OSA-18 Survey in Evaluation of Sleep-disordered Breathing in Children with Adenotonsillar Hypertrophy

Dec 18, 2013Medical archives (Sarajevo, Bosnia and Herzegovina)

Using the OSA-18 Survey to Assess Breathing Problems During Sleep in Children with Enlarged Tonsils and Adenoids

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Abstract

Mean total quality of life score in children with sleep-disordered breathing improved from 3.44 to 1.30 after adenoidectomy.

Quality of life scores before surgery indicated significant impairment in children with sleep-disordered breathing.
Postoperative scores were significantly lower, indicating improved quality of life after both adenoidectomy and adenotonsillectomy.
Before adenotonsillectomy, the mean total score was 3.69, which decreased to 1.22 after surgery.
Statistical analysis showed significant differences in quality of life scores before and after surgery for both procedures (p < 0.01).
The OSA-18 survey effectively assesses quality of life in children with sleep-disordered breathing related to adenotonsillar hypertrophy.

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BACKGROUND/AIM: The aim of this study was to estimate the quality of life (QOL) in children with sleep-disordered breathing (SDB) before and after adenoidectomy and before and after adenotonsillectomy using the OSA-18 survey.

SETTING AND DESIGN: The prospective study included sixty children with symptoms of SDB caused by enlarged adenoids or tonsils, of both sexes, aged 3-12 years, consecutively admitted into the ENT Clinic in Tuzla, for adenoidectomy or adenotonsillectomy.

METHODS: Patients were divided in two subgroups: thirty patients who underwent adenoidectomy and thirty patients who underwent adenotonsillectomy. Parents or caregivers completed the OSA-18 survey before surgery and 5 weeks after surgery. For statistical analysis was used Student's t-test of pared samples. The values p < 0.05 were accepted as significant.

RESULTS: Mean total score before adenoidectomy was 3.44 (SD = 0.77) and after surgery was 1.30 (SD = 0.46).Mean total score before adenotonsillectomy was 3.69 (SD = 0.80), after surgery was 1.22 (SD = 0.27). The difference between preoperative and postoperative scores in both subgroups of patients was significant (p < 0.01).

CONCLUSION: Adenoidectomy and adenotonsillectomy improve QOL in children with SDB, which is caused by adenotonsillar hypertrophy. The OSA-18 survey is a useful tool for the selection of children for surgery with SDB caused by adenotonsillar hypertrophy and to assess quality of life after surgery.

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