The impact of persistent pediatric obstructive sleep apnea on the Quality of Life of Patients’ families

Bergeron, Mathieu; Duggins, Angela; Cohen, Aliza P.; Leader, Brittany A.; Ishman, Stacey L.

doi:10.1016/j.ijporl.2019.109723

Cited by 15 publications

(14 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…T&A significantly improved these children's QOL; however, it is important to notice that even after T&A OSA had a moderate impact in the QOL. Previous studies reported similar results, nevertheless in either smaller or more heterogeneous samples 5,15,19 …”

Section: Discussionsupporting

confidence: 65%

“…1,2 OSA, in this particular population, has been associated with significant morbidity leading to cardiovascular problems, impaired cognition, behaviour problems and lower quality of life (QOL). [3][4][5] Adenotonsillectomy (T&A) is considered the first-line surgical therapy for OSA. 6 Nevertheless, in children with trisomy 21, T&A alone is often not sufficient since persistent OSA was shown to be present in almost half of the children.…”

Section: Introductionmentioning

confidence: 99%

“…This increased prevalence is a consequence not only, as in the general paediatric population of enlarged adenoids and tonsils but also of multiple anatomical and functional factors including maxillary and mandibular hypoplasia, narrow nasopharynx, small oropharynx, relative macroglossia, obesity, gastroesophageal reflux and generalised hypotonia 1,2 . OSA, in this particular population, has been associated with significant morbidity leading to cardiovascular problems, impaired cognition, behaviour problems and lower quality of life (QOL) 3‐5 . Adenotonsillectomy (T&A) is considered the first‐line surgical therapy for OSA 6 .…”

Section: Introductionmentioning

confidence: 99%

“…5,15,19 If we specifically analyse the proportion of children who had persistent OSA after T&A based on preoperative OSA severity, we run into some interesting findings. We can clearly see that children with moderate OSA benefit the most from T&A since only 15.4% had persistent OSA after surgery.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Predictors of OSA following adenotonsillectomy in children with trisomy 21

Raposo

Menezes

Rito

et al. 2020

Clinical Otolaryngology

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 65%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Predictors of OSA following adenotonsillectomy in children with trisomy 21

Raposo

Menezes

Rito

et al. 2020

Clinical Otolaryngology

View full text Add to dashboard Cite

show abstract

“…In our previous work, we identified a correlation between quality of life and the COST and FIQ results and found that the financial burden of persistent OSA resulted in a negative impact on family quality of life. [15][16][17][18] These findings are reinforced by the subjective concerns reported in this study, which focused on the impact of future financial problems due to persistent disease.…”

Section: Discussionsupporting

confidence: 54%

Persistent Obstructive Sleep Apnea Burden on Family Finances and Quality of Life

Bergeron

Ishman

2021

Otolaryngol.--head neck surg.

Self Cite

View full text Add to dashboard Cite

Objective We previously found that financial concerns negatively affect the quality of life of families of children with persistent obstructive sleep apnea (OSA) after tonsillectomy. The goal is to quantify the financial impact on families of children with persistent OSA and assess contributing factors. Study Design Cross-sectional survey study with comparison group. Setting Upper airway center at a tertiary pediatric hospital. Methods Participants included consecutive children with persistent OSA from September to October 2017. Healthy children seen in a general otolaryngology clinic served as controls. Families of both groups completed the Family Impact Questionnaire and the modified Comprehensive Score for Financial Toxicity (COST). Results Families of the 50 patients (25 study and 25 control) completed the surveys: the mean age was 6.4 years (95% CI, 5.0-7.8), and 19 (38%) were female. There were no differences in age, sex, race, or insurance status between groups ( P > .05). The mean apnea-hypopnea index for the study group was 7.9 events/h (range, 5.5-10.3), and 40% (10/25) had Down syndrome. Positive airway pressure and/or oxygen were used by 72% (18/25). The Comprehensive Score for Financial Toxicity for study patients (21.9; 95% CI, 14.8-26.0) was significantly lower than for controls (30.2; 95% CI, 26.6-30.8; P = .003), reflecting elevated financial toxicity. Study families reported greater financial impact on the Family Impact Questionnaire (8.4; 95% CI, 6.1-10.7) versus controls (3.6; 95% CI, 1.8-5.4; P = .002); concerns regarding missed days of work and school were common (30.7%). Conclusion Families of children with persistent OSA reported a high financial burden related to their children’s disease and were more likely to report financial toxicity than families of controls. Concern regarding missed work and school associated with appointments and treatment was a significant factor.

show abstract

Expert Consensus Statement: Management of Pediatric Persistent Obstructive Sleep Apnea After Adenotonsillectomy

Ishman

Maturo

Schwartz

et al. 2023

Otolaryngol.--head neck surg.

Self Cite

View full text Add to dashboard Cite

Objective To develop an expert consensus statement regarding persistent pediatric obstructive sleep apnea (OSA) focused on quality improvement and clarification of controversies. Persistent OSA was defined as OSA after adenotonsillectomy or OSA after tonsillectomy when adenoids are not enlarged. Methods An expert panel of clinicians, nominated by stakeholder organizations, used the published consensus statement methodology from the American Academy of Otolaryngology‐Head and Neck Surgery to develop statements for a target population of children aged 2‐18 years. A medical librarian systematically searched the literature used as a basis for the clinical statements. A modified Delphi method was used to distill expert opinion and compose statements that met a standardized definition of consensus. Duplicate statements were combined prior to the final Delphi survey. Results After 3 iterative Delphi surveys, 34 statements met the criteria for consensus, while 18 statements did not. The clinical statements were grouped into 7 categories: general, patient assessment, management of patients with obesity, medical management, drug‐induced sleep endoscopy, surgical management, and postoperative care. Conclusion The panel reached a consensus for 34 statements related to the assessment, management and postoperative care of children with persistent OSA. These statements can be used to establish care algorithms, improve clinical care, and identify areas that would benefit from future research.

show abstract

The impact of persistent pediatric obstructive sleep apnea on the Quality of Life of Patients’ families

Cited by 15 publications

References 20 publications

Predictors of OSA following adenotonsillectomy in children with trisomy 21

Predictors of OSA following adenotonsillectomy in children with trisomy 21

Persistent Obstructive Sleep Apnea Burden on Family Finances and Quality of Life

Expert Consensus Statement: Management of Pediatric Persistent Obstructive Sleep Apnea After Adenotonsillectomy

Contact Info

Product

Resources

About