Hall, A and Wills, AK and Mahmoud, Osama and Sell, D and Waylen, A and Grewal, S and Sandy, JR and Ness, AR (2017) Centre-level variation in outcomes and treatment for otitis media with effusion and hearing loss and the association of hearing loss with developmental outcomes at ages 5 and 7 years in children with non-syndromic unilateral cleft lip and palate: The Cleft Care UK study. Part 2. Orthodontics and Craniofacial Research, 20 (S2). pp. 8-18. DOI https://doi.org/10.1111/ocr.12184
Hall, A and Wills, AK and Mahmoud, Osama and Sell, D and Waylen, A and Grewal, S and Sandy, JR and Ness, AR (2017) Centre-level variation in outcomes and treatment for otitis media with effusion and hearing loss and the association of hearing loss with developmental outcomes at ages 5 and 7 years in children with non-syndromic unilateral cleft lip and palate: The Cleft Care UK study. Part 2. Orthodontics and Craniofacial Research, 20 (S2). pp. 8-18. DOI https://doi.org/10.1111/ocr.12184
Hall, A and Wills, AK and Mahmoud, Osama and Sell, D and Waylen, A and Grewal, S and Sandy, JR and Ness, AR (2017) Centre-level variation in outcomes and treatment for otitis media with effusion and hearing loss and the association of hearing loss with developmental outcomes at ages 5 and 7 years in children with non-syndromic unilateral cleft lip and palate: The Cleft Care UK study. Part 2. Orthodontics and Craniofacial Research, 20 (S2). pp. 8-18. DOI https://doi.org/10.1111/ocr.12184
Abstract
Objectives To explore centre-level variation in otitis media with effusion (OME), hearing loss and treatments in children in Cleft Care UK (CCUK) and to examine the association between OME, hearing loss and developmental outcomes at 5 and 7 years. Setting and Sample Population Two hundred and sixty-eight 5-year-old British children with non-syndromic unilateral cleft lip and palate (UCLP) recruited to CCUK. Materials and Methods Children had air and bone conduction audiometry at age 5. Information on grommet and hearing aid treatment was obtained from parental questionnaire and medical notes. Hearing loss at age 5 was defined as >20 dB in the better ear and history of OME and hearing loss was determined from past treatment. Children with sensorineural hearing loss were excluded. Associations were examined with speech, behaviour and self-confidence at age 5 and educational attainment at age 7. Centre variation was examined using hierarchical models and associations between hearing variables and developmental outcomes were examined using logistic regression. Results There was centre-level variation in early grommet placement (variance partition coefficient (VPC) 18%, P=.001) and fitting of hearing aids (VPC 8%, P=.03). A history of OME and hearing loss was associated with poor intelligibility of speech (adjusted odds ratio=2.87, 95% CI 1.42-5.77) and aspects of educational attainment. Conclusions Hearing loss is an important determinant of poor speech and treatment variation across centres suggest management of OME and hearing loss could be improved.
Item Type: | Article |
---|---|
Uncontrolled Keywords: | Child; Child Development; Cleft Lip; Cleft Palate; Clinical Audit; Cross-Sectional Studies; Educational Status; Female; Hearing Aids; Hearing Loss; Humans; Logistic Models; Male; Middle Ear Ventilation; Otitis Media with Effusion; Speech Intelligibility; Speech Production Measurement; United Kingdom |
Divisions: | Faculty of Science and Health Faculty of Science and Health > Mathematics, Statistics and Actuarial Science, School of |
SWORD Depositor: | Unnamed user with email elements@essex.ac.uk |
Depositing User: | Unnamed user with email elements@essex.ac.uk |
Date Deposited: | 03 Feb 2023 15:22 |
Last Modified: | 30 Oct 2024 16:17 |
URI: | http://repository.essex.ac.uk/id/eprint/32207 |
Available files
Filename: Orthod Craniofacial Res - 2017 - Hall - Centre‐level variation in outcomes and treatment for otitis media with effusion and.pdf
Licence: Creative Commons: Attribution 4.0