Department of Otolaryngology, Cathay General Hospital, Taipei, Taiwan.
Clinics (Sao Paulo). 2011;66(3):395-9. doi: 10.1590/s1807-59322011000300005.
To report the incidence and recurrence of acute otitis media (AOM) in Taiwan's pediatric population.
Information from children (aged <= 12 years) with a diagnosis of AOM was retrieved from the 2006 National Healthcare Insurance claims database. We calculated the cumulative incidence rate and the incidence density rate of recurrent AOM within one year after the initial diagnosis in 2006. We used a multivariate logistic regression model to assess the predictors for recurrence of AOM.
The annual incidence rate of AOM was estimated to be 64.5 cases per 1,000 children. The overall one-year cumulative incidence rate of recurrence was 33.1%, and the incidence density rate was 33.5 cases per 100 person-years, with the highest figure (41.2 cases per 100 person-years) noted for children aged 0-2 years. Recurrence was significantly associated with age, gender, place of treatment, and physician specialty.
AOM remains a major threat to children's health in Taiwan. Male children and very young children require more aggressive preventive strategies to reduce the risk of recurrence.
报告台湾儿科人群急性中耳炎（AOM）的发病和复发情况。
从 2006 年全民健康保险理赔数据库中检索出诊断为 AOM 的儿童（年龄<=12 岁）的信息。我们计算了 2006 年初始诊断后一年内复发性 AOM 的累积发病率和发病率密度。我们使用多变量逻辑回归模型评估 AOM 复发的预测因素。
AOM 的年发病率估计为每 1000 名儿童 64.5 例。总体而言，一年的累积复发率为 33.1%，发病率密度为 33.5 例/100 人年，0-2 岁儿童的发病率最高（41.2 例/100 人年）。复发与年龄、性别、治疗地点和医生专业显著相关。
AOM 仍然是台湾儿童健康的主要威胁。男童和非常年幼的儿童需要更积极的预防策略来降低复发风险。
