Efeito de curto prazo relatado pelo cuidador e melhora da qualidade de vida após inserção do tubo de timpanostomia em crianças com otite média crônica com derrame

Resumo original em inglês

O que aconteceu

Chronic otitis media with effusion (COME) is a leading indication for tympanostomy tube insertion (TTI) in young children. While long-term developmental effects of TTI appear limited, short-term outcomes are less well described.

To assess caregiver-reported outcomes of TTI in children aged 1-4 years with COME, including reasons for consultation, baseline quality of life (QoL), and perceived changes one month after surgery.

This prospective study included 60 children with COME recruited from two non-referral ENT clinics in Denmark. Participants were randomized 1:1 to TTI or one-month observation. Controls who still met guideline criteria after one month were offered TTI. Caregivers completed the OM-6 questionnaire and two global QoL numerical rating scales at baseline and one month after TTI. Paired t-tests and Spearman correlations were used.

O que encontraram

Fifty-four children completed follow-up; 52 underwent TTI. Sleep disturbance was the most frequent caregiver-reported complaint (74%). Mean baseline OM-6 score was 3.16 (SD 1.0); the lowest item score was activity limitation (2.5), the only OM-6 item reflecting sleep. At one month, child QoL improved from 6.2 to 8.5 (Δ2.6; p < 0.0005) and family QoL from 6.7 to 8.1 (Δ1.7; p < 0.0005). OM-6 correlated with child (ρ = -0.56) and family QoL (ρ = -0.55). Caregivers reported improvement in sleep (58%), hearing (60%), and language (72%); overall satisfaction was 96%.

Por que isso importa

TTI was associated with significant short-term improvement in child and family QoL. The low OM-6 activity limitation score despite frequent caregiver-reported sleep disturbance suggests otitis media-specific QoL instruments may underrepresent sleep-related morbidity.

Resumo publicado sob licença CC BY. A tradução para o português ainda não chegou a este estudo.