Abstract
FUV 10-14 days (d) after treatment (Rx) for AOME is customary to assess medical Rx. 180 children with AOME were randomized to either Group A (GpA, N=91) for 10d FUV, or to Group B (GpB, N=89) for 30d FUV. Evaluation was done by otscopy and tympanometry on 70 patients (pts) in GpA and 74 in GpB. Parents were told to return before FUV if fever, querulousness or ear tugging supervened. At the scheduled FUV, 19 pts (27%) in GpA and 40 (54%) in GpB had normal examination (ex). Persistent otitis media with effusion (POME) was found in 37 (53%) in GpA and 22 (30%) in GpB. The proportion of those with persistent AOME (AOMEP) between 10-17d and of those with signs and symptoms of recurrent AOME (AOMER) between 18-30d was similar for both groups. AOMEP was noted in 8/70 (11%) GpA pts vs 7/74 (9%) in GpB; for AOMER 6/70 (9%) GpA pts vs 5/74 (7%) in GpB. Only 9/15 (60%) instances of AOMEP in both groups (5/8 GpA, 3/7 GpB) were detected at 14d FUV, and only 5/11 (45%) recurrences were picked up at FUV within 2 weeks of end of Rx. At lOd FUV, otitis-prone pts (OP+, history of ≥3 AOME) had normal ex less frequently than pts not otitis-prone (OP-): OP+, 2/15 (13%) vs OP-, 17/55 (31%) and had AOMER more often: OP+, 4/15 (27%) vs OP-, 2/55 (4%). At 30d FUV, OP+ pts had normal ex less often: OP+, 3/14 (21%) vs OP-, 37/60 (61%) and had POME more often: OP+ 8/15 (57%) vs OP-, 14/60 (23%). At 10d and 30d FUV, OP+ pts had more abnormal ear ex than OP- pts and needed closer follow-up. For OP- pts, FUV 30d after AOM was sufficient.
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Schwartz, R., Rodriguez, W. & Grundfast, K. TIMING OF RE-EVALUATION FOR INITIAL FOLLOW-UP VISIT (FUV) FOR ACUTE OTITIS MEDIA WITH EFFUSION (AOME): A RANDOMIZED COMPARATIVE STUDY OF 10 DAYS vs 30 DAYS. Pediatr Res 18 (Suppl 4), 233 (1984). https://doi.org/10.1203/00006450-198404001-00838
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DOI: https://doi.org/10.1203/00006450-198404001-00838