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Sponsorships or competing interests that may be relevant to content are dis-closed at the end of this article. Objective. Pressure equalization tube (PET) placement is the most common surgical procedure performed during child-hood. Current guidelines recommend more prompt man-agement of children with otitis media with effusion who are at greater risk for speech-language and developmental prob-lems. This study was designed to examine risk factors for continued post-PET hearing loss in a large pediatric clinical sample. Study Design. Retrospective analysis using the electronic medical record. Setting. Tertiary care children’s hospital. Subjects. Pediatric patients undergoing PET placement between January 2009 and October 2012 who had audiometric tests. Methods. Demographics, patient diagnoses, and hearing loss information were extracted. Multivariate binary logis-tic regression models were used to identify associations between patient-specific characteristics and the presence of hearing loss