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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.
Unlabelled:
Sleep-disordered breathing (SDB) is prevalent. There is evidence of their effect on quality of life.
Aim:
To assess the quality of life in children with SDB before and after adenoidectomy or adenotonsillectomy.
Methods:
A prospective before and after interventional study, with a component for assessment. A consecutive sample of children referred to adenoidectomy or adenotonsillectomy was recruited from the otolaryngology clinic; guardians answered a specific survey for the evaluation of quality of life in children with SDB, the OSA-18, before and at least 30 days after surgery. Nasofibroscopic and otolaryngological exams and a semi-structured survey on the childs social and clinical profile were done on both appointments.
Results:
48 children with a mean age of 5.93 years (SD=2.43) were evaluated. The mean number of schooling years for guardians was 8.29 years (SD=3.14). The most frequent symptoms were: agitated sleep, apnea and snoring. The total mean score of the initial OSA-18 was 82.83 (major impact); following surgery, the total mean score was 34.15. The differences in the total scores and in the domains between the initial OSA-18 and post-surgery scores were all significant (p<0.00).
Conclusion:
SDB has a relevant impact on quality of life, and patients show dramatic improvements after surgical treatment.
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