Tapia-Álvarez LL, Valdés-Pineda V, González-Juárez F

Language: Spanish
References: 9
Page: 221-225
PDF size: 302.15 Kb.

ABSTRACT

Background: The prevalence of sleep disordered breathing (obstructive sleep apnea and upper airway resistance syndrome) in children is 1%-3%. This condition is associated with chronic cardiovascular disease, metabolic disease, failure to thrive, enuresis, cognitive deficits, behavioral disturbances, poor school performance and poor quality of life. Although polysomnography is the diagnostic method of choice for obstructive sleep apnea, it is an expensive study and not available in all centers, so the diagnosis is controversial.
Objectives: To detect clinically respiratory sleep disorders in post adenotonsillectomy children and to assess changes in symptoms after surgical procedure.
Material and method: A prospective, observational and longitudinal study was performed in which a previously validated questionnaire (CAS- 15) was applied in children after adenotonsillectomy, adenoidectomy or tonsillectomy. The questionnaire was administered preoperatively and postoperative at days 15 and 30.
Results: Thirty-seven patients were included. Significant difference between pre and postoperative values was found, both when comparing the score at 15 days and 30 days with the preoperative score (p ≤ 0.001).
Conclusions: The CAS-15 is a useful tool for diagnosing sleep disordered breathing.

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