Publication: Long-term impact of adenotonsillectomy on quality of life in thai children with sleep-disordered breathing
Issued Date
2020-08-01
Resource Type
ISSN
01252208
Other identifier(s)
2-s2.0-85089946862
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.103, No.8 (2020), 736-740
Suggested Citation
Wish Banhiran, Archwin Tanphaichitr, Kitirat Ungkanont, Cheerasook Chongkolwatana, Kanokporn Udomittipong, Kawewan Limprayoon, Vannipa Vathanophas Long-term impact of adenotonsillectomy on quality of life in thai children with sleep-disordered breathing. Journal of the Medical Association of Thailand. Vol.103, No.8 (2020), 736-740. doi:10.35755/jmedassocthai.2020.08.8515 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/59197
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
Long-term impact of adenotonsillectomy on quality of life in thai children with sleep-disordered breathing
Other Contributor(s)
Abstract
© JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND. Background: Sleep disordered breathing (SDB) is a spectrum of disorders that is characterized by abnormal respiratory patterns during sleep, with symptoms that include snoring, mouth breathing, and pauses in breathing. No previous study has investigated the long-term impact of adenotonsillectomy on the quality of life in Thai children with SDB. Objective: To investigate the long-term impact of adenotonsillectomy on the quality of life in Thai pediatric patients with SDB as measured by Obstructive Sleep Apnea-18 (OSA-18) questionnaire. Materials and Methods: The present study was retrospectively conducted in Thai pediatric SDB that underwent adenotonsillectomy at Siriraj Hospital between January 1997 and December 2010. Caregivers of the present study children completed the OSA-18 questionnaire pre-operatively and at least 6-months post-operatively. Demographic and pre-operative polysomnography (PSG) data were also collected and analyzed. Pre-operative and post-operative OSA-18 total score and OSA-18 scores for all five domains were compared using paired t-test. Results: Forty-nine children with SDB that underwent adenotonsillectomy were included. There were 30 boys (61.2%) and 19 girls (38.8%), with a mean age of 6.1±2.6 years (range 3.0 to 12.1). Pre-operative PSG was performed in 32 children (65.3%), with a mean apnea-hypopnea index of 12.6±12.4. Mean pre-operative and post-operative total OSA-18 score was 69.8±16.1 and 36.0±12.9, respectively. Mean duration from surgery to completion of the OSA-18 questionnaire after adenotonsillectomy was 12.5±4.6 months (range 6 to 28). Total OSA-18 score and the scores for all five OSA-18 domains were significantly improved after adenotonsillectomy (p<0.001 and <0.001, respectively). Conclusion: Long-term quality of life in Thai children with SDB was improved significantly after adenotonsillectomy, as evidenced by the significant improvement in OSA-18 total score and all OSA-18 domains. Based on these findings, the authors encourage adenotonsillectomy as the first-line treatment for SDB in Thai pediatric population.