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 Vol. 19 No. 3, March 2008
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AAP Grand Rounds 19:33-34 (2008)
© 2008 American Academy of Pediatrics

UNIFORM SERVICES/OTOLARYNGOLOGY

Improved Behavior After T & A

Source: Wei JL, Mayo MS, Smith HJ, et al. Improved behavior and sleep after adenotonsillectomy in children with sleep-disordered breathing. Arch Otolaryngol Head Neck Surg. 2007;133(10):974–979; doi:10.1001/archotol.133.10.974[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.


PICO

Question: Do children have changes in sleep and in oppositional behavior, cognitive problems, and attention/hyperactivity disorders following adenotonsillectomy?

Question type: Therapy

Study design: Prospective, nonrandomized study

 

Researchers from Kansas City, Missouri, conducted a non-randomized prospective study to examine changes in behavior and sleep among children with sleep-disordered breathing (SDB) who underwent removal of their tonsils and adenoids.

They enrolled 117 consecutive children (61 boys) with SDB who had undergone adenotonsillectomy (mean patient age 6.5±3.1 years). Children were excluded if the primary reason for adenotonsillectomy was recurrent infections or if significant comorbidities were present. Behavior and sleep changes were measured using the validated Pediatric Sleep Questionnaire (PSQ)1 and the Conners’ Parent Rating Scale-Revised Short Form (CPRS-R5). Parents . . . [Full Text of this Article]

Mike Dubik, MD, FFAP
Pediatrics, Naval Medical Center, San Diego, CA