Quality of life after surgical treatment of children with obstructive sleep apnea: Long-term results

Díez-Montiel, Alberto; Diego, Juan Albarrán; Prim, M.P.; Martín-Martínez, María Auxiliadora; Pérez‐Fernández, Elia; Rabanal, I.

doi:10.1016/j.ijporl.2006.04.006

Cited by 22 publications

(11 citation statements)

References 24 publications

(49 reference statements)

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“…(6)(7)(8)(9)(10)(11)(12) Identification of children at high risk for SDB and its associated morbidities is particularly important given the growing body of evidence that treatment with adenotonsillectomy may improve quality of life and neurocognitive function. (5,(13)(14)(15)(16)(17) Preterm infants are especially vulnerable both to SDB and its sequelae. In a Finnish cohort study, very low birth weight infants were shown to have a two-fold risk of SDB as young adults.…”

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confidence: 99%

Prenatal and Neonatal Risk Factors for Sleep Disordered Breathing in School-Aged Children Born Preterm

Hibbs

Johnson

Rosen

et al. 2008

The Journal of Pediatrics

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Objectives-Previously published data from the Cleveland Children's Sleep and Health Study (CCSHS) demonstrated that preterm infants are especially vulnerable both to sleep disordered breathing (SDB) and its neurocognitive sequelae at age 8-11 years. In this analysis, we aimed to identify the components of the neonatal medical history associated with childhood SDB among children born prematurely.Study design-This analysis focuses on the 383 children in the population-based CCSHS cohort who were born <37 weeks gestational age and who had technically acceptable sleep studies performed at ages 8-11 years (92% of all preterm children). Logistic regression was used to evaluate the associations between candidate perinatal and neonatal risk factors and the presence of childhood SDB by sleep study.Results-Twenty-eight preterm children (7.3%) met the definition for SDB at age 8-11 years. Having a single mother and mild maternal pre-eclampsia were strongly associated with SDB in unadjusted and race-adjusted models. Unadjusted analyses also identified xanthine use and CPR and/ or intubation in the delivery room as potential risk-factors for SDB. We did not find a significant link between traditional markers of severity of neonatal illness --such as gestational age, birth weight, intraventricular hemorrhage (IVH), bronchopulmonary dysplasia (BPD), or duration of ventilation --and childhood SDB at school age.Conclusions-These results represent a first step in identifying prenatal and neonatal characteristics which place preterm infants at higher risk for childhood SDB. The strong association between mild pre-eclampsia and childhood SDB underscores the importance of research aimed at understanding in utero risk factors for neurorespiratory development. Corresponding Author: Anna Maria Hibbs, MD, MSCE, Division of Neonatology, Rainbow Babies & Children's Hospital, 11100 Euclid Avenue, Suite 3100, Cleveland, email: annamaria.hibbs@case.edu. Edited by AJ and WFB Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. (1) Furthermore, the association between sleep disordered breathing (SDB) and childhood cognitive impairment is stronger in preterm than term infants. (8) The mechanisms by which prematurity predisposes children to SDB are unknown. The association may be mediated by altered development of the lungs, airway, or nervous system. In this analysis, we aimed to identify the components of the prenatal and neonatal medical history associated with SDB occurring in children in the CCSHS studied at ages 8-11 years who had been born prematurely. NIH Public Access METHODSThe CCSHS is a po...

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confidence: 99%

Prenatal and Neonatal Risk Factors for Sleep Disordered Breathing in School-Aged Children Born Preterm

Hibbs

Johnson

Rosen

et al. 2008

The Journal of Pediatrics

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“…A number of studies reported the effect of T&A on the QoL of children with OSA [4,5]. Many showed significant improvement in QoL scores after T&A.…”

Section: Discussionmentioning

confidence: 99%

“…The global rating score showed improvement from 4/7 to 2/7. This change in QoL score was considered statistically significant as compared with the study [5] in which 26 mothers rated their mentally retarded children with an average mean score of the same global rating as 3.8/7. Although there was no statistically significant change in individual Function score of the 15 domains and combined Function score, the improvement in three functional domains, namely self-care, school, and sleep, reported by the mother were considered clinically significant.…”

Section: Discussionmentioning

confidence: 99%

“…Tonsillectomy and adenoidectomy (T&A) was found to be a useful treatment for OSA in patients with PWS; Pavone et al [3] reported a significant reduction in apnea/hypopnea index (AHI; p=0.009) in his five patients with PWS and OSA. Quality of life (QoL) of patients with OSA after surgical treatment was shown to be improved both in short-term [4] and long-term [5] follow-up studies. There has not been any published study investigating the impact of treatment of OSA on the QoL in patients with PWS.…”

Section: Introductionmentioning

confidence: 99%

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Improvement in quality of life after adenotonsillectomy in a child with Prader Willi syndrome

Wong

Tracy

et al. 2009

Sleep Breath

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“…Although many of these studies showed improvement in one or more outcome measures compared with control groups, none of the studies have been randomized (Diez-Montiel et al , 2006, Garetz, 2008. However, other studies showed that in children with SDB, adenoidectomy improved sleep and ventilatory parameters but not the neurocognitive performance six months after surgery (Marcus et al , 2013).…”

Section: A C C E P T E Dmentioning

confidence: 99%

Cognitive Event-Related Potentials in Patients With Adenoid Hypertrophy: A Case–Control Pilot Study

Thabit

Elnady²,

Badawy³

et al. 2016

Journal of Clinical Neurophysiology

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Quality of life after surgical treatment of children with obstructive sleep apnea: Long-term results

Cited by 22 publications

References 24 publications

Prenatal and Neonatal Risk Factors for Sleep Disordered Breathing in School-Aged Children Born Preterm

Prenatal and Neonatal Risk Factors for Sleep Disordered Breathing in School-Aged Children Born Preterm

Improvement in quality of life after adenotonsillectomy in a child with Prader Willi syndrome

Cognitive Event-Related Potentials in Patients With Adenoid Hypertrophy: A Case–Control Pilot Study

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