Observational studyClinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery2022
Acute paediatric mastoiditis in the UK before and during the COVID-19 pandemic: A national observational study.
Observational study in Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers.
What it found
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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.
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Who cites it
10 citing papers in PubMed, 33 citations in OpenAlex.
- Epidemiological evolution of acute mastoiditis in children after COVID-19 pandemic.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 · 2025Article
- Management of acute mastoiditis in children: a retrospective analysis.Italian journal of pediatrics · 2025Article
- Shifting patterns of acute otitis media and mastoiditis through COVID-19 Era: analysis of pre-pandemic, pandemic, and post-pandemic dynamics.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 · 2025Article
- Impact of COVID-19 on the epidemiology of severe sinogenic and otogenic infections and their intracranial complications.European journal of pediatrics · 2025Observational
- Seasonality Disrupted: Post-Pandemic Trends in Otorhinolaryngological Infections.Journal of clinical medicine · 2024Article
- Increase in acute mastoiditis at the end of the COVID-19 pandemic.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 · 2024Article
- [Increased rate of complications of pediatric acute otitis media and sinusitis in 2022/2023].HNO · 2024Article
- Corrigendum.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2022Article
- Acute paediatric mastoiditis in the UK before and during the COVID-19 pandemic: A national observational study.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2022Observational
- Impact of the COVID-19 pandemic on the incidence of acute mastoiditis in a tertiary reference children's hospital in Brazil.Jornal de pediatriaArticle
Corrections and comments
- Erratum issuedCorrigendum.2022
Authors and funding
8 authors at 7 institutions in 1 country.
Funding
Abstract
objectivesTo explore the impact of COVID-19 on the management and outcomes of acute paediatric mastoiditis across the UK.
designNational retrospective and prospective audit.
setting48 UK secondary care ENT departments.
participantsConsecutive children aged 18 years or under, referred to ENT with a clinical diagnosis of mastoiditis.
main outcome measuresCases were divided into Period 1 (01/11/19-15/03/20), before the UK population were instructed to reduce social contact, and Period 2 (16/03/20-30/04/21), following this. Periods 1 and 2 were compared for population variables, management and outcomes. Secondary analyses compared outcomes by primary treatment (medical/needle aspiration/surgical).
results286 cases met criteria (median 4 per site, range 0-24). 9.4 cases were recorded per week in period 1 versus 2.0 in period 2, with no winter increase in cases in December 2020-Febraury 2021. Patient age differed between periods 1 and 2 (3.2 vs 4.7 years respectively, p < 0.001). 85% of children in period 2 were tested for COVID-19 with a single positive test. In period, 2 cases associated with P. aeruginosa significantly increased. 48.6% of children were scanned in period 1 vs 41.1% in period 2. Surgical management was used more frequently in period 1 (43.0% vs 24.3%, p = 0.001). Treatment success was high, with failure of initial management in 6.3%, and 30-day re-admission for recurrence in 2.1%. The adverse event rate (15.7% overall) did not vary by treatment modality or between periods 1& 2.
conclusionThe COVID-19 pandemic led to a significant change in the presentation and case mix of acute paediatric mastoiditis in the UK.
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