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Influence of Economic Connectedness on Pediatric Obstructive Sleep Apnea Severity and Adenotonsillectomy Outcomes

Jenny Kim1, Cullins Nwaogu1, Ron B Mitchell1,2

  • 1Department of Otolaryngology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|June 17, 2024
PubMed

Insights

Economic connectedness (EC) in children was linked to less severe obstructive sleep apnea (OSA). However, EC did not impact emergency visits or residual OSA after adenotonsillectomy, suggesting social capital

Area of Science:

  • Pediatric Sleep Medicine
  • Social Determinants of Health
  • Otolaryngology

Background:

  • Obstructive sleep apnea (OSA) is a common pediatric condition.
  • Social capital, including economic connectedness (EC), may influence health outcomes.
  • The impact of EC on pediatric OSA severity and treatment outcomes is not well understood.

Purpose of the Study:

  • To investigate the association between economic connectedness (EC) and obstructive sleep apnea (OSA) severity in children.
  • To evaluate the relationship between EC and outcomes following adenotonsillectomy for pediatric OSA.

Main Methods:

  • Retrospective study at a single tertiary medical center.
  • Included 286 children undergoing polysomnography for OSA and subsequent adenotonsillectomy.
  • Analyzed the correlation between EC and severe OSA, postoperative ER visits, and residual OSA using regression and statistical tests.

Main Results:

  • Higher economic connectedness (EC) was associated with significantly lower odds of severe obstructive sleep apnea (OSA).
  • Economic connectedness (EC) did not show a significant association with postoperative emergency room visits.
  • No significant relationship was found between EC and residual OSA after adenotonsillectomy.

Conclusions:

  • Economic connectedness (EC) is significantly associated with the severity of pediatric obstructive sleep apnea (OSA).
  • EC does not appear to influence postoperative emergency room visits or residual OSA after adenotonsillectomy.
  • Further research into social capital's role in pediatric OSA and surgical outcomes is warranted.
Abstract

Keywords:
adenotonsillectomyeconomic connectednesspediatric obstructive sleep apnea

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