Evidence map›Paper›PMID 25702897›Full record

ArticleThe Laryngoscope2015

Epidemiology of otologic diagnoses in United States emergency departments.

Elliott D Kozin, Rosh K V Sethi, Aaron K Remenschneider, Alyson B Kaplan, Daniel A Del Portal, Stacey T Gray, Mark G Shrime, Daniel J Lee

Abstract readMulticenter Study
In one paragraph

Article in The Laryngoscope, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. A Preliminary Study on Acute Otitis Media in Spanish Children with Late Dinner Habits.International journal of environmental research and public health · 2022
    Article
  6. Migraine-Associated Otalgia: An Underappreciated Entity.Journal of audiology & otology · 2022
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
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  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Elliott D KozinDepartment of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts.ORCID http://orcid.org/0000-0002-0305-0682
Rosh K V SethiDepartment of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts.
Aaron K RemenschneiderDepartment of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts.
Alyson B Kaplan
Daniel A Del PortalDepartment of Emergency Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania.
Stacey T GrayDepartment of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts.
Mark G ShrimeDepartment of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts.
Daniel J LeeDepartment of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts.

Funding

RESEARCH TRAINING IN OTOLARYNGOLOGYT32DC000020 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI JUNG, DAVID H, SIMONYAN, KRISTINA · 1990 to 2025
$2.4M
NIDCD NIH HHS T32 DC000020
6 · The paper itself

Abstract

objectives/hypothesisOtologic complaints may place a significant burden on emergency departments (EDs) in the United States; however, few studies have comprehensively examined this discrete patient population. We aimed to identify utilization of EDs by patients with primary otologic complaints. STUDY

designRetrospective analysis of the Nationwide Emergency Department Sample (NEDS) from 2009 through 2011.

methodsThe NEDS database was queried for patient encounters with a primary otologic diagnosis based on International Classification of Diseases, Ninth Revision codes (380-389). Weighted estimates for demographics, diagnostic characteristics, socioeconomic status, and trends over time were extracted. Predictors of mortality and admission were determined by multivariable logistic regression.

resultsA weighted total of 8,611,282 visits between 2009 and 2011 were attributed to otologic diagnoses, representing 2.21% of all ED visits. Stratified by patient age, otologic diagnoses encompassed 1.01% and 6.79% of all adult and pediatric ED visits, respectively. The majority of patients were treated and released (98.17%). The average age of patients presenting with an otologic complaint was 17.9 years (standard error = 0.23). Overall, 62.7% of patients who presented with an otologic complaint were 0 to 17 years old. The most common diagnoses among all age groups included otitis media not otherwise specified (NOS) (60.6%), infected otitis externa NOS (11.8%), and otalgia NOS (6.8%).

conclusionsWe provide a comprehensive overview of otologic complaints that are an overlooked diagnostic category in public health research. NEDS data demonstrate a significant number of visits related to otologic complaints, especially in the pediatric population, that are nonemergent. LEVEL OF EVIDENCE: 4

Indexed as

Diagnostic Techniques, OtologicalAdolescentAdultAgedAge DistributionChildChild, PreschoolEar DiseasesEmergency Service, HospitalFemaleHumansInfantInfant, NewbornMaleMiddle AgedMorbidityemergency departmentOtologyresource utilizationspecialized emergency care

Identifiers

PMID25702897
PMCPMC4512842

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.