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Research ArticleResearch

Burden of acute otitis media on Canadian families

Eve Dubé, Philippe De Wals, Vladimir Gilca, Nicole Boulianne, Manale Ouakki, France Lavoie and Richard Bradet
Canadian Family Physician January 2011, 57 (1) 60-65;
Eve Dubé
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  • For correspondence: eve.dube@ssss.gouv.qc.ca
Philippe De Wals
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Vladimir Gilca
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Nicole Boulianne
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Manale Ouakki
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France Lavoie
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Richard Bradet
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    Figure 1.

    Flow chart of participant selection

    AOM—acute otitis media.

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    Table 1.

    Description of episodes, health services use, and medications for AOM, by age

    CHARACTERISTICSAGE
    6 TO 36 MO,* N (%) (N = 43)3 TO 4 Y,* N (%) (N = 93)ALL AGES,†N (%) (N = 161)
    Duration, d
      • ≤ 314 (33)30 (32)52 (32)
      • 4 to 613 (30)32 (34)55 (34)
      • ≥ 715 (35)29 (31)51 (32)
      • Unknown1 (2)2 (2)3 (2)
    Symptoms reported
      • Ear pain32 (74)‡82 (88)‡139 (86)
      • Fever34 (79)76 (82)130 (81)
      • Otorrhoea or ruptured tympanic membrane4 (9)‡28 (30)‡38 (24)
      • Vertigo5 (12)13 (14)23 (14)
      • Hearing loss2 (5)‡23 (25)‡31 (19)
    Health services use
      • Call to help line§7 (16)8 (9)18 (11)
      • Visit to physician43 (100)‡83 (89)‡151 (94)
      • Private clinic or community health centre32 (74)68 (73)122 (76)
      • Emergency room11 (26)15 (16)29 (18)
    No. of medications taken
      • 112 (28)‡10 (11)‡26 (16)
      • 225 (58)‡57 (61)‡97 (60)
      • ≥ 36 (14)‡26 (28)‡38 (24)
    Type of medications taken
      • Antibiotics41 (95)84 (90)149 (93)
      • Antipyretics or analgesics31 (72)79 (85)129 (80)
      • Ear drops5 (12)‡26 (28)‡37 (23)
      • Natural products3 (7)9 (10)14 (9)
    • ↵* Responses were compared between the 2 age groups using χ2 or Fisher exact tests.

    • ↵† Included in this group are 25 children aged 6 months to 5 years with their exact ages unknown (not included in previous 2 groups).

    • ↵‡ Differences between the 2 age groups are statistically significant (P ≤ .05).

    • ↵§ Some caregivers who used help lines also sought care from physicians.

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    Table 2.

    Time spent visiting a physician, including travel, waiting, and medical examination: N = 151.

    TIMEEMERGENCY ROOM (N = 29)OUTPATIENT CLINIC (N = 118)*
    HOURS, N (%)
      • < 210.0 (34)74.0 (63)
      • 2 < 413.0 (45)34.0 (29)
      • 4 < 64.0 (14)5.0 (4)
      • ≥ 62.0 (7)5.0 (4)
    Maximum, h18.03.0
    Mean, h3.11.8
    Median, h2.01.5
    • ↵* Four cases had missing responses for time spent vising a physician.

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Canadian Family Physician: 57 (1)
Canadian Family Physician
Vol. 57, Issue 1
1 Jan 2011
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Burden of acute otitis media on Canadian families
Eve Dubé, Philippe De Wals, Vladimir Gilca, Nicole Boulianne, Manale Ouakki, France Lavoie, Richard Bradet
Canadian Family Physician Jan 2011, 57 (1) 60-65;

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Burden of acute otitis media on Canadian families
Eve Dubé, Philippe De Wals, Vladimir Gilca, Nicole Boulianne, Manale Ouakki, France Lavoie, Richard Bradet
Canadian Family Physician Jan 2011, 57 (1) 60-65;
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