Rate and Predictors of Postoperative Respiratory Complications Following Adenotonsillectomy in Children with Obstructive Sleep Apnea Predicting Postoperative Respiratory Complications

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Published: Mar 16, 2023
DOI: https://doi.org/10.14456/vmj.2023.2
Keywords:
adenotonsillectomy obstructive sleep apnea respiratory complication

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Woravipa Israsena Na Ayudhya
Department of Otolaryngology, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok 10300, Thailand
https://orcid.org/0000-0001-5037-1676
Worawan Rojanawong
Otolaryngology Unit, Taksin Hospital, Medical Service Department, Bangkok Metropolitan Administration, Bangkok 10600, Thailand
https://orcid.org/0000-0002-8679-3798

Abstract

OBJECTIVE: This study aimed to determine the rate and risk factors of postoperative respiratory complications in children with obstructive sleep apnea (OSA) who underwent adenotonsillectomy.
METHODS: A retrospective study was conducted on the date of children with OSA who underwent adenotonsillectomy between April 2013 and July 2021. Data on demographics, medical history, tonsil grading, polysomnography parameters, and postoperative respiratory complications including cough, position, airway intervention, and desaturation were collected. Chi-square test or Fisher’s exact test was performed to evaluate risk factors.
RESULTS: Seventy-one children with OSA who underwent adenotonsillectomy were included in this study. The overall rate of postoperative respiratory complications was 32/71 (45.1%) and that of minor respiratory complications was 37/52 (71.2%), including desaturation, supplement oxygen, reposition, and cough. Statistically significant association with postoperative respiratory complications was observed for obese versus non-obese (p < 0.001), severe apnea–hypopnea index (AHI) (p = 0.001), and severe lowest oxygen saturation (p = 0.001).
CONCLUSION: Despite the high rate of minor respiratory complications, postoperative respiratory complications are frequent after adenotonsillectomy among children with OSA. Obese versus non-obese and severity of AHI and lowest oxygen saturation are associated with postoperative respiratory complications following adenotonsillectomy.

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How to Cite
Israsena Na Ayudhya, W., & Rojanawong, W. (2023). Rate and Predictors of Postoperative Respiratory Complications Following Adenotonsillectomy in Children with Obstructive Sleep Apnea: Predicting Postoperative Respiratory Complications. Vajira Medical Journal : Journal of Urban Medicine, 67(1), 448–454. https://doi.org/10.14456/vmj.2023.2
Issue
Vol. 67 No. 1 (2023): Jan - Mar 2023
Section
Original Articles
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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