Spilseth P
St. Croix Valley Clinic, Stillwater, Minnesota 55082.
Fam Pract Res J. 1992 Mar;12(1):43-52.
We identified 38 children who had tympanostomy tubes placed during a one-year period. We used appropriateness criteria and retrospective medical record review to determine if tympanostomy tube placement was appropriate or inappropriate. We asked parents for outcome information about their child 12 months after tubes were placed. We counted ENT-related clinic visits for 12 months before tubes and 12 months after tubes. The results showed that 20 of 38 (53%) patients were referred appropriately for tubes. One year after the procedure, 95% of parents felt their child was better. The appropriate groups had an average of 9.05 ear-related clinic visits in the year before tubes and 4.80 visits in the year after tubes. The inappropriate group had an average of 7.44 ear-related visits in the year before tubes and 5.17 visits in the year after surgery. Although this difference is not statistically significant at 95% confidence interval, it suggests a relationship of less resource utilization for those with appropriate tube placement, but little change for those placed inappropriately.
我们确定了38名在一年期间接受鼓膜置管的儿童。我们使用适用性标准并回顾医疗记录来确定鼓膜置管是否合适。我们向家长询问了置管12个月后其孩子的预后信息。我们统计了置管前12个月和置管后12个月与耳鼻喉科相关的门诊就诊次数。结果显示，38名患者中有20名（53%）被恰当地转诊接受置管。术后一年，95%的家长认为他们的孩子情况有所好转。合适组在置管前一年平均有9.05次耳部相关门诊就诊，置管后一年为4.80次。不合适组在置管前一年平均有7.44次耳部相关就诊，术后一年为5.17次。尽管在95%置信区间内这种差异无统计学意义，但这表明对于置管合适的患者资源利用较少，而对于置管不合适的患者变化不大。
