Effect of Adenotonsillectomy on Attention in Korean Children With Sleep-Disordered Breathing

Kim, Min Jae; Bae, Sung Hee; Lee, Sung Min; Lee, Kang Hyun; Kim, Dong Kyu

doi:10.21053/ceo.2018.00115

Cited by 6 publications

(5 citation statements)

References 30 publications

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“…As has been evidenced previously, the treatment of SDB not only improves children's breathing quality during sleep, but also effectively decreases aggressive, inattentive, and hyperactive behaviors. 34,35 Therefore, if children have both SDB and ADHD symptoms, treatment of SDB may be warranted.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of ADHD Symptoms and EEG Theta/Beta Ratio in Children With Sleep Disordered Breathing

Ma,

Wu,

Wang

et al. 2024

Clin EEG Neurosci

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Objectives. This study aimed to explore parent-reported symptoms of attention deficit-hyperactivity disorder (ADHD) and sleep electroencephalogram (EEG) theta/beta ratio (TBR) characteristics in children with sleep disordered breathing (SDB). Methods. The parents of children (aged 6-11 years) with SDB (n = 103) and healthy controls (n = 28) completed the SNAP-IV questionnaire, and children underwent overnight polysomnography. Children with SDB were grouped according to obstructive apnea/hypopnea index: primary snoring, mild, and moderate-severe obstructive sleep apnea (OSA) groups. The TBR in non-rapid eye movement (NREM) periods in three sleep cycles was analyzed. Results. Children with SDB showed worse ADHD symptoms compared with the healthy control. There was no intergroup difference in TBR. The time-related decline in TBR observed in the control, primary snoring and mild OSA groups, which was not observed in the moderate-severe OSA group. Overnight transcutaneous oxygen saturation was negatively associated with the hyperactivity/impulsivity score of ADHD symptom. The global TBR during the NREM period in the first sleep cycle was positively correlated with inattention score. Conclusion. Children with SDB showed more ADHD inattention symptoms than the healthy control. Although we found no difference in TBR among groups, we found significant main effect for NREM period. There existed a relationship between hypoxia, TBR, and scores of ADHD symptoms. Hence, it was speculated that TBR can reflect the nocturnal electrophysiological manifestations in children with SDB, which may be related to daytime ADHD symptoms.

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Section: Discussionmentioning

confidence: 99%

Characteristics of ADHD Symptoms and EEG Theta/Beta Ratio in Children With Sleep Disordered Breathing

Ma,

Wu,

Wang

et al. 2024

Clin EEG Neurosci

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“…Adenotonsillectomy is currently one of the most common surgical procedures performed in children. [ 10 ] However, postoperative pain and PONV, followed by poor oral intake, dehydration, prolonged hospitalization, and postoperative hemorrhage still remain problems. [ 11 – 14 ] In addition, these problems lead to poor patient satisfaction, impair recovery, and increase health care costs.…”

Section: Discussionmentioning

confidence: 99%

Dexamethasone and post-adenotonsillectomy pain in children

Kang¹,

Jung³

et al. 2021

Medicine

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Objective: To assess the impact of intraoperative intravenous dexamethasone on the reduction of postoperative morbidity in children undergoing adenotonsillectomy. Methods: A double blind randomized controlled trial conducted among children undergoing adenotonsillectomy at a tertiary hospital in Korea from November 2018 to June 2019. Children were randomly assigned to receive dexamethasone (0.5 mg/kg, maximum dose 24 mg) or placebo intravenously after induction of anesthesia. The primary endpoint was the reduction of postoperative pain and postoperative nausea and vomiting (PONV); secondary endpoints were adverse effects like postoperative hemorrhage. Results: The study included 105 children, and 67 were male. Their mean age was 6.2 ± 2.1 years. There was no significant difference between the groups in terms of demographic data or the operation time. The pain scores of the dexamethasone group were lower than those of the control group, but no significant difference was found (all P > .05). The average pain visual analog scale (VAS) during the study period (day 0–7) was 3.67 ± 1.59 and 4.40 ± 2.01 in the dexamethasone group and control group, respectively (P-value = .107). When we compared early pain VAS (day 0–2) and late pain VAS (day 5–7), the dexamethasone group showed significantly lower early mean VAS compared to the control group (4.55 ± 1.78 vs 5.40 ± 2.05, P-value = .046). The mean VAS for PONV was significantly lower in the dexamethasone group than in the control group (1.89 ± 2.22 vs 3.00 ± 2.37, P value = .044). Conclusion: In children undergoing adenotonsillectomy, dexamethasone decreased the early postoperative pain and PONV without increasing postoperative hemorrhage.

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“…Exposure to allergens is crucially important in the induction of sensitization and the development of atopic diseases, which often influence quality of life in terms of sleep, school, work, and social life [21][22][23]. Several studies have reported that the global prevalence of atopic diseases has risen significantly over the last 2 decades [24][25][26][27][28][29][30].…”

Section: Discussionmentioning

confidence: 99%

Cluster Analysis of Inhalant Allergens in South Korea: A Computational Model of Allergic Sensitization

Kim

Park

Joon

et al. 2021

Clin Exp Otorhinolaryngol

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Objectives. Sensitization to specific inhalant allergens is a major risk factor for the development of atopic diseases, which impose a major socioeconomic burden and significantly diminish quality of life. However, patterns of inhalant allergic sensitization have yet to be precisely described. Therefore, to enhance the understanding of aeroallergens, we performed a cluster analysis of inhalant allergic sensitization using a computational model. Methods. Skin prick data were collected from 7,504 individuals. A positive skin prick response was defined as an allergento-histamine wheal ratio ≥1. To identify the clustering of inhalant allergic sensitization, we performed computational analysis using the four-parameter unified-Richards model. Results. Hierarchical cluster analysis grouped inhalant allergens into three clusters based on the Davies-Bouldin index (0.528): cluster 1 (Dermatophagoides pteronyssinus and Dermatophagoides farinae), cluster 2 (mugwort, cockroach, oak, birch, cat, and dog), and cluster 3 (Alternaria tenus, ragweed, Candida albicans, Kentucky grass, and meadow grass). Computational modeling revealed that each allergen cluster had a different trajectory over the lifespan. Cluster 1 showed a high level (>50%) of sensitization at an early age (before 19 years), followed by a sharp decrease in sensitization. Cluster 2 showed a moderate level (10%-20%) of sensitization before 29 years of age, followed by a steady decrease in sensitization. However, cluster 3 revealed a low level (<10%) of sensitization at all ages. Conclusion. Computational modeling suggests that allergic sensitization consists of three clusters with distinct patterns at different ages. The results of this study will be helpful to allergists in managing patients with atopic diseases.

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Effect of Adenotonsillectomy on Attention in Korean Children With Sleep-Disordered Breathing

Cited by 6 publications

References 30 publications

Characteristics of ADHD Symptoms and EEG Theta/Beta Ratio in Children With Sleep Disordered Breathing

Characteristics of ADHD Symptoms and EEG Theta/Beta Ratio in Children With Sleep Disordered Breathing

Dexamethasone and post-adenotonsillectomy pain in children

Cluster Analysis of Inhalant Allergens in South Korea: A Computational Model of Allergic Sensitization

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