Quality of life in children with sleep-disordered breathing: evaluation by OSA-18

Viviane Carvalho da Silva1, Alvaro Jorge Madeiro Leite

  • 1Otorhinopediatrics, Federal University of São Paulo, SP.

Insights

Sleep-disordered breathing significantly impacts children's quality of life. Surgical treatments like adenoidectomy dramatically improve their well-being and reduce symptoms.

Area of Science:

  • Pediatric Otolaryngology
  • Sleep Medicine
  • Quality of Life Research

Background:

  • Sleep-disordered breathing (SDB) is a common condition in children.
  • SDB has a documented negative effect on a child's quality of life.

Purpose of the Study:

  • To evaluate the quality of life in pediatric patients diagnosed with SDB.
  • To assess the impact of adenoidectomy or adenotonsillectomy on the quality of life in children with SDB.

Main Methods:

  • A prospective, before-and-after interventional study design was employed.
  • The study included 48 children undergoing adenoidectomy or adenotonsillectomy.
  • Quality of life was measured using the OSA-18 survey pre- and post-surgery, alongside clinical and social assessments.

Main Results:

  • The most common symptoms reported were agitated sleep, apnea, and snoring.
  • Pre-surgery, the mean OSA-18 score indicated a major impact on quality of life (82.83).
  • Post-surgery, the mean OSA-18 score significantly decreased to 34.15 (p<0.00).

Conclusions:

  • Sleep-disordered breathing substantially affects the quality of life in children.
  • Surgical intervention, specifically adenoidectomy or adenotonsillectomy, leads to significant improvements in quality of life for these patients.
Abstract

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