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Scientific paper - Original scientific paper
Analysis of Prognostic Factors Impacting Pediatric Acute Mastoiditis Outcomes
The Journal of International Advanced Otology, 19 (2023), 1; 50-54. https://doi.org/10.5152/iao.2023.22794
Israeli, Asaf; Košec, Andro; Shochat, Isaac; Piras, Gianluca; Braverman, Itzhak; Klein, Adi; Grinblat, Golda

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

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Israeli, A., Košec, A., Shochat, I., Piras, G., Braverman, I., Klein, A. & Grinblat, G. (2023). Analysis of Prognostic Factors Impacting Pediatric Acute Mastoiditis Outcomes. The Journal of International Advanced Otology, 19. (1), 50-54. doi: 10.5152/iao.2023.22794

Israeli, Asaf, et al. "Analysis of Prognostic Factors Impacting Pediatric Acute Mastoiditis Outcomes." The Journal of International Advanced Otology, vol. 19, no. 1, 2023, pp. 50-54. https://doi.org/10.5152/iao.2023.22794

Israeli, Asaf, Andro Košec, Isaac Shochat, Gianluca Piras, Itzhak Braverman, Adi Klein and Golda Grinblat. "Analysis of Prognostic Factors Impacting Pediatric Acute Mastoiditis Outcomes." The Journal of International Advanced Otology 19, no. 1 (2023): 50-54. https://doi.org/10.5152/iao.2023.22794

Israeli, A., et al. (2023) 'Analysis of Prognostic Factors Impacting Pediatric Acute Mastoiditis Outcomes', The Journal of International Advanced Otology, 19(1), pp. 50-54. doi: 10.5152/iao.2023.22794

Israeli A, Košec A, Shochat I, Piras G, Braverman I, Klein A, and sur.. Analysis of Prognostic Factors Impacting Pediatric Acute Mastoiditis Outcomes. The Journal of International Advanced Otology [Internet]. 2023 January [cited 2024 May 04];19(1):50-54. doi: 10.5152/iao.2023.22794

A. Israeli, et al., "Analysis of Prognostic Factors Impacting Pediatric Acute Mastoiditis Outcomes", The Journal of International Advanced Otology, vol. 19, no. 1, pp. 50-54, January 2023. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:196374. [Accessed: 04 May 2024]

Metadata
Title (english)Analysis of Prognostic Factors Impacting Pediatric Acute Mastoiditis Outcomes
AuthorAsaf Israeli
AuthorAndro Košec
AuthorIsaac Shochat
AuthorGianluca Piras
AuthorItzhak Braverman
AuthorAdi Klein
AuthorGolda Grinblat
Author's institutionUniversity of Zagreb
School of Medicine
(Department of Othorhinolaryngology and Head and Neck Surgery)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Otorhinolaryngology
Abstract (english)
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. 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). 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. 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.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleThe Journal of International Advanced Otology
Numberingvol. 19, no. 1, pp. 50-54
e-ISSN2148-3817
DOIhttps://doi.org/10.5152/iao.2023.22794
URN:NBNurn:nbn:hr:105:196374
Publication2023-01
Document URLhttps://advancedotology.org//en/analysis-of-prognostic-factors-impacting-pediatric-acute-mastoiditis-outcomes-131796
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) icon
Created on2024-01-22 09:53:29