Risk factors for respiratory complications after adenotonsillectomy in children with obstructive sleep apnea
Objective: To identify risk factors for respiratory complications after adenotonsillectomy in children ≤ 12 years of age with obstructive sleep apnea who were referred to the pediatric ICU (PICU). Methods: A cross-sectional historical cohort study analyzing 53 children after adenotonsillectomy who m...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Pneumologia e Tisiologia
2015-06-01
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| Series: | Jornal Brasileiro de Pneumologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132015000300238&lng=en&tlng=en |
| _version_ | 1819212801230503936 |
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| author | Renato Oliveira Martins Nuria Castello-Branco Jefferson Luis de Barros Silke Anna Theresa Weber |
| author_facet | Renato Oliveira Martins Nuria Castello-Branco Jefferson Luis de Barros Silke Anna Theresa Weber |
| author_sort | Renato Oliveira Martins |
| collection | DOAJ |
| description | Objective: To identify risk factors for respiratory complications after adenotonsillectomy in children ≤ 12 years of age with obstructive sleep apnea who were referred to the pediatric ICU (PICU). Methods: A cross-sectional historical cohort study analyzing 53 children after adenotonsillectomy who met predetermined criteria for PICU referral in a tertiary level teaching hospital. The Student's t-test, Mann-Whitney test, and chi-square test were used to identify risk factors. Results: Of the 805 children undergoing adenotonsillectomy between January of 2006 and December of 2012 in the teaching hospital, 53 were referred to the PICU. Twenty-one children (2.6% of all those undergoing adenotonsillectomy and 39.6% of those who were referred to the PICU) had respiratory complications. Of those 21, 12 were male. The mean age was 5.3 ± 2.6 years. A high apnea-hypopnea index (AHI; p = 0.0269), a high oxygen desaturation index (ODI; p = 0.0082), a low SpO2 nadir (p = 0.0055), prolonged orotracheal intubation (p = 0.0011), and rhinitis (p = 0.0426) were found to be independent predictors of respiratory complications. Some of the complications observed were minor (SpO2 90-80%), whereas others were major (SpO2 ≤ 80%, laryngospasm, bronchospasm, acute pulmonary edema, pneumonia, and apnea). Conclusions: Among children up to 12 years of age with OSA, those who have a high AHI, a high ODI, a low SpO2 nadir, or rhinitis are more likely to develop respiratory complications after adenotonsillectomy than are those without such characteristics. |
| first_indexed | 2024-12-23T06:48:44Z |
| format | Article |
| id | doaj.art-e3525dfdc4764d008555135030b6fa89 |
| institution | Directory Open Access Journal |
| issn | 1806-3756 |
| language | English |
| last_indexed | 2024-12-23T06:48:44Z |
| publishDate | 2015-06-01 |
| publisher | Sociedade Brasileira de Pneumologia e Tisiologia |
| record_format | Article |
| series | Jornal Brasileiro de Pneumologia |
| spelling | doaj.art-e3525dfdc4764d008555135030b6fa892022-12-21T17:56:30ZengSociedade Brasileira de Pneumologia e TisiologiaJornal Brasileiro de Pneumologia1806-37562015-06-0141323824510.1590/S1806-37132015000004415S1806-37132015000300238Risk factors for respiratory complications after adenotonsillectomy in children with obstructive sleep apneaRenato Oliveira MartinsNuria Castello-BrancoJefferson Luis de BarrosSilke Anna Theresa WeberObjective: To identify risk factors for respiratory complications after adenotonsillectomy in children ≤ 12 years of age with obstructive sleep apnea who were referred to the pediatric ICU (PICU). Methods: A cross-sectional historical cohort study analyzing 53 children after adenotonsillectomy who met predetermined criteria for PICU referral in a tertiary level teaching hospital. The Student's t-test, Mann-Whitney test, and chi-square test were used to identify risk factors. Results: Of the 805 children undergoing adenotonsillectomy between January of 2006 and December of 2012 in the teaching hospital, 53 were referred to the PICU. Twenty-one children (2.6% of all those undergoing adenotonsillectomy and 39.6% of those who were referred to the PICU) had respiratory complications. Of those 21, 12 were male. The mean age was 5.3 ± 2.6 years. A high apnea-hypopnea index (AHI; p = 0.0269), a high oxygen desaturation index (ODI; p = 0.0082), a low SpO2 nadir (p = 0.0055), prolonged orotracheal intubation (p = 0.0011), and rhinitis (p = 0.0426) were found to be independent predictors of respiratory complications. Some of the complications observed were minor (SpO2 90-80%), whereas others were major (SpO2 ≤ 80%, laryngospasm, bronchospasm, acute pulmonary edema, pneumonia, and apnea). Conclusions: Among children up to 12 years of age with OSA, those who have a high AHI, a high ODI, a low SpO2 nadir, or rhinitis are more likely to develop respiratory complications after adenotonsillectomy than are those without such characteristics.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132015000300238&lng=en&tlng=enComplicações pós-operatóriasTonsilectomiaApneia do sono tipo obstrutiva |
| spellingShingle | Renato Oliveira Martins Nuria Castello-Branco Jefferson Luis de Barros Silke Anna Theresa Weber Risk factors for respiratory complications after adenotonsillectomy in children with obstructive sleep apnea Jornal Brasileiro de Pneumologia Complicações pós-operatórias Tonsilectomia Apneia do sono tipo obstrutiva |
| title | Risk factors for respiratory complications after adenotonsillectomy in children with obstructive sleep apnea |
| title_full | Risk factors for respiratory complications after adenotonsillectomy in children with obstructive sleep apnea |
| title_fullStr | Risk factors for respiratory complications after adenotonsillectomy in children with obstructive sleep apnea |
| title_full_unstemmed | Risk factors for respiratory complications after adenotonsillectomy in children with obstructive sleep apnea |
| title_short | Risk factors for respiratory complications after adenotonsillectomy in children with obstructive sleep apnea |
| title_sort | risk factors for respiratory complications after adenotonsillectomy in children with obstructive sleep apnea |
| topic | Complicações pós-operatórias Tonsilectomia Apneia do sono tipo obstrutiva |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132015000300238&lng=en&tlng=en |
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