Back to Search
Start Over
Analysis of Prognostic Factors Impacting Pediatric Acute Mastoiditis Outcomes.
- Source :
-
The journal of international advanced otology [J Int Adv Otol] 2023 Jan; Vol. 19 (1), pp. 50-54. - Publication Year :
- 2023
-
Abstract
- Background: This study aimed to investigate the outcomes of pediatric patients with acute mastoiditis while examining the role of intravenous steroid therapy, patient demographics, and serum inflammatory values as prognostic factors.<br />Methods: This study is a single-center retrospective observational study including 73 consecutive patients treated for acute mastoiditis in the course of the 10-year study period (January 2010 to December 2019).<br />Results: Data analysis showed that patients requiring surgical treatment (14%) had a 3-fold higher C-reactive protein value at admission compared to those treated conservatively (P < .001). Receiver operating characteristic analysis revealed that a C-reactive protein cut-off of ≥98.7 had a sensitivity and specificity of 100% and 74.6%, respectively, for predicting the need for surgery (area under the curve=0.927, P < .001). The duration of symptoms before hospitalization was nearly 2 days shorter in male patients (P=.031), and the use of intravenous steroid therapy significantly shortened the length of hospitalization (P=.023), by 1.4 days on average.<br />Conclusion: Intravenous steroid therapy may be useful in decreasing the length of hospital stay. Mastoiditis tends to present more severely in male patients, and monitoring C-reactive protein values during treatment correlated well with the need for surgery.
Details
- Language :
- English
- ISSN :
- 2148-3817
- Volume :
- 19
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- The journal of international advanced otology
- Publication Type :
- Academic Journal
- Accession number :
- 36718037
- Full Text :
- https://doi.org/10.5152/iao.2023.22794