Effects of an adenotonsillectomy on the cognitive and behavioural function of children who snore : a naturalistic observational study
Other Title(s)
تأثير استئصال اللوزتين و لحمية الأنف على مستوى الإدراك و السلوك لدى الأطفال الذين يعانون من الشخير أثناء النوم دراسة مبنية على الملاحظة
Joint Authors
al-Adawi, Samir
al-Alawi, Muhammad
Jeyaseelan, Lakshmanan
al-Sibani, Nasir
al-Zaabi, Khalid
Jaju, Sanjay
al-Abri, Rashid
al-Abri, Muhammad
Source
Sultan Qaboos University Medical Journal
Issue
Vol. 18, Issue 4 (30 Nov. 2018), pp.455-460, 6 p.
Publisher
Sultan Qaboos University College of Medicine and Health Sciences
Publication Date
2018-11-30
Country of Publication
Oman
No. of Pages
6
Main Subjects
Abstract EN
Objectives: This study aimed to evaluate cognitive and behavioural changes among 9–14-yearold Omani children with obstructive sleep apnoea (OSA) after an adenotonsillectomy (AT).
Methods: This naturalistic observational study was conducted at the Sultan Qaboos University Hospital, Muscat, Oman, between January 2012 and December 2014.
Omani children with adenotonsillar hypertrophy (ATH) underwent overnight polysomnography and those with confirmed OSA were scheduled for an AT.
Cognitive and behavioural evaluations were performed using standardised instruments at baseline prior to the procedure and three months afterwards.
Results: A total of 37 children were included in the study, of which 24 (65%) were male and 13 (35%) were female.
The mean age of the males was 11.4 ± 1.9 years, while that of the females was 11.1 ± 1.5 years.
Following the AT, there was a significant reduction of 56% in mean apnoea-hypopnoea index (AHI) score (2.36 ± 4.88 versus 5.37 ± 7.17; P <0.01).
There was also a significant positive reduction in OSA indices, including oxygen desaturation index (78%), number of desaturations (68%) and number of obstructive apnoea incidents (74%; P <0.01 each).
Significant improvements were noted in neurocognitive function, including attention/concentration (42%), verbal fluency (92%), learning/recall (38%), executive function (52%) and general intellectual ability (33%; P <0.01 each).
There was a significant decrease of 21% in both mean inattention and hyperactivity scores (P <0.01 each).
Conclusion: These results demonstrate the effectiveness of an AT in improving cognitive function and attention deficit hyperactivity disorder-like symptoms among children with ATH-caused OSA.
Such changes can be observed as early as three months after the procedure.
American Psychological Association (APA)
al-Zaabi, Khalid& al-Adawi, Samir& Jaju, Sanjay& Jeyaseelan, Lakshmanan& al-Sibani, Nasir& al-Alawi, Muhammad…[et al.]. 2018. Effects of an adenotonsillectomy on the cognitive and behavioural function of children who snore : a naturalistic observational study. Sultan Qaboos University Medical Journal،Vol. 18, no. 4, pp.455-460.
https://search.emarefa.net/detail/BIM-890777
Modern Language Association (MLA)
al-Zaabi, Khalid…[et al.]. Effects of an adenotonsillectomy on the cognitive and behavioural function of children who snore : a naturalistic observational study. Sultan Qaboos University Medical Journal Vol. 18, no. 4 (Nov. 2018), pp.455-460.
https://search.emarefa.net/detail/BIM-890777
American Medical Association (AMA)
al-Zaabi, Khalid& al-Adawi, Samir& Jaju, Sanjay& Jeyaseelan, Lakshmanan& al-Sibani, Nasir& al-Alawi, Muhammad…[et al.]. Effects of an adenotonsillectomy on the cognitive and behavioural function of children who snore : a naturalistic observational study. Sultan Qaboos University Medical Journal. 2018. Vol. 18, no. 4, pp.455-460.
https://search.emarefa.net/detail/BIM-890777
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 459-460
Record ID
BIM-890777