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Prevalence and predictors of significant sleep disturbances in children undergoing ambulatory tonsillectomy and

Jill E MacLaren1, Zeev N Kain

  • 1Department of Anesthesiology, Yale School of Medicine, New Haven, CT 06520, USA. jill.maclaren@yale.edu

Journal of Pediatric Psychology
|September 15, 2007
PubMed

Insights

Children

Area of Science:

  • Pediatric Surgery
  • Sleep Medicine
  • Child Psychology

Background:

  • Postoperative recovery in children is complex.
  • Sleep disturbances are common after pediatric surgery but predictors are not well understood.

Purpose of the Study:

  • To assess changes in children's sleep patterns after ambulatory surgery.
  • To identify factors predicting sleep disruptions following surgery in children.

Main Methods:

  • Actigraphy was used to monitor sleep for 5 nights before and 5 nights after surgery in 55 children (aged 6-12) undergoing tonsillectomy and adenoidectomy.
  • Parental anxiety, child perioperative anxiety, temperament, postoperative pain, and analgesic use were also assessed.

Main Results:

  • Children exhibited significantly reduced sleep efficiency post-surgery compared to pre-surgery.
  • One-third of children experienced clinically significant sleep decrements.
  • Children with less sociable and more anxious temperaments, and those with higher postoperative pain, were more prone to sleep disruptions.

Conclusions:

  • Sleep disruption is a notable issue in pediatric surgical recovery.
  • Child's temperament and postoperative pain are key predictors of significant sleep disturbances after ambulatory surgery.
Abstract

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