Evidence map›Paper›PMID 31421634›Full record

ArticlePediatric research2020

Environmental determinants associated with acute otitis media in children: a longitudinal study.

Gijs van Ingen, Carlijn M P le Clercq, Carolina E Touw, Liebeth Duijts, Henriette A Moll, Vincent W V Jaddoe, Hein Raat, Robert J Baatenburg de Jong, Marc P van der Schroeff

Abstract read
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In one paragraph

Article in Pediatric research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% of its field
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. A Systematic Review and Meta-Analysis of the Efficacy of Antimicrobial Chemoprophylaxis for Recurrent Acute Otitis Media in Children.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2025
    Pooled it
  2. Do We Have Any Environmental or Perinatal Factor Which May Predispose for Paediatric Airways Diseases? An Italian Population Prospective Study.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2026
    Article
  3. Article
  4. Article
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

9 authors at 1 institution in 1 country.

Gijs van IngenDepartment of Otolaryngology - Head and Neck Surgery, Erasmus MC, Rotterdam, Netherlands. g.vaningen@erasmusmc.nl.ORCID http://orcid.org/0000-0002-8883-862X
Carlijn M P le ClercqDepartment of Otolaryngology - Head and Neck Surgery, Erasmus MC, Rotterdam, Netherlands.
Carolina E TouwDepartment of Otolaryngology - Head and Neck Surgery, Erasmus MC, Rotterdam, Netherlands.
Liebeth DuijtsThe Generation R Study Group, Erasmus MC, Rotterdam, Netherlands.
Henriette A MollThe Generation R Study Group, Erasmus MC, Rotterdam, Netherlands.
Vincent W V JaddoeThe Generation R Study Group, Erasmus MC, Rotterdam, Netherlands.
Hein RaatThe Generation R Study Group, Erasmus MC, Rotterdam, Netherlands.
Robert J Baatenburg de JongDepartment of Otolaryngology - Head and Neck Surgery, Erasmus MC, Rotterdam, Netherlands.
Marc P van der SchroeffDepartment of Otolaryngology - Head and Neck Surgery, Erasmus MC, Rotterdam, Netherlands.
Erasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute otitis media (AOM) is a common pediatric disease and frequent reason for antibiotic treatment. We aimed to identify environmental and host factors associated with AOM and assess which determinants were associated with AOM at specific ages.

methodsThis study among 7863 children was embedded in the Generation R Study: a population-based prospective cohort study from fetal life onwards. Data on outcome and possible determinants were collected using questionnaires until 6 years. We used generalized estimating equation models to examine associations with AOM with longitudinal odds at different ages, considering correlations between repeated measurements.

resultsMale gender increased odds of AOM in children at 2, 3, and 4 years but not at other ages. Postnatal household smoking, presence of siblings, and pet birds increased odds of AOM. Breastfeeding decreased AOM odds, most notably in the first 2 months of life. No association was found for season of birth, maternal age, ethnicity, aberrant birth weight for gestational age, prenatal smoking, furry pets, and daycare attendance.

conclusionsRisk of childhood AOM varies with age. Significant association with AOM was found for gender and breastfeeding at specific ages and for household smoking, presence of siblings, and pet birds at all the studied ages.

Indexed as

EnvironmentAcute DiseaseAnimalsBirdsBreast FeedingChildChild, PreschoolEnvironmental ExposureFemaleHumansInfantInfant, NewbornLongitudinal StudiesMaleNetherlandsOtitis MediaTobacco Smoke Pollution

Identifiers

PMID31421634
OpenAlexW2968792312

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.