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Acupoint Application Combined with Ear Plaster Therapy for Treating Sleep Disorders with Acute Exacerbation of Chronic Obstructive Pulmonary Disease
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Asthma as a risk factor for respiratory complications after adenotonsillectomy in children with obstructive breathing

Maninder Kalra1, Ralph Buncher, Raouf S Amin

  • 1Department of Pulmonary Medicine, Cincinnati Children's Hospital, Cincinnati, Ohio 45229, USA. maninder.kalra@cchmc.org

Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology
|June 11, 2005
PubMed

Insights

Children with asthma face higher risks of breathing complications after adenotonsillectomy for sleep apnea. This study confirms asthma as a significant risk factor, increasing complication odds by 4.4 times.

Area of Science:

  • Pediatric Otolaryngology
  • Pediatric Pulmonology
  • Sleep Medicine

Background:

  • Children with asthma are more prone to obstructive sleep-related breathing issues.
  • Adenotonsillectomy is a common treatment for obstructive sleep breathing but carries risks.
  • Postoperative respiratory complications following adenotonsillectomy are a significant concern.

Purpose of the Study:

  • To investigate if asthma is a predictive factor for respiratory complications post-adenotonsillectomy in children with obstructive sleep breathing.
  • To quantify the association between asthma and adverse respiratory outcomes after adenotonsillectomy.

Main Methods:

  • A case-control study design was employed.
  • 115 children with respiratory complications (study group) were compared to 115 children without complications (control group).
  • Participants ranged from 3 to 18 years of age.

Main Results:

  • Respiratory complications included oxygen desaturation and respiratory failure requiring mechanical ventilation.
  • A significantly higher proportion of children with asthma were observed in the study group (P < .01).
  • Asthma increased the odds of postoperative respiratory complications by 4.4 times (95% CI, 2.13-9.0), even after adjusting for other factors.

Conclusions:

  • Asthma is a significant risk factor for respiratory complications in children undergoing adenotonsillectomy for obstructive sleep breathing.
  • The findings highlight the importance of considering asthma status in the perioperative management of these pediatric patients.
Abstract

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