Surgical versus Non-Surgical Management of Obstructive Sleep-disordered Breathing in Children: A Meta-analysis.

Q3 Medicine

Open Respiratory Medicine Journal Pub Date : 2020-11-26 eCollection Date: 2020-01-01 DOI:10.2174/1874306402014010047

Alaa Ahmed Abd El Hamid, Anas Mohamed Askoura, Diaa Marzouk Abdel Hamed, Mohamed Shehata Taha, Mohamed Farouk Allam

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引用次数: 0

Abstract

Background: Obstructive sleep-disordered breathing (OSDB) is a term for several chronic conditions in which partial or complete cessation of breathing occurs many times throughout the night, resulting in fatigue or daytime sleepiness that interferes with a person's functions and reduces the quality of life.

Objective: Comparing the effectiveness of surgical versus non-surgical treatment of OSDB in children in clinical trials through a meta-analysis study.

Patients and methods: A number of available studies and abstracts concerning the surgical versus non-surgical treatment of OSDB in children were identified through a comprehensive search of electronic databases. Data were abstracted from every study in the form of a risk estimate and its 95% confidence interval.

Results: The current study revealed that there was a statistically significant improvement in the surgically treated patients rather than non-surgically treated patients regarding the quality of life.

Conclusion: The current meta-analysis reports a significant clinical improvement in the surgical (adenotonsillectomy) group as compared to the non-surgical group, in terms of disease specific quality of life, and healthcare utilization in spite of the availability of only one study.

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儿童阻塞性睡眠呼吸障碍的手术与非手术治疗:一项meta分析。

背景:阻塞性睡眠呼吸障碍(OSDB)是几种慢性疾病的统称，其中部分或完全停止呼吸在夜间多次发生，导致疲劳或白天嗜睡，干扰人的功能并降低生活质量。目的:通过荟萃分析比较临床试验中手术与非手术治疗儿童OSDB的疗效。患者和方法:通过对电子数据库的全面检索，确定了许多关于儿童OSDB手术与非手术治疗的现有研究和摘要。数据以风险估计及其95%置信区间的形式从每项研究中提取。结果:目前的研究显示，手术治疗的患者在生活质量方面比非手术治疗的患者有统计学上显著的改善。结论:目前的荟萃分析报告，尽管只有一项研究可用，但在疾病特异性生活质量和医疗保健利用方面，手术(腺扁桃体切除术)组与非手术组相比有显着的临床改善。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Open Respiratory Medicine Journal Medicine-Pulmonary and Respiratory Medicine

CiteScore

1.70

自引率

0.00%

发文量

期刊介绍： The Open Respiratory Medicine Journal is an Open Access online journal, which publishes research articles, reviews/mini-reviews, letters and guest edited single topic issues in all important areas of experimental and clinical research in respiratory medicine. Topics covered include: -COPD- Occupational disorders, and the role of allergens and pollutants- Asthma- Allergy- Non-invasive ventilation- Therapeutic intervention- Lung cancer- Lung infections respiratory diseases- Therapeutic interventions- Adult and paediatric medicine- Cell biology. The Open Respiratory Medicine Journal, a peer reviewed journal, is an important and reliable source of current information on important recent developments in the field. The emphasis will be on publishing quality articles rapidly and making them freely available worldwide.