The Impact of Adenotonsillectomy on the Quality of Life of Children with Obstructive Sleep Apnea.

IF 1 Q3 OTORHINOLARYNGOLOGY
International Archives of Otorhinolaryngology Pub Date : 2024-10-25 eCollection Date: 2024-10-01 DOI:10.1055/s-0044-1786832
Geethi Krishna Sukumaran, Asha Chellappan Sunanda, Shajul George
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Abstract

Introduction  In children, obstructive sleep apnea (OSA) is a sleep-related breathing disorder that is caused by adenotonsillar hypertrophy and is characterized by upper airway obstruction disturbing sleep. Objective  We conducted this study to evaluate health-related quality of life (QoL) in children with OSA before and after adenotonsillectomy. Methods  A descriptive, observational study was conducted among 43 children in the 4-to-12 years old age group who had symptoms of OSA due to adenotonsillar hypertrophy and who underwent adenotonsillectomy at a tertiary care center during the period from February 2020 to February 2021. The QoL was assessed using the OSA-18 questionnaire preoperatively and at 2 and 6 months postoperatively. Results  Among the study population, males (72)%) were more affected with OSA, with a male-to-female ratio of 2.6:1. Based on the OSA-18 questionnaire assessment, the most severe and frequently observed symptoms were in the domains of sleep disturbance and physical symptoms, in which the mean score was 77 preoperatively. After adenotonsillectomy, the mean OSA-18 score decreased to 28.605 and 22.465 at 2 and 6 months, respectively. At 2 months postsurgery, more significant improvement was noticed in sleep disturbances, physical symptoms, and parent's concern while at 6 months postsurgery, all domains showed equal improvement. Therefore, following adenotonsillectomy, the QoL improved significantly. Conclusion  Obstructive sleep apnea can adversely affect sleep quality as well as neurocognitive and cardiovascular functions. Adenotonsillectomy resulted in significant improvement in the QoL.

腺扁桃体切除术对阻塞性睡眠呼吸暂停儿童生活质量的影响
引言 在儿童中,阻塞性睡眠呼吸暂停(OSA)是由腺扁桃体肥大引起的睡眠相关呼吸障碍,其特征是上气道阻塞干扰睡眠。目的 我们进行了这项研究,以评估患有 OSA 的儿童在腺扁桃体切除术前后与健康相关的生活质量(QoL)。方法 2020 年 2 月至 2021 年 2 月期间,我们在一家三级医疗中心对 43 名 4 至 12 岁年龄组的儿童进行了描述性观察研究,这些儿童因腺扁桃体肥大而出现 OSA 症状,并接受了腺扁桃体切除术。术前、术后2个月和6个月时使用OSA-18问卷对其QoL进行评估。结果 在研究人群中,男性(72%)更易患 OSA,男女比例为 2.6:1。根据 OSA-18 问卷评估,最严重和最常见的症状是睡眠障碍和躯体症状,术前平均得分为 77 分。腺扁桃体切除术后,OSA-18 的平均得分在 2 个月和 6 个月时分别降至 28.605 分和 22.465 分。术后 2 个月时,睡眠障碍、躯体症状和家长关注度方面的改善更为明显,而术后 6 个月时,各方面的改善程度相当。因此,腺扁桃体切除术后,患者的 QoL 显著改善。结论 阻塞性睡眠呼吸暂停会对睡眠质量以及神经认知和心血管功能造成不良影响。腺样体切除术可显著改善患者的生活质量。
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来源期刊
CiteScore
2.80
自引率
0.00%
发文量
84
审稿时长
12 weeks
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