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Identification and evaluation of obstructive sleep apnea prior to adenotonsillectomy in children: a survey of practice patterns
- Source :
-
Sleep Medicine . Jul2003, Vol. 4 Issue 4, p297-307. 11p. - Publication Year :
- 2003
-
Abstract
- Objectives: Some data suggest that the clinical diagnosis of obstructive sleep apnea (OSA) in a child should be confirmed by polysomnography before adenotonsillectomy (AT), but otolaryngology literature generally does not agree and few studies have examined surgical practice patterns.Methods: We mailed, to 603 members of two North American otolaryngology societies, surveys about children aged 5.0–12.9 years upon whom they performed ATs in the previous year.Results: A total of 183 otolaryngologists estimated that they had performed 24,000 ATs. Reported major surgical indications, not mutually exclusive, included recurrent throat infections (for 42% of procedures), obstructed breathing of any type (59%), OSA (39%), poor school performance (17%), and poor attention (11%). Pre-operative evaluations included an office-based, sleep-related history in 93% of children, any objective testing for OSA in <10%, and laboratory-based polysomnography in <5%. Surgeons with academic affiliations, higher volumes of ATs, and pediatric specialization reported lower percentages of ATs performed for recurrent tonsillitis as opposed to other indications.Conclusions: As a common indication for AT, OSA now rivals recurrent throat infection. No more than 12% of school-aged children who undergo AT for OSA have polysomnography prior to the procedure. Indications for AT may depend, in part, on practice settings and otolaryngologists'' backgrounds. [Copyright &y& Elsevier]
- Subjects :
- *SLEEP apnea syndromes
*JUVENILE diseases
Subjects
Details
- Language :
- English
- ISSN :
- 13899457
- Volume :
- 4
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Sleep Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 10353421
- Full Text :
- https://doi.org/10.1016/S1389-9457(03)00100-X