LOR pulciņa dalībnieku Liānas Džavadovas un Karīnas Jelagovas ZPD "CHRONIC OTITIS MEDIA PATIENT DATABASE DEVELOPMENT AND APPROBATION". Prezentēts RSU ISC 2016. Darba vadītāja Dr.Kitija Daina.
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Chronic Otitis Patient Database
1. 1
CHRONIC OTITIS MEDIA PATIENT
DATABASE DEVELOPMENT AND
APPROBATION
Authors: Liāna Džavadova, Karīna Jelagova
Rīga Stradiņš University, Latvia
Scientific research supervisor: Dr. med. Kitija Daina
Children’s Clinical University Hospital, Latvia
2. 2
Chronic suppurative otitis media (CSOM) is a
common disease in children, often with recurrent
course and frequent physician visits.
Currently there is no statistical data on the prevalence
of CSOM in Latvia.
Introduction
3. 3
In Children's Clinical University Hospital there is no
diagnosis-specific database of patients with chronic
otitis media to monitor and register data.
As a result, patient follow-up can be challenging.
Introduction
4. 4
Summarize the latest data of patients with chronic
suppurative otitis media
Explore the course of the disease
Assess the prevalence of cholesteatoma among the
patients.
Aim
5. 5
Retrospective descriptive study
Children’s Clinical University Hospital
January 1, 2009 to January 1, 2016
Hospital archives and patient database Andromeda
Diagnosis codes and surgical procedures. Patients up to
17 years of age were included.
Data registration in Microsoft Office Excel
SPSS Statistics software (Shapiro-Wilk test, Chi-Square
test, Fisher’s exact test, Independent Sample t-test.)
Materials and methods
7. 7
124 patients
Male 62.9% (n=78)
Female 37.1% (n=46)
Age 3 -17 (M = 12.31,
SD = ± 3.47 years)
Median age was 13
years (IQR=10-15)
25.8% (n=32) of
patients live in Riga,
74.2% (n=92) live
outside of Riga.
Results
8. 8
14.5% (n=18) patients were diagnosed with chronic tubotympanic
suppurative otitis media, 43.5% (n=54) chronic aticoantral
suppurative otitis media, 41.9% (n=52) other chronic suppurative
otitis media.
There was not a significant association between gender and type
of CSOM. (x2=0.19, df=2, p=0.9).
9. 9
Cholesteatoma was found in 25.8% (n=32) of cases. There
was a significant association between cholesteatoma and the
type of CSOM (p=0.005, Fisher's exact test)
26%
74%
10. 10
Surgical interventions
including
mastoidantrotomy,
tympanoplasty and radical
ear operation were
performed in 90 cases
(72.6%).
The mode of surgical
treatments was 1 treatment
per patient.
The median of surgical
treatments per patient was
2 treatments (IQR=1-3).
Results
11. 11
There was a significant difference between number of surgeries for
patients with cholesteatoma (M=3; SD=±1.85) and patients without
cholesteatoma (M=2.20; SD=±1.93), t(122)=2.05; p=0.043).
Mean
number of
surgical
treatments
12. 12
The mode of hospitalizations
due to chronic suppurative
otitis media was 1 episode.
The median of hospitalization
episodes was 3 episodes
(IQR=1-5).
There was not a significant
difference between number of
hospitalizations for Riga
residents (M=3.63 SD=±2.42)
and non-residents (M=3.38
SD=±2.68) t(122)=0.46;
p=0.65.
Results
13. 13
Chronic suppurative otitis media has a recurrent
course, causing relapses, frequent hospitalizations
and multiple surgical interventions.
Cholesteatoma is one of the factors contributing to
higher number of surgeries.
The majority of chronic otitis media patients are young
teenagers, most of them live outside of Riga,
therefore, monitoring and regular follow-ups by
otorhinolaryngologists are necessary.
Conclusion
14. 14
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