Outcome of adenotonsillectomy for obstructive sleep apnea in obese and normal-weight children
1) To evaluate the relative severity of obstructive sleep apnea (OSA) in obese and normal-weight children; 2) to compare changes in respiratory parameters after adenotonsillectomy in obese and normal-weight children. Prospective controlled trial that included children aged 3 to 18 years. All study p...
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| Veröffentlicht in: | Otolaryngology-head and neck surgery 2007-07, Vol.137 (1), p.43-48 |
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| creator | Mitchell, Ron B. Kelly, James |
| description | 1) To evaluate the relative severity of obstructive sleep apnea (OSA) in obese and normal-weight children; 2) to compare changes in respiratory parameters after adenotonsillectomy in obese and normal-weight children.
Prospective controlled trial that included children aged 3 to 18 years. All study participants underwent pre- and postoperative polysomnography.
The study population included 33 obese children and 39 normal-weight controls. Preoperatively, the median obstructive apnea-hypopnea index (AHI) was 23.4 (range 3.7-135.1) for obese and 17.1 (range 3.9-36.5) for controls (
P < 0.001). Postoperatively, the AHI was 3.1 (range 0-33.1) for obese and 1.9 (range 0.1-7.0) for controls (
P < 0.01). Twenty-five obese children (76%) and 11 controls (28%) had persistent OSA.
AHI scores are higher in obese than in normal-weight children with OSA. Both groups show a dramatic improvement in AHI after adenotonsillectomy, but persistent OSA is more common in obese children. |
| doi_str_mv | 10.1016/j.otohns.2007.03.028 |
| format | Article |
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Prospective controlled trial that included children aged 3 to 18 years. All study participants underwent pre- and postoperative polysomnography.
The study population included 33 obese children and 39 normal-weight controls. Preoperatively, the median obstructive apnea-hypopnea index (AHI) was 23.4 (range 3.7-135.1) for obese and 17.1 (range 3.9-36.5) for controls (
P < 0.001). Postoperatively, the AHI was 3.1 (range 0-33.1) for obese and 1.9 (range 0.1-7.0) for controls (
P < 0.01). Twenty-five obese children (76%) and 11 controls (28%) had persistent OSA.
AHI scores are higher in obese than in normal-weight children with OSA. Both groups show a dramatic improvement in AHI after adenotonsillectomy, but persistent OSA is more common in obese children.</description><identifier>ISSN: 0194-5998</identifier><identifier>EISSN: 1097-6817</identifier><identifier>DOI: 10.1016/j.otohns.2007.03.028</identifier><identifier>PMID: 17599563</identifier><language>eng</language><publisher>Los Angeles, CA: Mosby, Inc</publisher><subject>Adenoidectomy ; Adolescent ; Arousal - physiology ; Body Mass Index ; Body Weight - physiology ; Child ; Child, Preschool ; Electrocoagulation ; Female ; Follow-Up Studies ; Humans ; Male ; Obesity - complications ; Overweight - physiology ; Oxygen - blood ; Polysomnography ; Prospective Studies ; Recurrence ; Sleep Apnea, Obstructive - classification ; Sleep Apnea, Obstructive - surgery ; Sleep, REM - physiology ; Thinness - physiopathology ; Tonsillectomy ; Treatment Outcome</subject><ispartof>Otolaryngology-head and neck surgery, 2007-07, Vol.137 (1), p.43-48</ispartof><rights>2007 American Academy of Otolaryngology–Head and Neck Surgery Foundation</rights><rights>2007 SAGE Publications</rights><rights>2007 American Association of Otolaryngology‐Head and Neck Surgery Foundation (AAO‐HNSF)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5210-1e50d8d28326623b33c9a9430b69556db9caeeac73cfe864e82913bc9de5fc453</citedby><cites>FETCH-LOGICAL-c5210-1e50d8d28326623b33c9a9430b69556db9caeeac73cfe864e82913bc9de5fc453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1016/j.otohns.2007.03.028$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1016/j.otohns.2007.03.028$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,1411,21798,27901,27902,43597,43598,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17599563$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mitchell, Ron B.</creatorcontrib><creatorcontrib>Kelly, James</creatorcontrib><title>Outcome of adenotonsillectomy for obstructive sleep apnea in obese and normal-weight children</title><title>Otolaryngology-head and neck surgery</title><addtitle>Otolaryngol Head Neck Surg</addtitle><description>1) To evaluate the relative severity of obstructive sleep apnea (OSA) in obese and normal-weight children; 2) to compare changes in respiratory parameters after adenotonsillectomy in obese and normal-weight children.
Prospective controlled trial that included children aged 3 to 18 years. All study participants underwent pre- and postoperative polysomnography.
The study population included 33 obese children and 39 normal-weight controls. Preoperatively, the median obstructive apnea-hypopnea index (AHI) was 23.4 (range 3.7-135.1) for obese and 17.1 (range 3.9-36.5) for controls (
P < 0.001). Postoperatively, the AHI was 3.1 (range 0-33.1) for obese and 1.9 (range 0.1-7.0) for controls (
P < 0.01). Twenty-five obese children (76%) and 11 controls (28%) had persistent OSA.
