Table 3.
Change between step 1 and 2 | Tympanometry | Pneumatic otoscopy | Significance | |||
---|---|---|---|---|---|---|
χ 2 and p value | ||||||
Yes | No | Yes | No | Incomplete data | ||
Any change in GP diagnosis | 96 | 93 | 32 | 113 | 33 | 28.64, df 1, p < 0.01 |
Change from diagnosis of NAD at Step 1 to OME at Step 2 | 10 | 44 | 0 | 67 | p < 0.01 † | |
Change from AOM at Step 1 to NAD at Step 2 | 5 | 26 | 1 | 24 | p = 0.21 † | |
Change from OME at Step 1 to NAD at Step 2 | 10 | 28 | 4 | 14 | 0.11, df 1, p = 1 | |
Change from Unsure at Step 1 to NAD, AOM or OME at Step 2 | 24 | 6 | 13 | 7 | 1.4, df = 1, p = 0.33 | |
Change from NAD, AOM or OME at Step 1 to Unsure at Step 2 | 15 | 139 | 9 | 110 | 0.40, df 1, p = 0.53 | |
Change in decision to prescribe oral antibiotic | 12 | 136 | 5 | 122 | 72 | 2.05, df 1, p = 0.15 |
Any change in planned GP review | 33 | 122 | 10 | 114 | 87 | 9.24, df 1, p < 0.01 |
Change from no plan for GP review at Step 1 to GP review plan at Step 2 | 21 | 63 | 5 | 72 | 10.16, df 1, p < 0.01 | |
Change from GP review plan at Step 1 to no plan for GP review at Step 2 | 13 | 57 | 7 | 39 | 0.22, df 1,p = 0.64 |
†Fisher’s exact test.
GP = General practitioner (primary healthcare practitioner).
AOM = Acute otitis media, OME = Otitis media with effusion, NAD = No abnormality detected.