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Effects of an adenotonsillectomy on the cognitive and behavioural function of children who snore : a naturalistic observational study

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, betw...

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Published in:Sultan Qaboos University medical journal 2018-11, Vol.18 (4), p.455-460
Main Authors: Jaju, Sanjay, al-Adawi, Samir, al-Abri, Rashid, al-Zaabi, Khalid, Jeyaseelan, Lakshmanan, al-Sibani, Nasir, al-Alawi, Muhammad, al-Abri, Muhammad
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creator Jaju, Sanjay
al-Adawi, Samir
al-Abri, Rashid
al-Zaabi, Khalid
Jeyaseelan, Lakshmanan
al-Sibani, Nasir
al-Alawi, Muhammad
al-Abri, Muhammad
description 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
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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 &lt;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 &lt;0.01 each). There was a significant decrease of 21% in both mean inattention and hyperactivity scores (P &lt;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.</description><identifier>ISSN: 2075-051X</identifier><identifier>EISSN: 2075-0528</identifier><identifier>DOI: 10.18295/squmj.2018.18.04.005</identifier><identifier>PMID: 30988963</identifier><language>eng</language><publisher>Muscat, Oman: Sultan Qaboos University, College of Medicine and Health Sciences</publisher><subject>Adenoidectomy - methods ; Adolescent ; Attention deficit hyperactivity disorder ; Child ; Children &amp; youth ; Clinical &amp; Basic Research ; Cognitive ability ; Female ; Humans ; Hyperactivity ; Male ; Observational studies ; Oman ; Pediatrics ; Polysomnography - methods ; Research Design ; Sleep apnea ; Snoring - complications ; Snoring - epidemiology ; Studies ; Systematic review ; Tonsillectomy - methods</subject><ispartof>Sultan Qaboos University medical journal, 2018-11, Vol.18 (4), p.455-460</ispartof><rights>2018. 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Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright 2018, Sultan Qaboos University Medical Journal, All Rights Reserved 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c395t-789812b5c326bc0ce7d4b56e44af44d8ecda61a8ac027cf96481ed7428c344853</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2315572122/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2315572122?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,25731,27901,27902,36989,36990,44566,53766,53768,74869</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30988963$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jaju, Sanjay</creatorcontrib><creatorcontrib>al-Adawi, Samir</creatorcontrib><creatorcontrib>al-Abri, Rashid</creatorcontrib><creatorcontrib>al-Zaabi, Khalid</creatorcontrib><creatorcontrib>Jeyaseelan, Lakshmanan</creatorcontrib><creatorcontrib>al-Sibani, Nasir</creatorcontrib><creatorcontrib>al-Alawi, Muhammad</creatorcontrib><creatorcontrib>al-Abri, Muhammad</creatorcontrib><title>Effects of an adenotonsillectomy on the cognitive and behavioural function of children who snore : a naturalistic observational study</title><title>Sultan Qaboos University medical journal</title><addtitle>Sultan Qaboos Univ Med J</addtitle><description>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). 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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 &lt;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 &lt;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 &lt;0.01 each). There was a significant decrease of 21% in both mean inattention and hyperactivity scores (P &lt;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.</abstract><cop>Muscat, Oman</cop><pub>Sultan Qaboos University, College of Medicine and Health Sciences</pub><pmid>30988963</pmid><doi>10.18295/squmj.2018.18.04.005</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Adenoidectomy - methods
Adolescent
Attention deficit hyperactivity disorder
Child
Children & youth
Clinical & Basic Research
Cognitive ability
Female
Humans
Hyperactivity
Male
Observational studies
Oman
Pediatrics
Polysomnography - methods
Research Design
Sleep apnea
Snoring - complications
Snoring - epidemiology
Studies
Systematic review
Tonsillectomy - methods
title Effects of an adenotonsillectomy on the cognitive and behavioural function of children who snore : a naturalistic observational study
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