The impact of adenotonsillectomy on pediatric asthma
| Autor: | Jeremy Weedon, Jason Wasserman, Mathew Ednick, A. Paul Vastola, Yasong Yu, Antonios Dimopoulos, Maxwell S. Thomas, Izumi Watanabe, Diana Weaver, Sabina Qureshi Ahmad, Nira A. Goldstein |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Parents Pulmonary and Respiratory Medicine medicine.medical_specialty Polysomnography Significant group Asthma severity Adenoidectomy 03 medical and health sciences Sleep Apnea Syndromes 0302 clinical medicine Surveys and Questionnaires 030225 pediatrics Asthma control Internal medicine Humans Medicine Prospective Studies Child Prospective cohort study Pediatric asthma Tonsillectomy Asthma Asthma exacerbations business.industry medicine.disease Obstructive sleep apnea Treatment Outcome 030228 respiratory system Case-Control Studies Child Preschool Pediatrics Perinatology and Child Health Female Steroids Sleep business |
| Zdroj: | Pediatric Pulmonology. 54:20-26 |
| ISSN: | 1099-0496 8755-6863 |
| DOI: | 10.1002/ppul.24207 |
| Popis: | OBJECTIVE To determine asthma outcomes in children undergoing adenotonsillectomy (T&A) for treatment of sleep-disordered breathing (SDB). HYPOTHESIS Asthmatic children will demonstrate improvement in asthma control after T&A compared to asthmatic children not undergoing surgical treatment. STUDY DESIGN Prospective cohort. PATIENT-SUBJECT SELECTION 80 children with diagnosed asthma, aged 4-11, undergoing T&A and 62 controls matched to the T&A subjects by age, sex, and asthma severity classification. METHODOLOGY Parents and children completed the Childhood Asthma Control Test (C-ACT) and the Pediatric Sleep Questionnaire (PSQ). Parents were queried regarding the number of asthma exacerbations, the frequency of the use of systemic steroids, the number of emergency room visits and the number of hospitalizations in the prior 6 months. The identical questionnaires and interviews were completed 6 months after entry. RESULTS The adjusted mean (95% CI) C-ACT score was 21.86 (20.94-22.68) at entry and 25.15 (24.55-25.71) at follow-up for the T&A group compared with 22.42 (21.46-23.28) and 23.59 (22.77-24.33) for the control group. There was a significant group by time interaction (P |
| Databáze: | OpenAIRE |
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