[Quality of life survey in children with obstructive sleep apnea hypopnea syndrome before and after operation].
OBJECTIVE
To evaluate the influence of OSAHS in quality of life (QOL) for children and its changes before and after surgery.


METHODS
Pediatric OSAHS disease-specific quality of life survey (OSA-18) and polysomnography (PSG) were used to analysis in 54 cases within 4 weeks before surgery. They were treated by tonsillectomy in 8 cases and adenoid tonsillectomy in 32 cases, adenoidectomy alone in 14 cases and were followed up in 12 to 18 months post-operation.


RESULTS
The impact of pediatric OSAHS on QOL was severe in 61.11% patients. There were significant statistically correlation between OSA-18 and AHI, LSaO2 before surgery. After surgery, the total scores of QOL were improved in 75.92% cases in general. The domains of sleep disturbance in 88.89% cases, caregiver concerns in 74.07% and physical suffering in 70.37% were significantly improved, respectively.


CONCLUSIONS
Pediatric OSAHS had severely influenced in quality of life of children. There are significant correlations between the survey in quality of life of pediatric OSAHS (OSA-18) and the objective data in PSG. OSA-18 can be a valuable measure in clinical diagnosis and treatment follow-up.
Cai
Xiao-Lan
XL
Otolaryngology Institute of Health Ministry, Shandong University, Jinan 250012, China. cxlsd@sdu.edu.cn
Liu
Yan-Xun
YX
Liu
Hong-Ying
HY
Wang
Ting-Chu
TC
D000233:Adenoidectomy; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D011184:Postoperative Period; D011788:Quality of Life; D020181:Sleep Apnea, Obstructive / Q000601:surgery; D011795:Surveys and Questionnaires; D014068:Tonsillectomy