TY - JOUR
T1 - Adenotonsillectomy Improves Sleep, Breathing, and Quality of Life But Not Behavior
AU - Constantin, Evelyn
AU - Kermack, Andrea
AU - Nixon, Gillian M.
AU - Tidmarsh, Lee
AU - Ducharme, Francine M.
AU - Brouillette, Robert T.
N1 - Funding Information:
Evelyn Constantin was supported by a fellowship from the Fonds de Recherche en Sante du Quebec, the Montreal Children’s Hospital Research Institute and the Canadian Child Health Clinician Scientist Program. Gillian Nixon was supported by the Alan Ross fellowship of the Department of Pediatrics at the Montreal Children’s Hospital/McGill University.
PY - 2007/5
Y1 - 2007/5
N2 - Objective: To obtain parental perspectives on changes in sleep, breathing, quality of life (QOL), and neurobehavioral measures after adenotonsillectomy. Study design: This retrospective cohort study comprised otherwise healthy children evaluated for obstructive sleep apnea syndrome (OSAS) from 1993 to 2001. We compared those children who underwent adenotonsillectomy with those children who did not. The parents of 473 children (292 boys) 2 years of age and older were sent questionnaires to evaluate QOL and clinical and behavioral changes. For 94 children 3 years of age and older, behavioral changes were evaluated using the Conners' Parent Rating Scale-Revised (CPRS-R) for three different periods: pre-operatively/pre-polysomnography, postoperatively/postpolysomnography, and recently. Results: One hundred and sixty-six questionnaires were returned (35%), 138 of which were complete with written consent provided. Compared with parents of unoperated children, parents of children who had adenotonsillectomy were more likely to report improvements in sleep, breathing, and QOL but not improvements in concentration, school performance, and intellectual or developmental progress. Both short and long term, there were no significant effects of adenotonsillectomy on any of the CPRS-R behavior subscales. Conclusion: From a parental perspective, adenotonsillectomy frequently improves sleep, breathing, and QOL but does not often improve neurobehavioral outcomes.
AB - Objective: To obtain parental perspectives on changes in sleep, breathing, quality of life (QOL), and neurobehavioral measures after adenotonsillectomy. Study design: This retrospective cohort study comprised otherwise healthy children evaluated for obstructive sleep apnea syndrome (OSAS) from 1993 to 2001. We compared those children who underwent adenotonsillectomy with those children who did not. The parents of 473 children (292 boys) 2 years of age and older were sent questionnaires to evaluate QOL and clinical and behavioral changes. For 94 children 3 years of age and older, behavioral changes were evaluated using the Conners' Parent Rating Scale-Revised (CPRS-R) for three different periods: pre-operatively/pre-polysomnography, postoperatively/postpolysomnography, and recently. Results: One hundred and sixty-six questionnaires were returned (35%), 138 of which were complete with written consent provided. Compared with parents of unoperated children, parents of children who had adenotonsillectomy were more likely to report improvements in sleep, breathing, and QOL but not improvements in concentration, school performance, and intellectual or developmental progress. Both short and long term, there were no significant effects of adenotonsillectomy on any of the CPRS-R behavior subscales. Conclusion: From a parental perspective, adenotonsillectomy frequently improves sleep, breathing, and QOL but does not often improve neurobehavioral outcomes.
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U2 - 10.1016/j.jpeds.2007.01.026
DO - 10.1016/j.jpeds.2007.01.026
M3 - Article
C2 - 17452233
AN - SCOPUS:34247131325
SN - 0022-3476
VL - 150
SP - 540-546.e1
JO - Journal of Pediatrics
JF - Journal of Pediatrics
IS - 5
ER -