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- Title
Prevalence of Severe Obstructive Sleep Apnea in Pediatric Adenotonsillectomy Patients.
- Authors
Jiang, Nancy; Muhammad, Charise; Ho, Yan; Del Signore, Anthony G.; Sikora, Andrew G.; Malkin, Benjamin D.
- Abstract
Objectives/Hypothesis: To determine the prevalence of severe obstructive sleep apnea (OSA) in a pediatric population who underwent indicated surgery for sleep disordered breathing (SDB). Study Design: Retrospective chart review. Methods: We reviewed the charts of patients aged 2 to 18 years who underwent tonsillectomy or adenotonsillectomy over a 4-year period. Indications for preoperative polysomnography (PSG), PSG results, and perioperative complications were recorded. Results: Two hundred and thirty-five patients were included in the final analysis. Of these, 160 patients had preoperative PSG performed. The overall prevalence of severe OSA was 38%. The prevalence in patients for whom preoperative PSG was indicated or for which it should have been advocated according to the American Academy of Otolaryngology--Head and Neck Surgery (AAO-HNS) clinical practice guideline was 45% and 40%, respectively, whereas the prevalence in patients with no indication for preoperative PSG was 34%. There was no significant difference between groups (P50.39). The overall complication rate was 11%, with the rate being significantly lower (P50.0022) in patients who did not have preoperative PSG performed (0%) when compared to those who did (16%). Conclusions: The prevalence of severe OSA in this pediatric population was high. Specifically, a significant percentage of children who would not have received preoperative PSG under the AAO-HNS recommendations had severe OSA and were consequently admitted for overnight observation. Our results suggest that preoperative PSG should be obtained for all pediatric patients with sleep disordered breathing.
- Subjects
SLEEP apnea syndromes; ADENOTONSILLECTOMY; DISEASE prevalence; TONSILLECTOMY; SURGICAL complications; CHILDREN'S health
- Publication
Laryngoscope, 2014, Vol 124, Issue 8, p1975
- ISSN
0023-852X
- Publication type
Article
- DOI
10.1002/lary.24692