Adenoidectomy during early life and the risk of asthma
The objective of the study was to evaluate the risk of asthma in children who had undergone an adenoidectomy, an operation frequently performed on children with glue ear or recurrent otitis media. Two surveys were carried out, a nation‐wide questionnaire returned by 483 individuals (survey A) and a...
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| Veröffentlicht in: | Pediatric allergy and immunology 2003-10, Vol.14 (5), p.358-362 |
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| creator | Mattila, Petri S. Hammarén-Malmi, Sari Tarkkanen, Jussi Saxen, Harri Pitkäniemi, Janne Karvonen, Marjatta Tuomilehto, Jaakko |
| description | The objective of the study was to evaluate the risk of asthma in children who had undergone an adenoidectomy, an operation frequently performed on children with glue ear or recurrent otitis media. Two surveys were carried out, a nation‐wide questionnaire returned by 483 individuals (survey A) and a survey of hospital discharge records involving 1616 children who had undergone an adenoidectomy and 161 control children who had undergone probing of the nasolacrimal duct due to congenital obstruction (survey B). The questionnaire (survey A) showed that an adenoidectomy before the age of 4 years was associated with asthma (OR 3.19, 95% CI 1.25; 8.13) and with allergy to animal dust (OR 2.50, 95% CI 1.27; 4.95). In survey B, asthma diagnosis was retrieved from the national asthma register. It showed also that adenoidectomy at an early age was associated with an increased risk of asthma (OR 6.74, 95% CI 2.99; 15.2). There was an association between asthma and adenoidectomy, even before adenoidectomy had actually been performed. The risk of asthma was highest among children who had had adenoidectomy because of recurrent otitis media. The observed association between an adenoidectomy and asthma may be explained by an underlying factor predisposing to both recurrent otitis media and asthma. |
| doi_str_mv | 10.1034/j.1399-3038.2003.00070.x |
| format | Article |
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Two surveys were carried out, a nation‐wide questionnaire returned by 483 individuals (survey A) and a survey of hospital discharge records involving 1616 children who had undergone an adenoidectomy and 161 control children who had undergone probing of the nasolacrimal duct due to congenital obstruction (survey B). The questionnaire (survey A) showed that an adenoidectomy before the age of 4 years was associated with asthma (OR 3.19, 95% CI 1.25; 8.13) and with allergy to animal dust (OR 2.50, 95% CI 1.27; 4.95). In survey B, asthma diagnosis was retrieved from the national asthma register. It showed also that adenoidectomy at an early age was associated with an increased risk of asthma (OR 6.74, 95% CI 2.99; 15.2). There was an association between asthma and adenoidectomy, even before adenoidectomy had actually been performed. The risk of asthma was highest among children who had had adenoidectomy because of recurrent otitis media. The observed association between an adenoidectomy and asthma may be explained by an underlying factor predisposing to both recurrent otitis media and asthma.</description><identifier>ISSN: 0905-6157</identifier><identifier>EISSN: 1399-3038</identifier><identifier>DOI: 10.1034/j.1399-3038.2003.00070.x</identifier><identifier>PMID: 14641605</identifier><language>eng</language><publisher>Oxford, UK: Munksgaard International Publishers</publisher><subject>Adenoidectomy ; Adolescent ; Adult ; asthma ; Asthma - epidemiology ; Asthma - etiology ; atopy ; Biological and medical sciences ; Bronchial Hyperreactivity - epidemiology ; Bronchial Hyperreactivity - etiology ; Bronchitis - epidemiology ; Bronchitis - etiology ; Child ; Child Welfare ; Diabetes Mellitus, Type 1 - epidemiology ; Diabetes Mellitus, Type 1 - surgery ; Female ; Finland - epidemiology ; Follow-Up Studies ; Fundamental and applied biological sciences. Psychology ; Fundamental immunology ; General aspects ; Humans ; Male ; Medical sciences ; Multivariate Analysis ; otitis media ; Otitis Media with Effusion - epidemiology ; Otitis Media with Effusion - surgery ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Recurrence ; Respiratory Sounds ; respiratory tract infections ; Risk Factors ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. 