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Incidence of children at risk for obstructive sleep apnea undergoing common day surgery procedures

Emma M Holmes1, Heena H K Singh1, Valerie G Kirk2

  • 1Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.

Journal of Pediatric Surgery
|June 8, 2017
PubMed

Insights

A study found a higher prevalence of children at risk for sleep-related breathing disorders (SRBD) undergoing day surgery than expected. Otolaryngology patients had the highest risk, suggesting pre-surgery screening may be beneficial.

Area of Science:

  • Pediatric Surgery
  • Sleep Medicine
  • Respiratory Disorders

Background:

  • Sleep-related breathing disorders (SRBD) are common in children.
  • Prevalence data for SRBD in children undergoing elective day surgery is limited.
  • Early identification of SRBD is crucial for patient outcomes.

Purpose of the Study:

  • To determine the prevalence of children at risk for SRBD undergoing elective day surgery.
  • To compare the risk of SRBD across different surgical specialties.
  • To assess the utility of the Pediatric Sleep Questionnaire (PSQ) for pre-surgical screening.

Main Methods:

  • A prospective prognosis study (Level IV) was conducted over three months.
  • Parents of 288 children (2 months to 18 years) undergoing urologic, otolaryngologic, or general surgery day procedures completed the validated PSQ.
  • Prevalence of SRBD risk was calculated based on PSQ scores.

Main Results:

  • Overall, 9.1% of urology, 11.1% of general surgery, and 51.9% of otolaryngology patients were at risk for SRBD.
  • Median PSQ scores indicated higher risk in otolaryngology patients (11.3) compared to general surgery (10.9) and urology (9.2).
  • A significant proportion of children awaiting common day surgeries were identified as being at risk for SRBD.

Conclusions:

  • The prevalence of children at risk for SRBD undergoing day surgery is higher than previously reported.
  • Otolaryngology procedures are associated with a significantly greater risk of SRBD in pediatric patients.
  • Pre-operative screening using the PSQ may be valuable for identifying at-risk children before day surgery.
Abstract

Keywords:
Obstructive sleep apneaPediatricPediatric sleep questionnaireSleep-related breathing disordersSurgery

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