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Randomised trial showed no difference in behavioural symptoms between surgical methods treating paediatric obstructive sleep apnoea
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- Sjölander, Isabella (author)
- Uppsala universitet,Öron-, näs- och halssjukdomar
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- Borgström, Anna (author)
- Karolinska Institutet, Stockholm, Sweden
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- Larsson, Jan-Olov (author)
- Karolinska Institutet
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- (creator_code:org_t)
- 2020-03-06
- 2020
- English.
- In: Acta Paediatrica. - : Wiley. - 0803-5253 .- 1651-2227. ; 109:10, s. 2099-2104
- Journal article (peer-reviewed)
Abstract
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- AIM: Our previous randomised controlled trial of children with obstructive sleep apnoea (OSA) showed no significant differences between adenotonsillectomy (ATE) and adenotonsillotomy (ATT) in improving nocturnal respiration and quality of life after 1 year. The aim of this report was to evaluate the effects on behavioural symptoms using the Strengths and Difficulties Questionnaire (SDQ).METHODS: Children between 2 and 6 years with OSA were randomised to ATT or ATE. Parents, blinded to method, answered the SDQ while their child underwent polysomnography before and 1 year after surgery. Differences between the total SDQ scores were analysed between the treatment groups.RESULTS: The SDQ was filled out in 87% of the cases preoperatively, and in 86% postoperatively. At follow-up, the mean total SDQ score was 9.6 SD ± 5.1 in the ATE group (n = 31), and 8.2 ± 6.7 in the ATT group (n = 37), P = .09. The mean total SDQ score for all was preoperatively 10.6 ± 5.0, and postoperatively 8.8 ± 6.0, P = .0002.CONCLUSION: There were no significant differences in SDQ scores between the groups at follow-up, indicating that the more conservative ATT is a treatment option in paediatric OSA. The whole group of patients showed a significant improvement after surgery.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Oto-rhino-laryngologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Otorhinolaryngology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Keyword
- adenotonsillectomy
- adenotonsillotomy
- paediatric obstructive sleep apnoea
- strengths and difficulties questionnaire
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- ref (subject category)
- art (subject category)
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