Sleep study indices and early post-tonsillectomy outcomes
To investigate the relationships between preoperative sleep study findings of children undergoing adenotonsillectomy anesthesia emergence time, recovery room time, and length of stay. Retrospective case series with chart review. Tertiary care children's hospital. All children aged 1–17 years wh...
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| Veröffentlicht in: | American journal of otolaryngology 2018-09, Vol.39 (5), p.623-627 |
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| creator | O'Brien, Daniel C. Desai, Yuti Swanson, Robert T. Parekh, Uma Schubart, Jane Carr, Michele M. |
| description | To investigate the relationships between preoperative sleep study findings of children undergoing adenotonsillectomy anesthesia emergence time, recovery room time, and length of stay.
Retrospective case series with chart review.
Tertiary care children's hospital.
All children aged 1–17 years who had undergone adenotonsillectomy between 2013 and 2016 were included. Apnea-hypopnea index (AHI), central apnea index (CAI), oxygen saturation nadir, and end-tidal carbon dioxide were compared with the in-operating room times, recovery room time, and length of stay.
Three hundred and fourteen patients with a mean age of 6.67 (95% CI 6.25–7.09) years were included. Mean AHI was 9.14 (95% CI 7.33–10.95), mean CI was 0.88 (95% CI 0.50–1.26), mean oxygen saturation nadir was 82.9% (95% CI 81.41–84.32), mean end-tidal carbon dioxide was 50.3 (95% CI 49.39–51.15). Mean emergence time was 16 min (95% CI 15:11–17:13 min), recovery room time was 66 min (95% CI 1:00–1:11 h), and length of stay was 25.7 h (95% CI 21:43–30:00 h).
When controlled for age, gender and BMI, linear regression showed that children with a higher AHI had a significantly longer operating room and operative times (p |
| doi_str_mv | 10.1016/j.amjoto.2018.07.003 |
| format | Article |
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Retrospective case series with chart review.
Tertiary care children's hospital.
All children aged 1–17 years who had undergone adenotonsillectomy between 2013 and 2016 were included. Apnea-hypopnea index (AHI), central apnea index (CAI), oxygen saturation nadir, and end-tidal carbon dioxide were compared with the in-operating room times, recovery room time, and length of stay.
Three hundred and fourteen patients with a mean age of 6.67 (95% CI 6.25–7.09) years were included. Mean AHI was 9.14 (95% CI 7.33–10.95), mean CI was 0.88 (95% CI 0.50–1.26), mean oxygen saturation nadir was 82.9% (95% CI 81.41–84.32), mean end-tidal carbon dioxide was 50.3 (95% CI 49.39–51.15). Mean emergence time was 16 min (95% CI 15:11–17:13 min), recovery room time was 66 min (95% CI 1:00–1:11 h), and length of stay was 25.7 h (95% CI 21:43–30:00 h).
When controlled for age, gender and BMI, linear regression showed that children with a higher AHI had a significantly longer operating room and operative times (p < 0.001), emergence time (p < 0.001) and length of stay (p = 0.01). CAI was related to shorter total operating room times (p = 0.03). AHI, oxygen saturation nadir, CAI and end-tidal carbon dioxide were not associated with recovery room time.
Preoperative sleep study indices are associated with longer in-operating room times and length of stay, and can be useful in planning operating room and hospital flow.</description><identifier>ISSN: 0196-0709</identifier><identifier>EISSN: 1532-818X</identifier><identifier>DOI: 10.1016/j.amjoto.2018.07.003</identifier><identifier>PMID: 30017372</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adenoidectomy ; Adolescent ; Age ; Airway management ; Anesthesia ; Apnea ; Asthma ; Body mass ; Carbon dioxide ; Child ; Child, Preschool ; Children ; Complications of surgery ; Emergence ; Female ; Humans ; Infant ; Length of Stay ; Male ; Medical records ; Narcotics ; Obstruction sleep apnea ; Operative Time ; Otolaryngology ; Oxygen ; Oxygen content ; Patients ; Pediatric surgery ; Pediatrics ; Polysomnography ; Recovery ; Retrospective Studies ; Saturation ; Sleep ; Sleep apnea ; Sleep Apnea, Obstructive - complications ; Sleep Apnea, Obstructive - physiopathology ; Sleep Apnea, Obstructive - surgery ; Sleep disorders ; Surgery ; Time Factors ; Tonsillectomy ; Treatment Outcome</subject><ispartof>American journal of otolaryngology, 2018-09, Vol.39 (5), p.623-627</ispartof><rights>2018</rights><rights>Copyright © 2018. Published by Elsevier Inc.</rights><rights>Copyright Elsevier Limited Sep 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-1970451aa7bd13ebb5f2c56b830fbf85a702fd8cf6301617610f0dc1e51ae4a63</citedby><cites>FETCH-LOGICAL-c390t-1970451aa7bd13ebb5f2c56b830fbf85a702fd8cf6301617610f0dc1e51ae4a63</cites><orcidid>0000-0001-8420-5916 ; 0000-0002-0783-496X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.amjoto.2018.07.003$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30017372$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>O'Brien, Daniel C.</creatorcontrib><creatorcontrib>Desai, Yuti</creatorcontrib><creatorcontrib>Swanson, Robert T.</creatorcontrib><creatorcontrib>Parekh, Uma</creatorcontrib><creatorcontrib>Schubart, Jane</creatorcontrib><creatorcontrib>Carr, Michele M.</creatorcontrib><title>Sleep study indices and early post-tonsillectomy outcomes</title><title>American journal of otolaryngology</title><addtitle>Am J Otolaryngol</addtitle><description>To investigate the relationships between preoperative sleep study findings of children undergoing adenotonsillectomy anesthesia emergence time, recovery room time, and length of stay.
