Accuracy of Clinical Evaluation in Pediatric Obstructive Sleep Apnea

Wang, Robert C.; Elkins, Tina P.; Keech, Daniel; Wauquier, A.; Hubbard, Douglas W.

doi:10.1016/s0194-5998(98)70377-8

Cited by 173 publications

(97 citation statements)

References 17 publications

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“…Most otolaryngologists make decisions or recommendations based on medical history that is suggestive of SDB, as well as on physical examination demonstrating adenoid and/or tonsillar hypertrophy [2,[8][9][10]. However, predictive accuracy of clinically suspected OSAS may be as low as 30% when PSG testing was performed as well [13,19]. Unlike polysomnography that measures derangements in physiologic parameters during sleep in obstructive children, the SS, like other health-related clinical surveys, focuses on the physical problems and functional limitations consequent on upper airway obstruction as reported by caregivers.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Adenotonsillectomy for Sleep and Breathing Difficulties in Nigerian Children with Obstructive Adenotonsillar Enlargement

Orji

Ezeanolue

2012

Indian J Otolaryngol Head Neck Surg

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The aim of this study was to examine improvements or otherwise, in sleep disturbance and breathing difficulties after adenotonsillectomy (AT) for chronic upper airway obstruction in children. In a prospective clinical study and tertiary referral center setting, the study population included consecutive children aged 1.5 through 12 years who underwent AT for chronic upper airway obstruction due to adenotonsillar enlargement, without any history of previous AT. The validated ''Symptomatology score'' (SS) parameters were used to grade the symptoms before and after AT. The extent of improvement of the symptoms after surgery were estimated by a standardized response mean (SRM). The study included 59 children, 40 of whom were males (68%). Their ages ranged from 1.5 to 12 years with a mean of 3.3 years and 63% were \4 years. The results showed that tonsillar size was correlated significantly with a high preoperative SS (P B 0.001). The mean preoperative SS for the study population was 7.2, whereas the mean postoperative SS was 1.7. This change was highly significant (P \ 0.001). The symptom domain with the greatest change in mean score was snoring, which improved by 2 points with SRM of 2.2. The changes in total score and in the scores for each symptom domain were highly significant (P \ 0.002). We concluded that adenotonsillectomy is associated with remarkable improvement in breathing difficulties and sleep disturbances in children with obstructive adenotonsillar hypertrophy regardless of the condition whether it is mild or severe.

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Section: Discussionmentioning

confidence: 99%

Outcome of Adenotonsillectomy for Sleep and Breathing Difficulties in Nigerian Children with Obstructive Adenotonsillar Enlargement

Orji

Ezeanolue

2012

Indian J Otolaryngol Head Neck Surg

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“…34 Numerous studies investigating the validity of using history and physical examination alone to establish an OSA diagnosis have found that they are poor predictors of OSA. [35][36][37][38][39][40][41][42] Additional studies have evaluated the usefulness of questionnaires to identify OSA. One such questionnaire is the OSA-18, which is a disease-specific quality-of-life questionnaire commonly used by pediatric otolaryngologists.…”

Section: Discussionmentioning

confidence: 99%

Study of quality of life outcome after adenotonsillectomy in children with sleep disorderd breathing

Ali

Nisar

Ali

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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Background: This prospective study was conducted in our department with the objective to study the quality of life outcome after adenotonsillectomy in children with sleep disorderd breathing. Sleep-disordered breathing, can lead to substantial morbidities, affecting the central nervous system (CNS), the cardiovascular and metabolic systems, and somatic growth, ultimately leading to reduced quality of life. Methods: This prospective study was conducted in 47 patients in the Department of Otorhinolaryngology Head and Neck Surgery, Government Medical College and associated SMHS Hospital Srinagar. The study was included the patients with SDB in pediatric age group, who visited in our OPD.OSA-18 questionnaire was used pre-operatively, at 2 and 6 months after surgery. Results: Our study groups comprised of total 47 patients with majority of patients with in age group of 5-7 years, males were 29 (61.70%) and females were 18 (38.30%). In our study the OSA 18 scale used pre-operatively showed majority of patients 33 (70.21%) having score >80 score, with mean OSA-18 score of 84.15 showing that there was a major impact on quality of life and there was significant improvement in mean OSA-18 score in postoperative period from 30.49 to 26.85 at 2 and 6 months post- operatively and hence improvement in quality of life. Conclusions: Based on the observation made in the study we concluded that there was a significant improvement in the disease specific postoperative quality of life after both adenotonsillectomy and tonsillectomy. We also concluded that polysomnography results matched with OSA 18 questionnaire scale score done preoperatively.

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“…A prevalence rate of 8-47% of NE was reported by some studies [66][67][68][69][70] in comparison to a prevalence rate of 2-15% in children without upper airway obstruction [71][72][73][74]. A high resolution rate of childhood nocturnal enuresis has been associated with tonsillectomy and/or adenotonsillectomy [64,66,[75][76][77][78][79][80][81][82][83].…”

Section: Ne and Upper Airway Obstruction Are They Related?mentioning

confidence: 99%

Nocturnal Enuresis in Children and Adolescent with Sickle cell Anemia

Ahmed¹

2017

Med Surg Urol

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Children with sickle cell anemia (SCA) have a tendency to have nocturnal enuresis (NE) more than normal children with males being more affected than females. Mechanisms of NE that operate in normal children probably do so in children with SCA. Postulated causes of nocturnal enuresis in individuals with SCA include hyposthenuria causing nocturnal polyuria, reduced bladder capacity or nocturnal bladder overactivity, sleep disordered breathing and an increased arousal thresholds. The variation in the reported prevalence rate of NE in SCA is probably due to differences in definition criteria and methodology. This review will discuss the prevalence rate and postulated causes of NE in children with SCA.

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Accuracy of Clinical Evaluation in Pediatric Obstructive Sleep Apnea

Cited by 173 publications

References 17 publications

Outcome of Adenotonsillectomy for Sleep and Breathing Difficulties in Nigerian Children with Obstructive Adenotonsillar Enlargement

Outcome of Adenotonsillectomy for Sleep and Breathing Difficulties in Nigerian Children with Obstructive Adenotonsillar Enlargement

Study of quality of life outcome after adenotonsillectomy in children with sleep disorderd breathing

Nocturnal Enuresis in Children and Adolescent with Sickle cell Anemia

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