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Arch Otolaryngol Head Neck Surg. 2004 Apr;130(4):409-12.

Long-term changes in quality of life after surgery for pediatric obstructive sleep apnea.

Author information

1
Department of Surgery, University of New Mexico Health Sciences Center, Albuquerque 87131, USA. rmitchell@salud.unm.edu

Abstract

OBJECTIVE:

To study long-term changes in quality of life in children after adenotonsillectomy for obstructive sleep apnea (OSA) documented by polysomnography.

DESIGN AND SETTING:

Prospective study of children with OSA at the University of New Mexico Children's Hospital, Albuquerque.

METHODS:

Children who met inclusion criteria underwent adenotonsillectomy. Caregivers were asked to complete the OSA-18 quality of life survey prior to surgery (survey 1), within 7 months after surgery (short-term) (survey 2), and between 9 and 24 months after surgery (long-term) (survey 3). Scores from the preoperative and postoperative surveys were compared using the paired t test.

RESULTS:

The study population included 34 children, 27 (79%) of whom were male. The mean age of the children at the time of inclusion in the study was 6.7 years (range, 3.0-16.8 years). The mean total score for survey 1 (76.7) was significantly higher (P<.001) than the mean total score for survey 2 (32.0) or for survey 3 (40.9). However, the domains of sleep disturbance and physical suffering were significantly lower (P<or=.005) in survey 2 than in survey 3. The differences in the domains of emotional distress, daytime problems, and caregiver concerns between survey 2 and survey 3 were not statistically significant.

CONCLUSIONS:

Caregivers perceive a long-term improvement in quality of life after adenotonsillectomy for OSA although these improvements are more pronounced in the short-term than in the long-term and are not uniform across all domains of the OSA-18 survey.

PMID:
15096422
DOI:
10.1001/archotol.130.4.409
[Indexed for MEDLINE]

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