Retrospective case series with chart review.
Tertiary care children's hospital.
All children aged 1–17 years who had undergone adenotonsillectomy between 2013 and 2016 were included. Apnea-hypopnea index (AHI), central apnea index (CAI), oxygen saturation nadir, and end-tidal carbon dioxide were compared with the in-operating room times, recovery room time, and length of stay.
Three hundred and fourteen patients with a mean age of 6.67 (95% CI 6.25–7.09) years were included. Mean AHI was 9.14 (95% CI 7.33–10.95), mean CI was 0.88 (95% CI 0.50–1.26), mean oxygen saturation nadir was 82.9% (95% CI 81.41–84.32), mean end-tidal carbon dioxide was 50.3 (95% CI 49.39–51.15). Mean emergence time was 16 min (95% CI 15:11–17:13 min), recovery room time was 66 min (95% CI 1:00–1:11 h), and length of stay was 25.7 h (95% CI 21:43–30:00 h).
When controlled for age, gender and BMI, linear regression showed that children with a higher AHI had a significantly longer operating room and operative times (p < 0.001), emergence time (p < 0.001) and length of stay (p = 0.01). CAI was related to shorter total operating room times (p = 0.03). AHI, oxygen saturation nadir, CAI and end-tidal carbon dioxide were not associated with recovery room time.
Preoperative sleep study indices are associated with longer in-operating room times and length of stay, and can be useful in planning operating room and hospital flow.</description><subject>Adenoidectomy</subject><subject>Adolescent</subject><subject>Age</subject><subject>Airway management</subject><subject>Anesthesia</subject><subject>Apnea</subject><subject>Asthma</subject><subject>Body mass</subject><subject>Carbon dioxide</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Complications of surgery</subject><subject>Emergence</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medical records</subject><subject>Narcotics</subject><subject>Obstruction sleep apnea</subject><subject>Operative Time</subject><subject>Otolaryngology</subject><subject>Oxygen</subject><subject>Oxygen content</subject><subject>Patients</subject><subject>Pediatric surgery</subject><subject>Pediatrics</subject><subject>Polysomnography</subject><subject>Recovery</subject><subject>Retrospective Studies</subject><subject>Saturation</subject><subject>Sleep</subject><subject>Sleep apnea</subject><subject>Sleep Apnea, Obstructive - complications</subject><subject>Sleep Apnea, Obstructive - physiopathology</subject><subject>Sleep Apnea, Obstructive - surgery</subject><subject>Sleep disorders</subject><subject>Surgery</subject><subject>Time Factors</subject><subject>Tonsillectomy</subject><subject>Treatment Outcome</subject><issn>0196-0709</issn><issn>1532-818X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQhoMo7rr6D0QKXry0TppN014EWfyCBQ8qeAtpMoWUtlmTVth_b5ZVDx48zeV535l5CDmnkFGgxXWbqb51o8tyoGUGIgNgB2ROOcvTkpbvh2QOtCpSEFDNyEkILURiyfgxmTEAKpjI56R66RA3SRgns03sYKzGkKjBJKh8t002Lozp6IZguw716Ppt4qZRux7DKTlqVBfw7HsuyNv93evqMV0_PzytbtepZhWMKa0ELDlVStSGMqxr3uSaF3XJoKmbkisBeWNK3RQsfkVFQaEBoynGDC5VwRbkat-78e5jwjDK3gaNXacGdFOQOQjKBSvzHXr5B23d5Id4XaQq4PHrikdquae0dyF4bOTG2175raQgd2plK_dq5U6tBCGjuBi7-C6f6h7Nb-jHZQRu9gBGG58WvQza4qDRWB_dSePs_xu-ABPqiyM</recordid><startdate>201809</startdate><enddate>201809</enddate><creator>O'Brien, Daniel C.</creator><creator>Desai, Yuti</creator><creator>Swanson, Robert T.</creator><creator>Parekh, Uma</creator><creator>Schubart, Jane</creator><creator>Carr, Michele M.</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7QR</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8420-5916</orcidid><orcidid>https://orcid.org/0000-0002-0783-496X</orcidid></search><sort><creationdate>201809</creationdate><title>Sleep study indices and early post-tonsillectomy outcomes</title><author>O'Brien, Daniel C. ; Desai, Yuti ; Swanson, Robert T. ; Parekh, Uma ; Schubart, Jane ; Carr, Michele M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-1970451aa7bd13ebb5f2c56b830fbf85a702fd8cf6301617610f0dc1e51ae4a63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adenoidectomy</topic><topic>Adolescent</topic><topic>Age</topic><topic>Airway management</topic><topic>Anesthesia</topic><topic>Apnea</topic><topic>Asthma</topic><topic>Body mass</topic><topic>Carbon dioxide</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Complications of surgery</topic><topic>Emergence</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medical