Quality of life after adenotonsillectomy in children with obstructive sleep apnea: Short-term and long-term results
Journal
International Journal of Pediatric Otorhinolaryngology
Journal Volume
79
Journal Issue
2
Pages
210-215
Date Issued
2015
Author(s)
Abstract
Objective: To assess short-term and long-term changes in quality of life after adenotonsillectomy (T&A) in children with obstructive sleep apnea (OSA). Materials and methods: Children aged 2-18 years old were enrolled. All subjects had clinical symptoms, overnight polysomnography diagnosis of OSA, and received T&A as treatment. Caregivers were asked to complete the OSA-18 survey before surgery, within 6 months after surgery (short-term), and more than 6 months after surgery (long-term). Results: A total of 114 children were included (mean age, 7.0. ±. 3.5 years; 75% boys). The mean OSA-18 total score was 71.5. ±. 16.0 before surgery. After surgery, the mean OSA-18 total score was significantly decreased in both the short-term (40.3. ±. 12.2, p< 0.001) and the long-term (42.0. ±. 13.7, p< 0.001). All five OSA-18 domains were also significantly decreased during short-term and long-term postoperative follow up (p< 0.001). Short-term and long-term outcomes were compared. Mean OSA-18 total scores, sleep disturbance score, emotional distress score, daytime function score, and caregiver concerns score did not differ significantly between the short-term and long-term periods, while the physical symptom score was slightly higher in the long-term than the short-term period (9.7. ±. 3.3 vs. 8.7. ±. 3.0, p= 0.02). Additionally, the physical symptoms score was higher in the long-term period in the female (p= 0.01), older age (>6 years) (p= 0.03), and non-obese (p= 0.04) subgroups. Conclusion: T&A improves short-term and long-term quality of life in children with OSA. Nevertheless, caregivers observed children with aggravation of physical symptoms of quality of life during long-term follow up, especially in the female, older, and non-obese subgroups. ? 2014 Elsevier Ireland Ltd.
SDGs
Other Subjects
adenotonsillectomy; adolescent; adult; Article; caregiver; child; clinical feature; controlled study; emotional stress; female; follow up; functional status; human; major clinical study; male; OSA 18 quality of life questionnaire; physical disease; polysomnography; postoperative period; preoperative evaluation; preschool child; quality of life; questionnaire; school child; scoring system; sex difference; sleep disorder; sleep disordered breathing; symptom; treatment response; young adult; adenoidectomy; Sleep Apnea, Obstructive; tonsillectomy; Adenoidectomy; Adolescent; Child; Child, Preschool; Female; Follow-Up Studies; Humans; Male; Quality of Life; Sleep Apnea, Obstructive; Tonsillectomy
Publisher
Elsevier Ireland Ltd
Type
journal article