OBJECTIVE: To study long-term changes in quality of life in children after adenotonsillectomy for obstructive sleep apnea (OSA) documented by polysomnography. DESIGN AND SETTING: Prospective study of children with OSA at the University of New Mexico Children's Hospital, Albuquerque. METHODS: Children who met inclusion criteria underwent adenotonsillectomy. Caregivers were asked to complete the OSA-18 quality of life survey prior to surgery (survey 1), within 7 months after surgery (short-term) (survey 2), and between 9 and 24 months after surgery (long-term) (survey 3). Scores from the preoperative and postoperative surveys were compared using the paired t test. RESULTS: The study population included 34 children, 27 (79%) of whom were male. The mean age of the children at the time of inclusion in the study was 6.7 years (range, 3.0-16.8 years). The mean total score for survey 1 (76.7) was significantly higher (P<.001) than the mean total score for survey 2 (32.0) or for survey 3 (40.9). However, the domains of sleep disturbance and physical suffering were significantly lower (P<or=.005) in survey 2 than in survey 3. The differences in the domains of emotional distress, daytime problems, and caregiver concerns between survey 2 and survey 3 were not statistically significant. CONCLUSIONS: Caregivers perceive a long-term improvement in quality of life after adenotonsillectomy for OSA although these improvements are more pronounced in the short-term than in the long-term and are not uniform across all domains of the OSA-18 survey.
OBJECTIVE: To study long-term changes in quality of life in children after adenotonsillectomy for obstructive sleep apnea (OSA) documented by polysomnography. DESIGN AND SETTING: Prospective study of children with OSA at the University of New Mexico Children's Hospital, Albuquerque. METHODS:Children who met inclusion criteria underwent adenotonsillectomy. Caregivers were asked to complete the OSA-18 quality of life survey prior to surgery (survey 1), within 7 months after surgery (short-term) (survey 2), and between 9 and 24 months after surgery (long-term) (survey 3). Scores from the preoperative and postoperative surveys were compared using the paired t test. RESULTS: The study population included 34 children, 27 (79%) of whom were male. The mean age of the children at the time of inclusion in the study was 6.7 years (range, 3.0-16.8 years). The mean total score for survey 1 (76.7) was significantly higher (P<.001) than the mean total score for survey 2 (32.0) or for survey 3 (40.9). However, the domains of sleep disturbance and physical suffering were significantly lower (P<or=.005) in survey 2 than in survey 3. The differences in the domains of emotional distress, daytime problems, and caregiver concerns between survey 2 and survey 3 were not statistically significant. CONCLUSIONS: Caregivers perceive a long-term improvement in quality of life after adenotonsillectomy for OSA although these improvements are more pronounced in the short-term than in the long-term and are not uniform across all domains of the OSA-18 survey.
Authors: Susan L Garetz; Ron B Mitchell; Portia D Parker; Reneé H Moore; Carol L Rosen; Bruno Giordani; Hiren Muzumdar; Shalini Paruthi; Lisa Elden; Paul Willging; Dean W Beebe; Carole L Marcus; Ronald D Chervin; Susan Redline Journal: Pediatrics Date: 2015-01-19 Impact factor: 7.124
Authors: Sherri L Katz; Joanna E MacLean; Nicholas Barrowman; Lynda Hoey; Linda Horwood; Glenda N Bendiak; Valerie G Kirk; Stasia Hadjiyannakis; Laurent Legault; Bethany J Foster; Evelyn Constantin Journal: J Clin Sleep Med Date: 2018-03-15 Impact factor: 4.062
Authors: Maria Pia Villa; Rosa Castaldo; Silvia Miano; Maria Chiara Paolino; Ottavio Vitelli; Alessandra Tabarrini; Anna Rita Mazzotta; Manuela Cecili; Mario Barreto Journal: Sleep Breath Date: 2013-11-26 Impact factor: 2.816