Insights into Pediatric Sleep Disordered Breathing
Exploring Risk Factors, Surgical Interventions, and Physical and Scholastic Performance at Follow-Up
Bibliographic Data
| ID | 15713697 |
|---|---|
| Authors | Marco Zaffanello (0000-0002-8659-5505, University of Verona, corresponding author), Angelo Pietrobelli (0000-0002-9912-3232, University of Verona), Leonardo Zoccante (0000-0002-1170-9328, University of Verona), Luca Sacchetto (0000-0003-3880-4998, University of Verona), Luana Nosetti (0000-0001-5453-724X, University of Insubria), Michele Piazza (0000-0002-7189-0982, University of Verona), Giorgio Piacentini (0000-0003-1324-4373, University of Verona) |
| Year | 2024 |
| Volume | 11 |
| Issue | 4 |
| Pages | 388-388 |
| Publication date | 2024-03-24 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Children (JOURNAL) |
| Journal identifiers | ISSN: 2227-9067 • E-ISSN: 2227-9067 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/children11040388 |
| PMID | 38671605 |
| OpenAlex | W4393146782 |
| Language | EN |
| References cited | 52 |
(1) Background: Sleep-disordered breathing represents a growing public health concern, especially among children and adolescents. The main risk factors for pediatric sleep-disordered breathing in school-age children are tonsillar and adenoid hypertrophy. Adenoidectomy, often in combination with tonsillectomy, is the primary treatment modality for pediatric sleep-disordered breathing. This study aims to comprehensively investigate various risk and protective factors in children with sleep-disordered breathing undergoing adenotonsillar or adenoidal surgeries. We also aim to explore the differences in neuropsychological profiles. (2) Methods: This is an observational, retrospective cohort study. We collected information on adenoidectomy or adenotonsillectomy in children referred to our center. We reviewed the clinical history and preoperative visits and collected data through a telephone questionnaire. The Pediatric Sleep Questionnaire (PSQ) and the Pediatric Quality of Life Inventory (PedsQL) screen sleep-disordered breathing and quality of life, respectively. The data were statistically analyzed using SPSS version 22.0 for Windows (SPSS Inc., Chicago, IL, USA). (3) Results: The study involved 138 patients, but only 100 children participated. A higher percentage of patients with sleep-disordered breathing were observed to have mothers who smoked during pregnancy. A smaller proportion of patients with sleep-disordered breathing habitually used a pacifier. A rise in physical score was associated with a reduced PSQ at follow-up ( p = 0.051). An increase in the overall academic score was related to a decrease in the PSQ at follow-up ( p < 0.001). A more significant proportion of patients undergoing adenotonsillectomy were observed to have a history of prematurity and cesarean birth. (4) This comprehensive study delves into the intricate interplay of risk and protective factors impacting children with sleep-disordered breathing undergoing adenotonsillectomy and adenoidectomy
Anesthesia · Breathing · Developmental psychology · Obstructive sleep apnea · Physical therapy · Psychiatry · Psychological intervention · Sleep disordered breathing · Infant Development and Preterm Care · Medicine · Neuroscience of respiration and sleep · Obstructive Sleep Apnea Research · Psychology
| Highly cited | No |
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