Calidad de vida pre y posadenoamigdalectomía en pacientes pediátricos

Introduction.Adenotonsillectomy is the most common surgical procedure in otolaryngology. The main indication for this procedure is upper airway obstruction associated with hypertrophic tonsils and/or adenoids. Objectives. To describe the differences in quality of life before and after an adenoidectomy and/ or tonsillectomy and compare it with that of healthy children. Population and Methods. All children aged 1 to 17 years old hospitalized for an elective surgery between July 2012 and April 2014 were enrolled. They were compared to a control group of children in the same age range. The survey used was validated in Spanish (OSA-18) and has been especially designed to establish a relationship between obstructive sleep apnea and quality of life in pediatrics. Results. Eighty-five surgery patients and 100 healthy control children were assessed. The impact on quality of life was mild in 37.6% of children, moderate in 32.9%, and severe in 29.4%, while it was mild for 96% of the control group. The average ± SD of the total pre-surgery score was 67.5 ± 20.3 (95% confidence interval [CI]: 63.13-71.88). The average post-surgery scores were 37.9 ± 21.4 (95% CI: 33.24-42.48) and ) at 3 and 6 months, respectively (p < 0.001). The average score for the control group was 31.2 ± 13.2 (95% CI: 28.6-33.8) and was significantly different from the post-surgery groups (p = 0.03). Conclusions. Quality of life was reduced in children with a surgical indication for symptomatic adenotonsillar hypertrophy, while it was significantly improved after the surgery.

Section: Resultsmentioning

confidence: 99%

Section: Population and Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Assessment of quality of life before and after an adenotonsillectomy among children with hypertrophic tonsils and/or adenoids

2015

“…5 Otra prueba para estudiar la calidad de vida en estos pacientes es la escala OSA-18. 6 Esta escala permite también evaluar las modificaciones que se producen en la calidad de vida posterior a la intervención. De acuerdo con nuestro conocimiento, esta no ha sido evaluada hasta el momento por un método objetivo en nuestro país.…”

Section: Introductionunclassified

Evaluación de la calidad de vida antes y después de la adenotonsilectomía en niños con hipertrofia de amígdalas y/o adenoides

2015

“…Investigations about quality of life in children and adolescents in Latin America 7 are scarce and they are mainly focused on describing and analyzing factors related to the quality of life of the schooled population, [8][9][10] the effect of the health-disease status, [11][12][13][14][15] or the study of instruments. [16][17][18][19][20][21][22] Such studies do not look into the cognitive processes related to the processing of information underlying this assessment, even though the specific ways of interpreting an individual's own reality would impact on the positive or negative assessment made by the individual regarding his/her quality of life, beyond cultural standards, his/her resources or, even his/her own personality.…”

Section: Introductionmentioning

confidence: 99%

Are there any differences in the assessment of quality of life when children score the importance of what is asked to them?

Morales¹

2013

Introduction.There are no studies that enable to explore the impact that might have the scoring of the importance that children assign to each dimension that encompass the assessment of their quality of life (QoL). Objective. To analyze the influence of the importance assigned by children to the different spheres of their lives when having to assess their quality of life. Material and Methods. Correlational, crosssectional design. The modified KIDSCREEN-27 questionnaire was used to evaluate the importance assigned by the child to each dimension. Results. A total of 300 schoolboys and 300 schoolgirls, with an average age of 12 years old, were evaluated. The dimension with the highest score was Peers, and the one with the lowest was Psychological well-being, both in the raw evaluation as in the weighted by importance ranking. In girls, the Physical well-being dimension scored the lowest. The dimensions Parent relations and School environment scored the highest in younger students. In girls, differences were found in the dimension that scored the lowest when they weighted the importance of the dimension; shifting the dimension with the lowest score from Psychological well-being to Physical well-being. Conclusion. There are differences in the perception of quality of life between boys and girls, the types of schools they attend and the different ages, which do not change when being weighted by importance.