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Presidential keynote address and new research highlights from the American Society of Pediatric Otolaryngology meeting
Date:4/10/2012

illectomy (T&A).

A retrospective cohort study was conducted on children who underwent T&A at our institution from 2002 to 2006. Our database included detailed perioperative data, demographic information and results of testing for suspected obstructive sleep apnea (OSA). At our institution, African-American children undergo a routine preoperative sickle cell test (TestSC). Data on TestSC was included for all children. Parental report of ethnicity was available for 23% of our cohort. We established that having a TestSC was an accurate proxy for African-American ethnicity (sensitivity 96%, specificity 93%, PPV 77%, NPV 99%).

Study results showed seventy-four (12.5%) of 594 children experienced major respiratory complications. Compared to other children, those who had major respiratory complications had a TestSC (p = 0.010), were aged 2 and under (p < 0.001), had lower weight for age z-scores (p = 0.037), had moderate-severe OSA (p = 0.003) and had comorbidities (p < 0.001). When controlling for these variables in a multivariate analysis, children of African-American ethnicity (TestSC used as a proxy) were at higher risk of having major perioperative respiratory complications (adjusted OR, 1.82; 95% CI, 1.05, 3.14; p = 0.003).

In conclusion, children of African-American ethnicity are nearly twice as likely to experience major respiratory complications related to T&A. Future work should determine the genetic or environmental aspects of African-American ethnicity that place these children at risk for serious surgical morbidity.


Do Perioperative Antibiotics Affect Complication Rates After Primary Adenotonsillectomy in Children?
Speaker: Carolyn Nguyen, MD
Date: Saturday, April 21, 2012
Time: 3:59 4:06pm

San Diego, CA The American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) published clinical guidelines in January 2011 with recommendations against the routine use of perioperativ
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Contact: Mary Stewart
mstewart@entnet.org
703-535-3762
American Academy of Otolaryngology - Head and Neck Surgery
Source:Eurekalert

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