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Published on: December 6, 2016
[Quality of life after adenotonsillectomy for obstructive sleep apnea in children]
Jing Zhao1, Jie Zhang, Yamei Xhang
1Department of Otorhinolaryngology Head and Neck Surgery, Affiliated Beijing Children's Hospital of Capital University of Medical Sciences, Beijing, 100045, China.
Insights
Adenotonsillectomy significantly improves quality of life for children with obstructive sleep apnea (OSA). Post-surgery, children experienced marked improvements in sleep, physical and emotional symptoms, and daytime functioning.
Area of Science:
- Pediatric Otolaryngology
- Sleep Medicine
- Quality of Life Research
Context:
- Obstructive sleep apnea (OSA) significantly impacts children's well-being.
- Adenotonsillectomy is a common surgical intervention for pediatric OSA.
Purpose:
- To evaluate the changes in quality of life for children undergoing adenotonsillectomy for OSA.
- To quantify the impact of OSA on pediatric quality of life using the OSA-18 survey.
Summary:
- Children with polysomnography-documented OSA completed the OSA-18 quality of life survey preoperatively and 6-18 months post-adenotonsillectomy.
- Mean total OSA-18 scores decreased significantly from 70.59 to 39.94 (P<0.01).
- Significant improvements were observed across all OSA-18 domains, including sleep disturbance, physical and emotional symptoms, daytime functioning, and caregiver concerns.
Impact:
- Adenotonsillectomy leads to substantial improvements in the quality of life for children suffering from obstructive sleep apnea.
- The findings underscore the importance of addressing pediatric OSA to enhance overall child health and well-being.
Objective:
To study changes in quality of life in children after adenotonsillectomy for obstructive sleep apnea (OSA) documented by full night polysomnography.
Method:
Children with OSA who fit the standard have been selected. They were asked to complete the OSA 18 quality of life survey before adenotonsillectomy and between 6 and 18 months after surgery. Scores from the preoperative and postoperative surveys were compared using the paired t test.
Result:
The mean total OSA 18 score was 70.59 (SD=15.015) before surgery and 39.94 (SD=14.232) after surgery. The changes in total score, in the scores for sleep disturbance, physical symptoms, emotional symptoms, daytime functioning, and caregiver concerns, and for each item of the OSA 18 survey was highly significant (P<0.01).
Conclusion:
OSA has a relevant impact on quality of life and the children show a marked improvements after adenotonsillectomy.
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