小儿头颈部烧伤患者腺扁桃体切除术后持续性睡眠呼吸暂停。

IF 1.8 4区医学 Q2 OTORHINOLARYNGOLOGY

American Journal of Otolaryngology Pub Date : 2025-01-01 DOI:10.1016/j.amjoto.2024.104546

Robert E. Africa , Amber M. Dunmire , Austin L. Johnson , Nadia Z. Quadri , Harold S. Pine , Charles A. Hughes , Brian J. McKinnon , Yusif Hajiyev

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引用次数: 0

摘要

背景：确定面部、头部或颈部烧伤是否会增加腺扁桃体切除术后持续性睡眠呼吸障碍（SDB）或阻塞性睡眠呼吸暂停（OSA）的风险。方法：使用TriNetX数据库收集面部、头部或颈部烧伤（包括口腔和咽）患者的数据以及腺扁桃体切除术后的睡眠研究史。在队列1（在烧伤后进行睡眠研究和腺扁桃体切除术的组）和队列2（在烧伤前进行治疗的组）之间进行了持续性SDB或OSA的比较。持续风险评估为相对风险（RR）， 95%置信区间（CI）。结果：纳入83例儿科患者。51名患者在队列1,32名患者在队列2。队列1中有43例患者存在持续性SDB或OSA，而队列2中有11例，差异有统计学意义(RR: 2.45；95% ci: 1.50-4.02；p值结论：与热损伤前接受过手术的患者相比，面部、头部或颈部烧伤的儿科患者在腺扁桃体切除术后发生持续性SDB或OSA的比例更高。

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Persistent sleep apnea after adenotonsillectomy in pediatric patients with head and neck burns

Background

To determine if face, head, or neck burns increases risk of persistent sleep disordered breathing (SDB) or obstructive sleep apnea (OSA) after adenotonsillectomy.

Methods

The TriNetX database was used to gather data for patients who had face, head, or neck burn including mouth and pharynx and history of sleep study with adenotonsillectomy. A comparison of persistent SDB or OSA was done between cohort 1, a group with sleep study and adenotonsillectomy after burn injury, and cohort 2, a group with treatment before a burn. Risk of persistence was evaluated as relative risk (RR) with 95 % confidence interval (CI).

Results

Eighty-three pediatric patients were included. Fifty-one patients were in cohort 1, and 32 in cohort 2. Forty-three patients in cohort 1 had persistent SDB or OSA as compared to 11 in cohort 2, which was statistically significant (RR: 2.45; 95 % CI: 1.50–4.02; p-value <0.0001). After propensity score matching, both groups had 23 patients, and 19 had persistent SDB or OSA in cohort 2, while cohort 1 had 10 patients. The difference in persistence was significant (RR 1.9; 95 % CI: 1.15–3.14; p-value equals 0.006).

Conclusions

Pediatric patients with a face, head, or neck burn had a higher rate of persistent SDB or OSA after adenotonsillectomy compared to patients who had surgery prior to thermal injury.

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来源期刊

American Journal of Otolaryngology 医学-耳鼻喉科学

CiteScore

4.40

自引率

4.00%

发文量

378

审稿时长

41 days

期刊介绍： Be fully informed about developments in otology, neurotology, audiology, rhinology, allergy, laryngology, speech science, bronchoesophagology, facial plastic surgery, and head and neck surgery. Featured sections include original contributions, grand rounds, current reviews, case reports and socioeconomics.