Incidence of Children At Risk for Obstructive Sleep Apnea Undergoing Common Day Surgery Procedures

• Published in: Journal of pediatric surgery 2017-11, Vol.52 (11), p.1791-1794
• Main Authors: Holmes, Emma M, Singh, Heena H.K, Kirk, Valerie G, Brindle, Mary, Luntley, Jeremy, Weber, Bryce A, Yunker, Warren K
• Format: Article
• Language: English
• Subjects: Adolescent; Ambulatory Surgical Procedures - adverse effects; Ambulatory Surgical Procedures - statistics & numerical data; Child; Child, Preschool; Female; Humans; Incidence; Male; Obstructive sleep apnea; Pediatric; Pediatric sleep questionnaire; Pediatrics; Prevalence; Sleep Apnea Syndromes - diagnosis; Sleep Apnea Syndromes - epidemiology; Sleep Apnea Syndromes - etiology; Sleep Apnea, Obstructive - diagnosis; Sleep Apnea, Obstructive - epidemiology; Sleep Apnea, Obstructive - etiology; Sleep-related breathing disorders; Surgery; Surveys and Questionnaires
• ISSN: 0022-3468; 1531-5037
• DOI: 10.1016/j.jpedsurg.2017.05.020

Abstract Objective The purpose of this study was to evaluate the prevalence of sleep-related breathing disorders (SRBD) in children undergoing elective day surgery procedures. Methods A validated Pediatric Sleep Questionnaire (PSQ) was distributed to the parents of children aged 2 months to18 years who met inclusion criteria and were undergoing urologic, otolaryngologic, and general surgical day surgery procedures over a 3 month period of time. The prevalence of children at risk for pediatric SRBD was determined from PSQ results. Results From a total of 288 PSQ Questionnaires, 9.1% of Urology, 11.1% of General Surgery, and 51.9% of Otolaryngology patients admitted to day surgery were found to be at risk for sleep disordered breathing. The median PSQ score for the children at risk was 9.2 for urological surgeries, 10.9 for general surgery, and 11.3 for otolaryngological procedures. Conclusions There is an increased prevalence of children at risk of SRBD awaiting common day surgery procedures than previously expected based on existing literature. Patients undergoing otolaryngological procedures were at greater risk of sleep-related breathing disorders when compared with patients undergoing urological or general surgical procedures. There may be a role for screening of pediatric patients with a PSQ prior to day-surgery. Type Of Study Prognosis Study, Level IV.