In children with acute otitis media, what is the window of time in which they will experience, if they will, another episode?
In this small study of the natural history of AOM, 80% of episodes will occur between 6 month and 21 months of age. Significant predictors of subsequent AOM included age at first AOM and daycare attendance. If the children experience one or more additional episodes, 83% will occur within 6 months and 97% within 10 months of the first episode. In other words, there is a window of susceptibility for AOM. The authors speculate that tympanostomy tubes often are placed outside of this window, leading to their general ineffectiveness. 1b
Plan de l'etude: Cohort (prospective)
Cadre: Outpatient (specialty)
Allen F. Shaughnessy, PharmD, MMedEd
Professor of Family Medicine