ArticleOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2018
Acute Otitis Media and Associated Complications in United States Emergency Departments.
Article in Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- ESR Essentials: acute infections of the head and neck-practice recommendations by the European Society of Head and Neck Radiology.European radiology · 2026Guideline
- Epidemiologic, Imaging, and Clinical Issues in Bezold's Abscess: A Systematic Review.Tomography (Ann Arbor, Mich.) · 2022Pooled it
- Enhancing parental health knowledge through digital knowledge mobilisation tools: a randomised controlled trial and qualitative study.BMJ paediatrics open · 2026Trial
- Review
- [Complications of acute otitis media].HNO · 2026Review
- Trends in otitis media burden among BRICS from 1990 to 2023 and projections to 2040: an age-period-cohort analysis based on the 2023 global burden of disease study.Italian journal of pediatrics · 2026Article
- Targeting Neutrophil/Eosinophil Extracellular Traps by Aptamer-Functionalized Nanosheets to Overcome Recalcitrant Inflammatory Disorders.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025Article
- Probiotic, Prebiotic, and Synbiotic Supplementation for the Prevention and Treatment of Acute Otitis Media: A Systematic Review and Meta-Analysis.Children (Basel, Switzerland) · 2025Review
- Evaluation of Streptococcus pneumoniae as a cause of acute otitis media in Colombia: A prospective study.PloS one · 2025Article
- Article
- Burden of invasive pneumococcal disease, non-invasive all-cause pneumonia, and acute otitis media in hospitalized US children: a retrospective multi-center study from 2015 to 2020.BMC health services research · 2024Article
- Bezold's abscess, an uncommon complication of otitis media and cholesteatoma: a case report.Journal of medical case reports · 2024Article
- Changes functional prediction of ear canal flora in chronic bacterial otitis externa.Frontiers in cellular and infection microbiology · 2024Article
- Acute Bacterial Meningitis and Petrous Apicitis in a Child with Aplasia Cutis Congenita: A Case Report.The journal of international advanced otology · 2023Article
- Fluctuations in emergency department visits related to acute otitis media are associated with extreme meteorological conditions.Frontiers in public health · 2023Article
- Post-operative clinical course in children undergoing mastoidectomy due to complicated acute mastoiditis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022Article
- Petrositis caused by fluconazole-resistant candida: case report and literature review.BMC infectious diseases · 2022Review
- Incidence of acute otitis media in children < 16 years old in Germany during 2014-2019.BMC pediatrics · 2022Article
- Smartphone-Enabled versus Conventional Otoscopy in Detecting Middle Ear Disease: A Meta-Analysis.Diagnostics (Basel, Switzerland) · 2022Article
- Nasopharyngeal colonization of otopathogens in South Indian children with acute otitis media - A case control pilot study.Journal of otology · 2021Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveComplications due to acute otitis media (AOM), while rare, are associated with significant morbidity and are not well characterized from an epidemiological perspective. We analyze the pattern of presentation and emergency department (ED) utilization in patients with AOM and associated complications. STUDY
designRetrospective analysis of the Nationwide Emergency Department Sample (NEDS) from 2009 to 2011.
settingEmergency Department. PATIENTS: Patients who presented with a primary diagnosis of AOM or acute mastoiditis.
interventionDiagnostic.
main outcome measuresNEDS was queried for patient encounters with a diagnosis of AOM or acute mastoiditis based on ICD-9 codes. Complications of severe infection, including petrositis, Gradenigo's syndrome, facial paresis, labyrinthitis, meningitis, intracranial abscess, venous sinus thrombosis, and cerebrospinal fluid leak, were assessed. Weighted estimates for demographics, types of complications, socioeconomic status, and trends over time were extracted.
resultsA weighted total of 5,811,127 ED visits were identified. The majority of patients were less than 18 years old (79.9%) with an average age of 10.1 years. Most were discharged (99.4%). There were 15,243 (0.26%) patients who presented with a complication. The most common complications were acute mastoiditis (0.16%), labyrinthitis (0.06%), and facial paresis (0.03%). Compared with patients with uncomplicated AOM, patients with complicated AOM were older (37 vs. 10-yr old), insured by Medicare (18% vs. 2.1%), and more likely to be admitted (43.6% vs. 0.4%) (p < 0.0001, for all comparisons).
conclusionsED visits related to AOM or mastoiditis are common and complications are rare. An in-depth analysis on a national level is useful for assessing healthcare utilization trends.
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