AHI scores are higher in obese than in normal-weight children with OSA. Both groups show a dramatic improvement in AHI after adenotonsillectomy, but persistent OSA is more common in obese children.</description><subject>Adenoidectomy</subject><subject>Adolescent</subject><subject>Arousal - physiology</subject><subject>Body Mass Index</subject><subject>Body Weight - physiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Electrocoagulation</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Obesity - complications</subject><subject>Overweight - physiology</subject><subject>Oxygen - blood</subject><subject>Polysomnography</subject><subject>Prospective Studies</subject><subject>Recurrence</subject><subject>Sleep Apnea, Obstructive - classification</subject><subject>Sleep Apnea, Obstructive - surgery</subject><subject>Sleep, REM - physiology</subject><subject>Thinness - physiopathology</subject><subject>Tonsillectomy</subject><subject>Treatment Outcome</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkdGK1DAUhoMo7rj6BiK58q71pJkmDYigi-sKi3OjlxLS5HQnQ5uMSbvLvL1ZOuCdehU4-f-Pw3cIec2gZsDEu0Md57gPuW4AZA28hqZ7QjYMlKxEx-RTsgGmtlWrVHdBXuR8AAAhpHxOLpgs01bwDfm5W2YbJ6RxoMZhKMyQ_TiineN0okNMNPZ5Toud_T3SPCIeqTkGNNSH8oUZqQmOhpgmM1YP6O_2M7V7P7qE4SV5Npgx46vze0l-XH_-fnVT3e6-fL36eFvZtmFQMWzBda7peCNEw3vOrTJqy6EXqm2F65U1iMZKbgfsxBa7RjHeW-WwHey25Zfk7co9pvhrwTzryWeL42gCxiVrCUI2SsoS3K5Bm2LOCQd9TH4y6aQZ6Eet-qBXrfpRqwaui9ZSe3PmL_2E7k_p7LEE3q-BBz_i6b-genfz7dN1Awqg1Nlaz-YO9SEuKRRd_9rpw9rBIvbeY9LZegwWnU_letpF_3fAb02fr8s</recordid><startdate>200707</startdate><enddate>200707</enddate><creator>Mitchell, Ron B.</creator><creator>Kelly, James</creator><general>Mosby, Inc</general><general>SAGE Publications</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>7X8</scope><scope>8BM</scope></search><sort><creationdate>200707</creationdate><title>Outcome of adenotonsillectomy for obstructive sleep apnea in obese and normal-weight children</title><author>Mitchell, Ron B. ; Kelly, James</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5210-1e50d8d28326623b33c9a9430b69556db9caeeac73cfe864e82913bc9de5fc453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adenoidectomy</topic><topic>Adolescent</topic><topic>Arousal - physiology</topic><topic>Body Mass Index</topic><topic>Body Weight - physiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Electrocoagulation</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Obesity - complications</topic><topic>Overweight - physiology</topic><topic>Oxygen - blood</topic><topic>Polysomnography</topic><topic>Prospective Studies</topic><topic>Recurrence</topic><topic>Sleep Apnea, Obstructive - classification</topic><topic>Sleep Apnea, Obstructive - surgery</topic><topic>Sleep, REM - physiology</topic><topic>Thinness - physiopathology</topic><topic>Tonsillectomy</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mitchell, Ron B.</creatorcontrib><creatorcontrib>Kelly, James</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mitchell, Ron B.</au><au>Kelly, James</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcome of adenotonsillectomy for obstructive sleep apnea in obese and normal-weight children</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><addtitle>Otolaryngol Head Neck Surg</addtitle><date>2007-07</date><risdate>2007</risdate><volume>137</volume><issue>1</issue><spage>43</spage><epage>48</epage><pages>43-48</pages><issn>0194-5998</issn><eissn>1097-6817</eissn><abstract>1) To evaluate the relative severity of obstructive sleep apnea (OSA) in obese and normal-weight children; 2) to compare changes in respiratory parameters after adenotonsillectomy in obese and normal-weight children.
Prospective controlled trial that included children aged 3 to 18 years. All study participants underwent pre- and postoperative polysomnography.
The study population included 33 obese children and 39 normal-weight controls. Preoperatively, the median obstructive apnea-hypopnea index (AHI) was 23.4 (range 3.7-135.1) for obese and 17.1 (range 3.9-36.5) for controls (
P < 0.001). Postoperatively, the AHI was 3.1 (range 0-33.1) for obese and 1.9 (range 0.1-7.0) for controls (
P < 0.01). Twenty-five obese children (76%) and 11 controls (28%) had persistent OSA.
AHI scores are higher in obese than in normal-weight children with OSA. Both groups show a dramatic improvement in AHI after adenotonsillectomy, but persistent OSA is more common in obese children.</abstract><cop>Los Angeles, CA</cop><pub>Mosby, Inc</pub><pmid>17599563</pmid><doi>10.1016/j.otohns.2007.03.028</doi><tpages>6</tpages></addata></record> |
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| ispartof | Otolaryngology-head and neck surgery, 2007-07, Vol.137 (1), p.43-48 |
| issn | 0194-5998 1097-6817 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_70672977 |
| source | MEDLINE; Wiley Online Library; SAGE Journals; Alma/SFX Local Collection |
| subjects | Adenoidectomy Adolescent Arousal - physiology Body Mass Index Body Weight - physiology Child Child, Preschool Electrocoagulation Female Follow-Up Studies Humans Male Obesity - complications Overweight - physiology Oxygen - blood Polysomnography Prospective Studies Recurrence Sleep Apnea, Obstructive - classification Sleep Apnea, Obstructive - surgery Sleep, REM - physiology Thinness - physiopathology Tonsillectomy Treatment Outcome |
| title | Outcome of adenotonsillectomy for obstructive sleep apnea in obese and normal-weight children |
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