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Two surveys were carried out, a nation‐wide questionnaire returned by 483 individuals (survey A) and a survey of hospital discharge records involving 1616 children who had undergone an adenoidectomy and 161 control children who had undergone probing of the nasolacrimal duct due to congenital obstruction (survey B). The questionnaire (survey A) showed that an adenoidectomy before the age of 4 years was associated with asthma (OR 3.19, 95% CI 1.25; 8.13) and with allergy to animal dust (OR 2.50, 95% CI 1.27; 4.95). In survey B, asthma diagnosis was retrieved from the national asthma register. It showed also that adenoidectomy at an early age was associated with an increased risk of asthma (OR 6.74, 95% CI 2.99; 15.2). There was an association between asthma and adenoidectomy, even before adenoidectomy had actually been performed. The risk of asthma was highest among children who had had adenoidectomy because of recurrent otitis media. The observed association between an adenoidectomy and asthma may be explained by an underlying factor predisposing to both recurrent otitis media and asthma.</description><subject>Adenoidectomy</subject><subject>Adolescent</subject><subject>Adult</subject><subject>asthma</subject><subject>Asthma - epidemiology</subject><subject>Asthma - etiology</subject><subject>atopy</subject><subject>Biological and medical sciences</subject><subject>Bronchial Hyperreactivity - epidemiology</subject><subject>Bronchial Hyperreactivity - etiology</subject><subject>Bronchitis - epidemiology</subject><subject>Bronchitis - etiology</subject><subject>Child</subject><subject>Child Welfare</subject><subject>Diabetes Mellitus, Type 1 - epidemiology</subject><subject>Diabetes Mellitus, Type 1 - surgery</subject><subject>Female</subject><subject>Finland - epidemiology</subject><subject>Follow-Up Studies</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Fundamental immunology</subject><subject>General aspects</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Multivariate Analysis</subject><subject>otitis media</subject><subject>Otitis Media with Effusion - epidemiology</subject><subject>Otitis Media with Effusion - surgery</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Recurrence</subject><subject>Respiratory Sounds</subject><subject>respiratory tract infections</subject><subject>Risk Factors</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</subject><subject>Statistics as Topic</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><issn>0905-6157</issn><issn>1399-3038</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMuO0zAUQC0EYsrALyBvYJdw_Y4lNlWHeUhVAWkQS8txbph08hjsVLR_TzKtZpawsiWfc691CKEMcgZCftrmTFibCRBFzgFEDgAG8v0Lsnh6eEkWYEFlmilzRt6ktAVgRmj2mpwxqSXToBZELyvsh6bCMA7dgVa72PS_KPrYHmjb1Eh9X9HxDmls0j0daurTeNf5t-RV7duE707nOflx-eV2dZ2tv17drJbrLChuISsEM6X3EspCIFdGgCyNrLlEU1hulFYhMIWFRg2lD9bXtqoMwwClMEUI4px8PM59iMPvHabRdU0K2La-x2GXnGGSS2b5P0FmJS9AzmBxBEMcUopYu4fYdD4eHAM3x3VbNzd0c0M3x3WPcd1-Ut-fduzKDqtn8VRzAj6cAJ-Cb-vo-9CkZ05xARrkxH0-cn-aFg___QH3bXkzXSY9O-pNGnH_pPt477QRRrmfmyv3fXO5Xm0ubp0WfwF6kqIG</recordid><startdate>200310</startdate><enddate>200310</enddate><creator>Mattila, Petri S.</creator><creator>Hammarén-Malmi, Sari</creator><creator>Tarkkanen, Jussi</creator><creator>Saxen, Harri</creator><creator>Pitkäniemi, Janne</creator><creator>Karvonen, Marjatta</creator><creator>Tuomilehto, Jaakko</creator><general>Munksgaard International Publishers</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>200310</creationdate><title>Adenoidectomy during early life and the risk of asthma</title><author>Mattila, Petri S. ; Hammarén-Malmi, Sari ; Tarkkanen, Jussi ; Saxen, Harri ; Pitkäniemi, Janne ; Karvonen, Marjatta ; Tuomilehto, Jaakko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5290-8317baa40b83e257304b74f24e78927565cc15e86e60bac9af9dd71ec0b378cc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adenoidectomy</topic><topic>Adolescent</topic><topic>Adult</topic><topic>asthma</topic><topic>Asthma - epidemiology</topic><topic>Asthma - etiology</topic><topic>atopy</topic><topic>Biological and medical sciences</topic><topic>Bronchial Hyperreactivity - epidemiology</topic><topic>Bronchial Hyperreactivity - etiology</topic><topic>Bronchitis - epidemiology</topic><topic>Bronchitis - etiology</topic><topic>Child</topic><topic>Child