Effects of an Adenotonsillectomy on the Cognitive and Behavioural Function of Children Who Snore: A naturalistic observational study

Objectives: This study aimed to evaluate cognitive and behavioural changes among 9–14-year-old Omani children with obstructive sleep apnoea (OSA) after an adenotonsillectomy (AT). Methods: This naturalistic observational study was conducted at the Sultan Qaboos University Hospital, Muscat, Oman, bet...

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Main Authors: Khalid Al-Zaabi, Samir Al-Adawi, Sanjay Jaju, Lakshmanan Jeyaseelan, Nasser Al-Sibani, Mohammed Al-Alawi, Mohammed Al-Abri, Rashid Al-Abri
Format: Article
Language:English
Published: Sultan Qaboos University 2019-03-01
Series:Sultan Qaboos University Medical Journal
Online Access:https://journals.squ.edu.om/index.php/squmj/article/view/2986
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author Khalid Al-Zaabi
Samir Al-Adawi
Sanjay Jaju
Lakshmanan Jeyaseelan
Nasser Al-Sibani
Mohammed Al-Alawi
Mohammed Al-Abri
Rashid Al-Abri
author_facet Khalid Al-Zaabi
Samir Al-Adawi
Sanjay Jaju
Lakshmanan Jeyaseelan
Nasser Al-Sibani
Mohammed Al-Alawi
Mohammed Al-Abri
Rashid Al-Abri
author_sort Khalid Al-Zaabi
collection DOAJ
description Objectives: This study aimed to evaluate cognitive and behavioural changes among 9–14-year-old Omani children with obstructive sleep apnoea (OSA) after an adenotonsillectomy (AT). Methods: This naturalistic observational study was conducted at the Sultan Qaboos University Hospital, Muscat, Oman, between January 2012 and December 2014. Omani children with adenotonsillar hypertrophy (ATH) underwent overnight polysomnography and those with confirmed OSA were scheduled for an AT. Cognitive and behavioural evaluations were performed using standardised instruments at baseline prior to the procedure and three months afterwards. Results: A total of 37 children were included in the study, of which 24 (65%) were male and 13 (35%) were female. The mean age of the males was 11.4 ± 1.9 years, while that of the females was 11.1 ± 1.5 years. Following the AT, there was a significant reduction of 56% in mean apnoea-hypopnoea index (AHI) score (2.36 ± 4.88 versus 5.37 ± 7.17; P <0.01). There was also a significant positive reduction in OSA indices, including oxygen desaturation index (78%), number of desaturations (68%) and number of obstructive apnoea incidents (74%; P <0.01 each). Significant improvements were noted in neurocognitive function, including attention/concentration (42%), verbal fluency (92%), learning/recall (38%), executive function (52%) and general intellectual ability (33%; P <0.01 each). There was a significant decrease of 21% in both mean inattention and hyperactivity scores (P <0.01 each). Conclusion: These results demonstrate the effectiveness of an AT in improving cognitive function and attention deficit hyperactivity disorder-like symptoms among children with ATH-caused OSA. Such changes can be observed as early as three months after the procedure. Keywords: Adenoidectomy; Obstructive Sleep Apnea; Cognitive Function; Behavior; Attention Deficit Hyperactivity Disorders; Children; Oman.
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spelling doaj.art-51148015dddc4a2abdccae37f2ca920a2022-12-22T00:56:58ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282019-03-0118445546010.18295/squmj.2018.18.04.0052525Effects of an Adenotonsillectomy on the Cognitive and Behavioural Function of Children Who Snore: A naturalistic observational studyKhalid Al-Zaabi0Samir Al-Adawi1Sanjay Jaju2Lakshmanan Jeyaseelan3Nasser Al-Sibani4Mohammed Al-Alawi5Mohammed Al-Abri6Rashid Al-Abri7Department of Surgery, Sultan Qaboos University Hospital, Muscat, OmanDepartment of Behavioural Medicine, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, OmanDepartment of Family Medicine & Public Health, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, OmanDepartment of Biostatistics, Christian Medical College, Vellore, IndiaDepartment of Behavioural Medicine, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, OmanDepartment of Behavioural Medicine, Sultan Qaboos University Hospital, Muscat, OmanDepartment of Physiology, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, OmanDepartment of Surgery, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, OmanObjectives: This study aimed to evaluate cognitive and behavioural changes among 9–14-year-old Omani children with obstructive sleep apnoea (OSA) after an adenotonsillectomy (AT). Methods: This naturalistic observational study was conducted at the Sultan Qaboos University Hospital, Muscat, Oman, between January 2012 and December 2014. Omani children with adenotonsillar hypertrophy (ATH) underwent overnight polysomnography and those with confirmed OSA were scheduled for an AT. Cognitive and behavioural evaluations were performed using standardised instruments at baseline prior to the procedure and three months afterwards. Results: A total of 37 children were included in the study, of which 24 (65%) were male and 13 (35%) were female. The mean age of the males was 11.4 ± 1.9 years, while that of the females was 11.1 ± 1.5 years. Following the AT, there was a significant reduction of 56% in mean apnoea-hypopnoea index (AHI) score (2.36 ± 4.88 versus 5.37 ± 7.17; P <0.01). There was also a significant positive reduction in OSA indices, including oxygen desaturation index (78%), number of desaturations (68%) and number of obstructive apnoea incidents (74%; P <0.01 each). Significant improvements were noted in neurocognitive function, including attention/concentration (42%), verbal fluency (92%), learning/recall (38%), executive function (52%) and general intellectual ability (33%; P <0.01 each). There was a significant decrease of 21% in both mean inattention and hyperactivity scores (P <0.01 each). Conclusion: These results demonstrate the effectiveness of an AT in improving cognitive function and attention deficit hyperactivity disorder-like symptoms among children with ATH-caused OSA. Such changes can be observed as early as three months after the procedure. Keywords: Adenoidectomy; Obstructive Sleep Apnea; Cognitive Function; Behavior; Attention Deficit Hyperactivity Disorders; Children; Oman.https://journals.squ.edu.om/index.php/squmj/article/view/2986
spellingShingle Khalid Al-Zaabi
Samir Al-Adawi
Sanjay Jaju
Lakshmanan Jeyaseelan
Nasser Al-Sibani
Mohammed Al-Alawi
Mohammed Al-Abri
Rashid Al-Abri
Effects of an Adenotonsillectomy on the Cognitive and Behavioural Function of Children Who Snore: A naturalistic observational study
Sultan Qaboos University Medical Journal
title Effects of an Adenotonsillectomy on the Cognitive and Behavioural Function of Children Who Snore: A naturalistic observational study
title_full Effects of an Adenotonsillectomy on the Cognitive and Behavioural Function of Children Who Snore: A naturalistic observational study
title_fullStr Effects of an Adenotonsillectomy on the Cognitive and Behavioural Function of Children Who Snore: A naturalistic observational study
title_full_unstemmed Effects of an Adenotonsillectomy on the Cognitive and Behavioural Function of Children Who Snore: A naturalistic observational study
title_short Effects of an Adenotonsillectomy on the Cognitive and Behavioural Function of Children Who Snore: A naturalistic observational study
title_sort effects of an adenotonsillectomy on the cognitive and behavioural function of children who snore a naturalistic observational study
url https://journals.squ.edu.om/index.php/squmj/article/view/2986
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