Anouk Tuijnman, Marloes Kleinjan, Merlijn Olthof, Evert Hoogendoorn, Isabela Granic, Rutger Cme Engels
A Game-Based School Program for Mental Health Literacy and Stigma on Depression (Moving Stories): Cluster Randomized Controlled Trial
JMIR mental health
small proportion children otitis media develop acute mastoiditis potential spread intracranially result significant morbidity mortality aim study evaluate incidence management complications related pediatric acute mastoiditis using national database retrospective review 2016 kids inpatient database part healthcare cost utilization project academic community general pediatric specialty hospitals united states international classification diseases tenth revision clinical modification code h70xxx used retrieve records children admitted diagnosis mastoiditis data included patient demographics intracranial infections procedures middle ear drainage mastoidectomy intracranial drainage length stay los total charges total 2061 children aged 21 years identified diagnosis acute mastoiditis complications included subperiosteal abscess 690 intracranial thrombophlebitisthrombosis 530 intracranial abscess 390 otitic hydrocephalus 120 encephalitis 090 subperiosteal abscess intracranial complication 060 petrositis 060 meningitis 030 children intracranial abscesses likely p 001 undergo myringotomy ventilation tube insertion 637 mastoidectomy 538 mastoidectomy ventilation tube myringotomy 425 intracranial drainage procedure 363 3 key procedures 150 children type intracranial complication significantly longer los p 001 higher total charges p 001 diagnosis bacterial meningitis undergoing intracranial drainage procedure p 001 contributed significantly los total charges patients intracranial complications likely undergo surgical procedures however still wide variability practice patterns illustrating controversies management otitis media complications persist