Welfare</topic><topic>Diabetes Mellitus, Type 1 - epidemiology</topic><topic>Diabetes Mellitus, Type 1 - surgery</topic><topic>Female</topic><topic>Finland - epidemiology</topic><topic>Follow-Up Studies</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Fundamental immunology</topic><topic>General aspects</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Multivariate Analysis</topic><topic>otitis media</topic><topic>Otitis Media with Effusion - epidemiology</topic><topic>Otitis Media with Effusion - surgery</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Recurrence</topic><topic>Respiratory Sounds</topic><topic>respiratory tract infections</topic><topic>Risk Factors</topic><topic>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</topic><topic>Statistics as Topic</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mattila, Petri S.</creatorcontrib><creatorcontrib>Hammarén-Malmi, Sari</creatorcontrib><creatorcontrib>Tarkkanen, Jussi</creatorcontrib><creatorcontrib>Saxen, Harri</creatorcontrib><creatorcontrib>Pitkäniemi, Janne</creatorcontrib><creatorcontrib>Karvonen, Marjatta</creatorcontrib><creatorcontrib>Tuomilehto, Jaakko</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric allergy and immunology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mattila, Petri S.</au><au>Hammarén-Malmi, Sari</au><au>Tarkkanen, Jussi</au><au>Saxen, Harri</au><au>Pitkäniemi, Janne</au><au>Karvonen, Marjatta</au><au>Tuomilehto, Jaakko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adenoidectomy during early life and the risk of asthma</atitle><jtitle>Pediatric allergy and immunology</jtitle><addtitle>Pediatr Allergy Immunol</addtitle><date>2003-10</date><risdate>2003</risdate><volume>14</volume><issue>5</issue><spage>358</spage><epage>362</epage><pages>358-362</pages><issn>0905-6157</issn><eissn>1399-3038</eissn><abstract>The objective of the study was to evaluate the risk of asthma in children who had undergone an adenoidectomy, an operation frequently performed on children with glue ear or recurrent otitis media. Two surveys were carried out, a nation‐wide questionnaire returned by 483 individuals (survey A) and a survey of hospital discharge records involving 1616 children who had undergone an adenoidectomy and 161 control children who had undergone probing of the nasolacrimal duct due to congenital obstruction (survey B). The questionnaire (survey A) showed that an adenoidectomy before the age of 4 years was associated with asthma (OR 3.19, 95% CI 1.25; 8.13) and with allergy to animal dust (OR 2.50, 95% CI 1.27; 4.95). In survey B, asthma diagnosis was retrieved from the national asthma register. It showed also that adenoidectomy at an early age was associated with an increased risk of asthma (OR 6.74, 95% CI 2.99; 15.2). There was an association between asthma and adenoidectomy, even before adenoidectomy had actually been performed. The risk of asthma was highest among children who had had adenoidectomy because of recurrent otitis media. The observed association between an adenoidectomy and asthma may be explained by an underlying factor predisposing to both recurrent otitis media and asthma.</abstract><cop>Oxford, UK</cop><pub>Munksgaard International Publishers</pub><pmid>14641605</pmid><doi>10.1034/j.1399-3038.2003.00070.x</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adenoidectomy Adolescent Adult asthma Asthma - epidemiology Asthma - etiology atopy Biological and medical sciences Bronchial Hyperreactivity - epidemiology Bronchial Hyperreactivity - etiology Bronchitis - epidemiology Bronchitis - etiology Child Child Welfare Diabetes Mellitus, Type 1 - epidemiology Diabetes Mellitus, Type 1 - surgery Female Finland - epidemiology Follow-Up Studies Fundamental and applied biological sciences. Psychology Fundamental immunology General aspects Humans Male Medical sciences Multivariate Analysis otitis media Otitis Media with Effusion - epidemiology Otitis Media with Effusion - surgery Postoperative Complications - epidemiology Postoperative Complications - etiology Recurrence Respiratory Sounds respiratory tract infections Risk Factors Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis Statistics as Topic Surveys and Questionnaires Treatment Outcome |
| title | Adenoidectomy during early life and the risk of asthma |
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