(1) Background: This systematic review was designed to analyze adenotonsillectomy’s role in treating behavioural disorders and sleep-related quality of life in pediatric OSAS. (2) Methods: Papers that report pre-operative and post-operative outcomes by using the Epworth sleepiness scale, OSA-18, NEPSY, Conners’ rating scale, BRIEF, PSQ-SRBD, PedsQL and CBCL. We performed a comprehensive review of English papers published during the last 20 years regarding behavioural disorders in OSAS patients and adenotonsillectomy. (3) Results: We included 11 studies reporting behavioral outcomes and sleep related quality of life after surgery. We investigated changes in behavior and cognitive outcomes after AT, and we found significant improvements of the scores post-AT in almost all studies. After comparing the AT group and control group, only one study had no difference that reached significance at one year post-AT. In another study, it did not show any significant improvement in terms of all behavioural and cognitive outcomes. The questionnaires on sleep-related quality of life after AT (PSQ-SRBD or ESS or OSA-18 or KOSA) may improve with positive changes in sleep parameters (AHI, ODI and SpO2). Furthermore, there is a significantly higher decrease in OSAS symptoms than the pre-AT baseline score. (4) Conclusion: Future studies should pay more attention to characterizing patient populations as well as rapid surgical treatments through existing criteria.

The effect of adenotonsillectomy on children’s behavior and cognitive performance with obstructive sleep apnea syndrome: state of the art / Di Mauro, P.; Cocuzza, S.; Maniaci, A.; Ferlito, S.; Rasa, D.; Anzivino, R.; Vicini, C.; Iannella, G.; La Mantia, I.. - In: CHILDREN. - ISSN 2227-9067. - 8:10(2021). [10.3390/children8100921]

The effect of adenotonsillectomy on children’s behavior and cognitive performance with obstructive sleep apnea syndrome: state of the art

Iannella G.
Penultimo
Supervision
;
2021

Abstract

(1) Background: This systematic review was designed to analyze adenotonsillectomy’s role in treating behavioural disorders and sleep-related quality of life in pediatric OSAS. (2) Methods: Papers that report pre-operative and post-operative outcomes by using the Epworth sleepiness scale, OSA-18, NEPSY, Conners’ rating scale, BRIEF, PSQ-SRBD, PedsQL and CBCL. We performed a comprehensive review of English papers published during the last 20 years regarding behavioural disorders in OSAS patients and adenotonsillectomy. (3) Results: We included 11 studies reporting behavioral outcomes and sleep related quality of life after surgery. We investigated changes in behavior and cognitive outcomes after AT, and we found significant improvements of the scores post-AT in almost all studies. After comparing the AT group and control group, only one study had no difference that reached significance at one year post-AT. In another study, it did not show any significant improvement in terms of all behavioural and cognitive outcomes. The questionnaires on sleep-related quality of life after AT (PSQ-SRBD or ESS or OSA-18 or KOSA) may improve with positive changes in sleep parameters (AHI, ODI and SpO2). Furthermore, there is a significantly higher decrease in OSAS symptoms than the pre-AT baseline score. (4) Conclusion: Future studies should pay more attention to characterizing patient populations as well as rapid surgical treatments through existing criteria.
2021
adenotonsillectomy; obstructive sleep apnea syndrome; pediatric behavior disorders; pediatric sleep apnea; sleep disordered breathing
01 Pubblicazione su rivista::01g Articolo di rassegna (Review)
The effect of adenotonsillectomy on children’s behavior and cognitive performance with obstructive sleep apnea syndrome: state of the art / Di Mauro, P.; Cocuzza, S.; Maniaci, A.; Ferlito, S.; Rasa, D.; Anzivino, R.; Vicini, C.; Iannella, G.; La Mantia, I.. - In: CHILDREN. - ISSN 2227-9067. - 8:10(2021). [10.3390/children8100921]
File allegati a questo prodotto
File Dimensione Formato  
Di Mauro_The effect of_2021.pdf

accesso aperto

Note: https://www.mdpi.com/2227-9067/8/10/921
Tipologia: Versione editoriale (versione pubblicata con il layout dell'editore)
Licenza: Creative commons
Dimensione 620.45 kB
Formato Adobe PDF
620.45 kB Adobe PDF

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1640644
Citazioni
  • ???jsp.display-item.citation.pmc??? 22
  • Scopus 28
  • ???jsp.display-item.citation.isi??? 27
social impact