Xue Zhao
Tanzania
Research Article
Effect of Weight and Obstructive Sleep Apnea Severity on Sleep Surgery Outcomes in Children with Down Syndrome
Author(s): Xue Zhao, Woravipa Ayudhaya, Fauziya Hassan and Jeffrey J StanleyXue Zhao, Woravipa Ayudhaya, Fauziya Hassan and Jeffrey J Stanley
Objectives: To assess the effect of weight status and obstructive sleep apnea (OSA) severity on polysomnographic (PSG) outcomes following sleep surgery inclusive of adenotonsillectomy (AT) in children with Trisomy 21.
Methods: A retrospective chart review was completed on thirty-six children ages 1-13 years with Trisomy 21 and OSA who underwent at a tertiary care academic hospital between 2005 to 2015 and had both preoperative and postoperative PSGs. Postoperative changes in apnea hypopnea index (AHI) and other PSG parameters, including percentage of various sleep stages, were compared between children who were normal weight, overweight and obese.
Results: The mean preoperative AHIs for normal weight, overweight and obese children were 15.6, 12.2 and 15.0, respectively while the mean postoperative AHIs were 10.6, 9.4 and.. View More»