Media-6 questionnaire (Otitis Media-6) is the most frequently used tool to assess health-related quality of life in children with otitis media. This study aims to create a version in the Portuguese language and culturally adapted to Portugal of the otitis media-6 questionnaire.Material and Methods: The Otitis Media-6 questionnaire was translated and culturally adapted to the Portuguese language and population. Then, to assess the instrument psychometric properties, it was applied to a sample of Portuguese children with chronic otitis media with effusion or recurrent acute otitis media.Results: The Portuguese version of Otitis Media-6 questionnaire demonstrated the following psychometric properties: constructvalidity for baseline (rs = 0.98) and change scores (rs = 0.97), internal consistency (α = 0.780), test-retest reliability (rs = 0.89) and responsiveness to clinical change (t(59) = 10.104).Discussion: The simplicity and brevity of application of the instrument make it ideal for use in research and in clinical practice, enabling a more objective assessment of the extension of the otitis media impact in children quality of life and a more targeted therapeutic decision.Conclusion: The Portuguese version of the Otitis Media-6 questionnaire is a valid, reliable and sensitive instrument to evaluate the health-related quality of life in Portuguese children with otitis media.


2012 ◽  
Vol 21 (2) ◽  
pp. 193-200 ◽  
Author(s):  
Nashwa Nabil Kamal ◽  
Emad G. Kamel ◽  
Khaled H. Eldessouki ◽  
Marwa G. Ahmed

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