OSA-18 Survey in Evaluation of Sleep-disordered Breathing in Children with Adenotonsillar Hypertrophy

Hasukić, Begzada

doi:10.5455/medarh.2013.67.111-114

Cited by 21 publications

(11 citation statements)

References 10 publications

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“…Prospective and retrospective studies included in this systematic review are summarized in Supplemental Table S1 (available in the online version of the article). 2,7-42 An itemized assessment of the risk of bias is presented in Table 1 . OSA-18 was by far the most common validated measure used to measure quality of life, while some studies used the Obstructive Sleep Disorders–6, the Child Health Questionnaire, and the PedsQL (Pediatric Quality of Life Inventory).…”

Section: Resultsmentioning

confidence: 99%

Adenotonsillectomy for Obstructive Sleep Apnea and Quality of Life: Systematic Review and Meta‐analysis

Todd

Bareiss

McCoul

et al. 2017

Otolaryngol.--head neck surg.

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Objective To determine the impact of adenotonsillectomy on the quality of life of pediatric patients with obstructive sleep apnea (OSA) and to identify gaps in the current research. Data Sources The MEDLINE, EMBASE, and Cochrane databases were systematically searched via the Ovid portal on June 18, 2016, for English-language articles. Review Methods Full-text articles were selected that studied boys and girls <18 years of age who underwent adenotonsillectomy for OSA or sleep-disordered breathing and that recorded validated, quantitative quality-of-life outcomes. Studies that lacked such measures, performed adenotonsillectomy for indications other than OSA or sleep-disordered breathing, or grouped adenotonsillectomy with other procedures were excluded. Results Of the 328 articles initially identified, 37 were included for qualitative analysis. The level of evidence was generally low. All studies involving short-term follow-up (≤6 months) showed improvement in quality-of-life scores after adenotonsillectomy as compared with preoperative values. Studies involving long-term follow-up (>6 months) showed mixed results. Modifications to and concurrent procedures with conventional adenotonsillectomy were also identified that showed quality-of-life improvements. Three studies were identified for meta-analysis that compared pre- and postoperative Obstructive Sleep Apnea-18 scores. Short- and long-term follow-up versus preoperative scores showed significant improvement ( P < .001). Short- and long-term scores showed no significant difference. Conclusion This systematic review and meta-analysis demonstrate adenotonsillectomy's effectiveness in improving the quality of life of pediatric patients with OSA. This is well demonstrated in the short term and has strong indications in the long term.

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Section: Resultsmentioning

confidence: 99%

Adenotonsillectomy for Obstructive Sleep Apnea and Quality of Life: Systematic Review and Meta‐analysis

Todd

Bareiss

McCoul

et al. 2017

Otolaryngol.--head neck surg.

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“…OSAS-18 is a validated instrument that assesses SDB-related quality of life and has became an important outcome measure in children with SDB [11,12]. Using the OSAS-18 survey, a significant improvement was found in HRQoL after T&A in children with SDB with and without NE.…”

Section: Discussionmentioning

confidence: 96%

Adenotonsillectomy improves quality of life in children with sleep-disordered breathing regardless of nocturnal enuresis outcome

Kovačević

Wolfe‐Christensen

et al. 2015

Journal of Pediatric Urology

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“…11 OSA-18 has been shown to be effective as a tool to compare the quality of life before and after adenotonsillectomy. 15,16 However, some clinical researches suggested that OSA-18 had poor validity in detecting and predicting pediatric OSA. 17,18 The OSA-18 questionnaire consists of 18 items including psychological and parental parameters as well as physical parameters.…”

Section: Discussionmentioning

confidence: 99%

Clinical Efficacy of Symptomatic Manifestations in Prediction of Pediatric Obstructive Sleep Apnea

2014

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Background and ObjectiveaaThis study was aimed to identify clinical efficacy of subjective symptoms in prediction of obstructive sleep apnea (OSA) in children. MethodsaaMedical records of children under age of 12 years who underwent attended full night polysomnography were reviewed. Questionnaires in the Korean version of OSA-18 were answered by all of the patients. Among the questionnaires, the scores of snoring, apnea and mouth breathing were summated to analyze the correlation between subjective symptoms and apnea hypopnea index (AHI). The hypertrophy of the tonsils and adenoids were graded from 1 to 4. ResultsaaA total of 68 patients (45 males and 23 females) were included in this study. The average age of patients was 6.9 years. The average score of snoring, apnea and mouth breathing was 5.1, 3.7 and 5.1, respectively. The average grade of tonsil and adenoid hypertrophy was 2.9 and 2.5, respectively. While the Korean version of OSA-18 score and AHI did not show a significant correlation (p = 0.222), the sum of snoring, apnea and mouth breathing score showed a significant correlation with AHI (p = 0.019). A composite score including snoring, apnea, mouth breathing, and adenotonsillar hypertrophy was also correlated with AHI (p = 0.035). However, adenotonsillar hypertrophy was not correlated with AHI. ConclusionsaaThe present study showed that OSA in children was better predicted by subjective symptoms, in particular, snoring, apnea and mouth breathing than adenotonsillar hypertrophy.

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OSA-18 Survey in Evaluation of Sleep-disordered Breathing in Children with Adenotonsillar Hypertrophy

Abstract: Adenoidectomy and adenotonsillectomy improve QOL in children with SDB, which is caused by adenotonsillar hypertrophy. The OSA-18 survey is a useful tool for the selection of children for surgery with SDB caused by adenotonsillar hypertrophy and to assess quality of life after surgery.

Cited by 21 publications

References 10 publications

Adenotonsillectomy for Obstructive Sleep Apnea and Quality of Life: Systematic Review and Meta‐analysis

Adenotonsillectomy for Obstructive Sleep Apnea and Quality of Life: Systematic Review and Meta‐analysis

Adenotonsillectomy improves quality of life in children with sleep-disordered breathing regardless of nocturnal enuresis outcome

Clinical Efficacy of Symptomatic Manifestations in Prediction of Pediatric Obstructive Sleep Apnea

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