records</topic><topic>Narcotics</topic><topic>Obstruction sleep apnea</topic><topic>Operative Time</topic><topic>Otolaryngology</topic><topic>Oxygen</topic><topic>Oxygen content</topic><topic>Patients</topic><topic>Pediatric surgery</topic><topic>Pediatrics</topic><topic>Polysomnography</topic><topic>Recovery</topic><topic>Retrospective Studies</topic><topic>Saturation</topic><topic>Sleep</topic><topic>Sleep apnea</topic><topic>Sleep Apnea, Obstructive - complications</topic><topic>Sleep Apnea, Obstructive - physiopathology</topic><topic>Sleep Apnea, Obstructive - surgery</topic><topic>Sleep disorders</topic><topic>Surgery</topic><topic>Time Factors</topic><topic>Tonsillectomy</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>O'Brien, Daniel C.</creatorcontrib><creatorcontrib>Desai, Yuti</creatorcontrib><creatorcontrib>Swanson, Robert T.</creatorcontrib><creatorcontrib>Parekh, Uma</creatorcontrib><creatorcontrib>Schubart, Jane</creatorcontrib><creatorcontrib>Carr, Michele M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of otolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>O'Brien, Daniel C.</au><au>Desai, Yuti</au><au>Swanson, Robert T.</au><au>Parekh, Uma</au><au>Schubart, Jane</au><au>Carr, Michele M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sleep study indices and early post-tonsillectomy outcomes</atitle><jtitle>American journal of otolaryngology</jtitle><addtitle>Am J Otolaryngol</addtitle><date>2018-09</date><risdate>2018</risdate><volume>39</volume><issue>5</issue><spage>623</spage><epage>627</epage><pages>623-627</pages><issn>0196-0709</issn><eissn>1532-818X</eissn><abstract>To investigate the relationships between preoperative sleep study findings of children undergoing adenotonsillectomy anesthesia emergence time, recovery room time, and length of stay.
Retrospective case series with chart review.
Tertiary care children's hospital.
All children aged 1–17 years who had undergone adenotonsillectomy between 2013 and 2016 were included. Apnea-hypopnea index (AHI), central apnea index (CAI), oxygen saturation nadir, and end-tidal carbon dioxide were compared with the in-operating room times, recovery room time, and length of stay.
Three hundred and fourteen patients with a mean age of 6.67 (95% CI 6.25–7.09) years were included. Mean AHI was 9.14 (95% CI 7.33–10.95), mean CI was 0.88 (95% CI 0.50–1.26), mean oxygen saturation nadir was 82.9% (95% CI 81.41–84.32), mean end-tidal carbon dioxide was 50.3 (95% CI 49.39–51.15). Mean emergence time was 16 min (95% CI 15:11–17:13 min), recovery room time was 66 min (95% CI 1:00–1:11 h), and length of stay was 25.7 h (95% CI 21:43–30:00 h).
When controlled for age, gender and BMI, linear regression showed that children with a higher AHI had a significantly longer operating room and operative times (p < 0.001), emergence time (p < 0.001) and length of stay (p = 0.01). CAI was related to shorter total operating room times (p = 0.03). AHI, oxygen saturation nadir, CAI and end-tidal carbon dioxide were not associated with recovery room time.
Preoperative sleep study indices are associated with longer in-operating room times and length of stay, and can be useful in planning operating room and hospital flow.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>30017372</pmid><doi>10.1016/j.amjoto.2018.07.003</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-8420-5916</orcidid><orcidid>https://orcid.org/0000-0002-0783-496X</orcidid></addata></record> |
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| ispartof | American journal of otolaryngology, 2018-09, Vol.39 (5), p.623-627 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adenoidectomy Adolescent Age Airway management Anesthesia Apnea Asthma Body mass Carbon dioxide Child Child, Preschool Children Complications of surgery Emergence Female Humans Infant Length of Stay Male Medical records Narcotics Obstruction sleep apnea Operative Time Otolaryngology Oxygen Oxygen content Patients Pediatric surgery Pediatrics Polysomnography Recovery Retrospective Studies Saturation Sleep Sleep apnea Sleep Apnea, Obstructive - complications Sleep Apnea, Obstructive - physiopathology Sleep Apnea, Obstructive - surgery Sleep disorders Surgery Time Factors Tonsillectomy Treatment Outcome |
| title | Sleep study indices and early post-tonsillectomy outcomes |
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