Can sleep questionnaires predict adenotonsillectomy outcome for children with sleep disordered breathing?

Patel, Depak; Haszard, Jillian J.; Kee, Rachel Ngan; Smith, Lee; Maessen, Sarah E.; Schaughency, Elizabeth; Galland, Barbara; Dawes, P. J. D.

doi:10.1016/j.ijporl.2021.111001

Cited by 4 publications

(2 citation statements)

References 28 publications

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“…The Generalized Anxiety Disorder 7-item (GAD-7) scale was given to adolescents themselves to assess their anxiety status over the last 2 weeks with 7 items graded on a 4-point Likert scale as 0 (not at all), 1 (several days), 2 (more than half the days), and 3 (nearly every day). The subjects were divided into normal (0-4), mild (5-9), moderate (10)(11)(12)(13)(14) and severe (15)(16)(17)(18)(19)(20)(21) according to the total score. Chinese-version GAD-7 has been widely used in Chinese population, notably in the cleft field (17), and has shown good reliability and validity among Chinese adolescents aged 10-17 years old (12).…”

Section: Assessment Of Anxietymentioning

confidence: 99%

“…In this study, we sought to compare the OSA-related QoL, and the statuses of depression and anxiety, between patients and control adolescents, and ulteriorly demonstrate the correlation between the OSA-related QoL and these two mental statuses, anxiety and depression. The Obstructive Sleep Apnea Questionaire-18 (OSA-18) has been widely used to assess QoL in children with SDB in previous studies, in children with macroglossia and adenotonsillar hypertrophy for example (9,10), and therefore was considered as a valid measure of health-related QoL (11). In our study, OSA-18 was applied to assess the QoL in children with CP, while the generalized anxiety disorder 7-item (GAD-7) scale and the Patient Health Questionnaire-9 (PHQ-9) were applied to assess the statuses of anxiety and depression.…”

Section: Introductionmentioning

confidence: 99%

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The correlation between OSA-related quality of life and two mental statuses in adolescent Chinese patients with cleft palate: A comprehensive study

et al. 2022

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ObjectivesTo analyze obstructive sleep apnea (OSA)-related quality of life (QoL), the statuses of depression and anxiety, and to reveal the correlation between OSA-related QoL and two mental statuses in Chinese adolescent patients with cleft palate (CP).MethodsThe Obstructive Sleep Apnea Questionaire-18 (OSA-18), the Generalized Anxiety Disorder Scale (GAD-7) and the Patient Health Questionnaire-9 (PHQ-9) were applied to assess OSA-related QoL and the statuses of anxiety and depression in Chinese adolescent patients with CP, respectively. Non-CP adolescents were also included in the control group. OSA-related QoL and the two mental statuses were compared between the study and control groups. The correlation between the OSA-related QoL and two mental statuses was estimated in Chinese adolescent patients with CP.ResultsA total of 8.7% patients showed a moderate or high impact of OSA on QoL, while all the adolescents from the control group showed little impact. The mean total OSA-18 score of the study group (36.261 ± 13.500) was significantly higher than the control (28.435 ± 8.934). The mean PHQ-9 scores of the study group and the control group were statistically different (3.957 vs. 2.113). The GAD-7 score in the study group was slightly higher than the control group (3.043 vs. 2.194), while the proportion of moderate-severe anxiety in the study group was relatively larger than that in the control group (6.5% vs. 1.6%). Moreover, there was a positive correlation between the OSA-related QoL and the statuses of anxiety and depression respectively, and the differences in GAD-7 and PHQ-9 scores between the moderate or high impact group and the little impact group were statistically significant.ConclusionChinese adolescents with CP reported a rate of moderate or high impact of OSA on QoL of 8.7%, which was significantly higher than adolescents without CP. The OSA-related QoL was worse and depression was severer in Chinese CP adolescents than in the control, while anxiety and depression in Chinese CP adolescents were associated with OSA-related QoL.

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Section: Assessment Of Anxietymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The correlation between OSA-related quality of life and two mental statuses in adolescent Chinese patients with cleft palate: A comprehensive study

et al. 2022

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Drug‐Induced Sleep Endoscopy Predicts Subjective Outcomes of Adenotonsillectomy

Lam,

Hildebrand,

Nguyen

et al. 2024

The Laryngoscope

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ObjectivesPersistent obstructive sleep apnea (OSA) after adenotonsillectomy (AT) has been reported in 20%–30% of children. The aim of this study was to determine the predictive value of drug‐induced sleep endoscopy (DISE) at the time of AT on subjective AT outcomes.MethodsThis was a prospective cohort study of children aged 2–18 years being treated with AT for sleep disordered breathing (SDB) with one or more risk factors for AT failure: age >7 years, obesity, severe baseline OSA, Black race. All underwent DISE at the time of AT. Potential predictors of subjective AT outcome included age, sex, obesity, and DISE patterns. Multivariable linear regression was used to model predictors of post‐AT Pediatric Sleep Questionnaire (PSQ) and OSA‐18 outcomes.ResultsPre‐ and post‐AT PSQ/OSA‐18 responses were available from 194 children. Mean age was 9.3 ± 3.5 years, with 59% obese, 50% female, and 67% White. After AT, mean PSQ score decreased from 0.60 ± 0.19 to 0.28 ± 0.22, p < 0.001 and mean OSA‐18 score decreased from 66 ± 21 to 37 ± 18, p < 0.001. The most frequent sites of obstruction were the tonsils (92%), nasal airway (77%), adenoids (64%), and velopharynx (65%). Multivariable regression modeling demonstrated worse outcomes with obesity, male gender, and multilevel obstruction that included the nasal airway and tongue base in addition to adenotonsillar obstruction.ConclusionsPersistent OSA and symptom burden after AT was common in this population. Obesity, male gender, and multilevel obstruction during DISE were all associated with worse subjective outcomes.Level of Evidence3 Laryngoscope, 2024

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Changes in behavioral and cognitive abilities after rapid maxillary expansion in children affected by persistent snoring after long-term adenotonsillectomy: A noncontrolled study

Bariani,

Bigliazzi,

Medda

et al. 2024

American Journal of Orthodontics and Dentofacial Orthopedics

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Can sleep questionnaires predict adenotonsillectomy outcome for children with sleep disordered breathing?

Cited by 4 publications

References 28 publications

The correlation between OSA-related quality of life and two mental statuses in adolescent Chinese patients with cleft palate: A comprehensive study

The correlation between OSA-related quality of life and two mental statuses in adolescent Chinese patients with cleft palate: A comprehensive study

Drug‐Induced Sleep Endoscopy Predicts Subjective Outcomes of Adenotonsillectomy

Changes in behavioral and cognitive abilities after rapid maxillary expansion in children affected by persistent snoring after long-term adenotonsillectomy: A noncontrolled study

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