Long‐term quality‐of‐life outcomes in children undergoing adenotonsillectomy for obstructive sleep apnoea: a longitudinal study

Randhawa, Premjit S; Cetto, R.; Chilvers, G.; Georgalas, Christos; Narula, A.

doi:10.1111/j.1749-4486.2011.02383.x

Cited by 15 publications

(11 citation statements)

References 24 publications

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“…Efficacy of adenotonsillectomy is modest in children with SDB and craniofacial abnormalities and/or neuromuscular disorders (class IV) [44,185,188,193,194,[214][215][216]. c) Quality of life improves post-adenotonsillectomy (class I and III, meta-analysis and systematic review) [111,113,126,178,211,217,218]. Evidence for the increase in growth rate and resolution of enuresis has been presented in two systematic reviews and in the CHAT study (class I) [109,110,180].…”

Section: Literature Reviewmentioning

confidence: 99%

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

et al. 2015

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This document summarises the conclusions of a European Respiratory Society Task Force on the diagnosis and management of obstructive sleep disordered breathing (SDB) in childhood and refers to children aged 2-18 years. Prospective cohort studies describing the natural history of SDB or randomised, double-blind, placebo-controlled trials regarding its management are scarce. Selected evidence (362 articles) can be consolidated into seven management steps. SDB is suspected when symptoms or abnormalities related to upper airway obstruction are present (step 1). Central nervous or cardiovascular system morbidity, growth failure or enuresis and predictors of SDB persistence in the long-term are recognised (steps 2 and 3), and SDB severity is determined objectively preferably using polysomnography (step 4). Children with an apnoea-hypopnoea index (AHI) >5 episodes·h, those with an AHI of 1-5 episodes·h −1 and the presence of morbidity or factors predicting SDB persistence, and children with complex conditions (e.g. Down syndrome and Prader-Willi syndrome) all appear to benefit from treatment (step 5). Treatment interventions are usually implemented in a stepwise fashion addressing all abnormalities that predispose to SDB (step 6) with re-evaluation after each intervention to detect residual disease and to determine the need for additional treatment (step 7). @ERSpublications Management of obstructive sleep disordered breathing in childhood should follow a stepwise approach

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Section: Literature Reviewmentioning

confidence: 99%

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

et al. 2015

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“…5 Additionally, studies have shown a significant objective quality-oflife benefit, both in the short and long term. 5,7 Diagnosis of OSA is made most accurately by the use of overnight polysomnography. 5 This, however, is both costly and time consuming, and in the UK management decisions are made predominantly on clinical grounds.…”

Section: Introductionmentioning

confidence: 99%

Pre-operative overnight pulse oximetry to predict high dependency unit intervention in children undergoing adenotonsillectomy for obstructive sleep apnoea

2014

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Background: Post-operative high dependency unit beds are often requested for patients undergoing adenotonsillectomy for obstructive sleep apnoea. This study evaluated the utilisation of high dependency unit beds for such cases at our institution, a paediatric tertiary referral centre. Method: A retrospective case note review of patients admitted to the high dependency unit following adenotonsillar surgery for obstructive sleep apnoea, over a two-year period, was performed. Results: Sixty-six cases were identified. Thirty-nine patients underwent pre-operative overnight pulse oximetry; of these, 30 patients had desaturations noted. Seventeen patients had significant post-operative desaturations. These were predicted in all 11 patients who had undergone pre-operative pulse oximetry. The remaining six had not undergone pre-operative pulse oximetry. Nineteen patients required high dependency unit care; eight had experienced post-operative desaturations. Conclusion: High dependency unit care may be required following adenotonsillectomy for obstructive sleep apnoea. In this study, pre-operative overnight pulse oximetry had 100 per cent sensitivity in predicting post-operative desaturations, and may therefore aid the appropriate utilisation of high dependency unit beds for patients undergoing adenotonsillectomy for obstructive sleep apnoea.

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“…The gold standard test to diagnose SDB is polysomnography (PSG), which is an important tool to differentiate the various types of SDB (4,5). There is currently an unprecedented increase in the demand for testing for SDB due to an increasing awareness of pediatric sleep disorders, in particular, obesity-related OSA; the recognition of adverse consequences of SDB on cardiovascular, metabolic and neurobehavioural functions as well as the quality of life of children with SDB (6)(7)(8)(9)(10); and recommendations for preoperative monitoring with PSG for adenotonsillectomy surgery (10)(11)(12).…”

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confidence: 99%

The Utility of a Portable Sleep Monitor to Diagnose Sleep‐Disordered Breathing in a Pediatric Population

Massicotte

Al-Saleh

Witmans

et al. 2014

Canadian Respiratory Journal

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Long‐term quality‐of‐life outcomes in children undergoing adenotonsillectomy for obstructive sleep apnoea: a longitudinal study

Cited by 15 publications

References 24 publications

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

Pre-operative overnight pulse oximetry to predict high dependency unit intervention in children undergoing adenotonsillectomy for obstructive sleep apnoea

The Utility of a Portable Sleep Monitor to Diagnose Sleep‐Disordered Breathing in a Pediatric Population

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