Predictors of complications following adenotonsillectomy in children with severe obstructive sleep apnea

Abstract Objective To identify pre-operative risk factors predicting complications following adenotonsillectomy in children with severe OSA. Methods Retrospective chart review in an academic tertiary care center. Children with symptoms of OSA with overnight polysomnography (PSG) revealing apnea–hypo...

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 2015-11, Vol.79 (11), p.1838-1841
Main Authors: Keamy, Donald G, Chhabra, Karan R, Hartnick, Christopher J
Format: Article
Language:English
Subjects:
Adenoidectomy - adverse effects
Adenotonsillectomy
Adolescent
Apnea–hypopnea index
Child
Child, Preschool
Female
Humans
Length of Stay
Logistic Models
Male
Obstructive sleep apnea
Otolaryngology
Oximetry
Pediatrics
Polysomnography
Postoperative Complications
Retrospective Studies
Risk Factors
Severity of Illness Index
Sleep Apnea, Obstructive - surgery
Sleep medicine
Tonsillectomy - adverse effects
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Summary:Abstract Objective To identify pre-operative risk factors predicting complications following adenotonsillectomy in children with severe OSA. Methods Retrospective chart review in an academic tertiary care center. Children with symptoms of OSA with overnight polysomnography (PSG) revealing apnea–hypopnea index (AHI) >10, who underwent adenotonsillectomy with overnight postoperative observation between 2008 and 2012. Univariate logistic regression was used to assess odds ratio (OR) of individual risk factors versus postoperative complications such as overnight desaturations 24 h, supplemental oxygen requirement, and transfer to a higher level of care. Results All patients ( n = 157) with severe OSA were observed overnight. Mean age was 5.3 ± 3.7 years. Twenty-five (15.9%) patients had LOS > 24 h. Forty-two (26.8%) had overnight desaturations
ISSN:0165-5876
1872-8464
DOI:10.1016/j.ijporl.2015.08.021