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Improvement in Central Sleep Apnea Following Adenotonsillectomy in Children by Ryan T. Judd; Babak Mokhlesi; Andrea Shogan; Fuad M. Baroody is a Medicine article available to read on EtoBox.

What is Improvement in Central Sleep Apnea Following Adenotonsillectomy in Children about?

## Objective Previous studies examining changes in central sleep apnea (CSA) following adenotonsillectomy (T&A) performed for obstructive sleep apnea (OSA) in children have been limited by sample size and analysis of only certain populations. The aim of this study was to determine whether CSA improves following T&A and what factors mediate this change. ## Methods This was a retrospective case series from 1994 to 2020 of children undergoing primary T&A for OSA (obstructive apnea‐hypopnea index ≥1) with CSA (central apnea index [CAI] ≥1) and preoperative and postoperative polysomnograms within 12 months of T&A. Polysomnograms were analyzed for improvement in CSA, defined as: 1) if preoperative CAI >5, a postoperative CAI <5; or 2) if preoperative CAI <5, a postoperative CAI <1. ## Results One hundred twenty‐three patients were included. Median age was 5.5 years (interquartile range, 2.9–8.4). Most patients were overweight/obese (58.5%). Nineteen (15.4%) had a syndromic condition. Preoperative CAI was ≥5 in 21 (17.1%) patients. CAI significantly decreased following T&A (preoperative 2.1, postoperative 0.4; P < .001). Thirty‐two (26.0%) patients had CSA postoperatively. Improvement in

Who reads Improvement in Central Sleep Apnea Following Adenotonsillectomy in Children?

Author

Ryan T. Judd; Babak Mokhlesi; Andrea Shogan; Fuad M. Baroody

Publisher

Wiley

Published

2021

Language

EN

Field

Medicine (Health Sciences)