Esmaeil Hani, Maryam Saeedi, Davood Hekmatpou
The impacts of head trauma management education on the clinical decision-making of pre-hospital emergency staff
Journal of education and health promotion
objectives 1 describe longitudinal trends annual prevalence hospital admission pediatric acute otitis media aom complications aom caom since introduction pneumococcal vaccination 2000 2 describe longitudinal trend prevalence hospital admission pneumococcal meningitis children aomrelated diagnoses postvaccination era study design retrospective analysis kids inpatient database 2000 2012 setting community nonrehabilitation hospitals subjects methods determine annual prevalence admission aomcaom nationally weighted frequencies children aged 21 years acute suppurative otitis media acute mastoiditis suppurative labyrinthitis andor acute petrositis collected frequency coexisting pneumococcal meningitis diagnoses among patients also collected trend analysis prevalences admission aomcaom pneumococcal meningitis occurring setting aomcaom 2000 2012 performed results 2000 2012 annual prevalence admission aomcaom decreased 3956 2618 per 100000 persons p 0001 relative risk reduction 34 declines admission prevalence pronounced children 1 year age 22647 8715 per 100000 persons 2000 2012 p 0001 1 2 years age 13652 5554 per 100000 persons 2000 2012 p 0001 ages admission prevalence pneumococcal meningitis concomitant aomcaom decreased 1760 0717 per 1000000 persons p 0001 study period conclusions prevalence hospital admission pediatric aomcaom declined since advent pneumococcal vaccination admission rates pneumococcal meningitis aomcaom similarly declined