title: Telephone Screening to Identify Children at Risk for Persistent Obstructive Sleep Apnea After Adenotonsillectomy.
abstract: Pediatric obstructive sleep apnea (OSA) is a common condition that can result in a range of adverse health outcomes if left untreated. A significant number of children who undergo adenotonsillectomy (T&A) for OSA will have persistent symptoms.
  
  
  
  This prospective, descriptive, pilot study utilized a telephone screening method with the Pediatric Sleep Questionnaire (PSQ) Sleep-Disordered Breathing (SRBD) questionnaire to identify children with residual symptoms of OSA after T&A. Risk factors for persistent OSA were also investigated.
  
  
  
  The percentage of children identified with symptoms of persistent OSA was 33% (n = 28). No significant variables were associated with increased PSQ-SRBD scores.
  
  
  
  This study found a number of children with persistent symptoms of sleep-disordered breathing after T&A, suggesting that these children may be at high risk for persistent OSA. Telephone screening using the PSQ-SRBD is a useful approach to identify children who may require a polysomnogram or referral to pediatric sleep specialist, particularly in settings where postoperative follow-up is poor.
authors.forename: Lisa E
authors.initials: LE
authors.lastname: Schaeg
authors.forename: Jenny L
authors.initials: JL
authors.lastname: Kaiser
authors.forename: Morgan E
authors.initials: ME
authors.lastname: Crow
mesh_terms: D000233:Adenoidectomy / Q000009:adverse effects*; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D010865:Pilot Projects; D017286:Polysomnography; D011182:Postoperative Care; D011446:Prospective Studies; D011788:Quality of Life; D012008:Recurrence; D012017:Referral and Consultation; D018570:Risk Assessment; D012720:Severity of Illness Index; D012890:Sleep / Q000502:physiology; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis* / Q000209:etiology* / Q000503:physiopathology / Q000523:psychology; D011795:Surveys and Questionnaires; D013689:Telephone; D014068:Tonsillectomy / Q000009:adverse effects*; D014481:United States / Q000453:epidemiology
keywords: Obstructive sleep apnea; adenotonsillectomy; children; persistent sleep apnea; questionnaire; screening; sleep-disordered breathing