Navigation Links
Surgery Only Works for Some Kids with Sleep Apnea
Date:3/14/2008

Study found those who gained weight rapidly, were African-American were much more likely to suffer relapses

FRIDAY, March 14 (HealthDay News) -- Surgery may provide only short-term relief for some children with sleep-disordered breathing, say researchers at Cincinnati Children's Hospital Medical Center.

Adenotonsillectomy surgery is the first line of treatment for sleep-disordered breathing (SDB) in children. It is the most common surgery performed upon children, the researchers noted.

This study found that children who gain weight rapidly after having their tonsils or adenoids removed to treat SDB may improve in the short-term, but may relapse or even worsen over the long-term. Black children also tend to relapse.

"The high rate of recurrence we observed in both obese and non-obese children indicates that SDB is a chronic condition," Dr. Raouf Amin, director of pulmonary medicine at Cincinnati Children's, said in a prepared statement.

The study included 40 children, aged 7-13, who had adenotonsillectomy surgery to treat nightly snoring. Most of the children showed improved sleep scores six weeks after surgery, but the rate of relapse at one year had no correlation with the six-week score, the researchers found. Relapse was more likely to occur among children who were obese, had worse SDB at baseline, had an accelerated body-mass index (BMI) gain, had high blood pressure, or were black.

"Most post-adenotonsillectomy outcome studies have focused on the assessment of SDB six to 16 weeks after surgery. Resolution of SDB during this window was usually interpreted as a cure for the disorder," Amin said. He said the study is the first to identify the importance of weight gain and race on the recurrence of the condition.

Prior to surgery, half the non-obese and two-thirds of the obese children in the study had an AHI (apnea/hypopnea index -- a measure of the severity of SDB) score of 3. A year after surgery, 27 percent of non-obese children and 79 percent of obese children had an AHI score of greater than 3, which suggests the surgery was significantly more effective after one year for non-obese children.

"SDB appears to be a chronic disorder that is clearly linked to other medical problems. Given the rate of relapse, we advocate long-term follow-up of children with SDB, monitoring of BMI [weight] gain, and reevaluation of children who demonstrate rapid BMI gain, especially those who are African-Americans," the researchers concluded.

The study appears in the second issue for March of the American Journal of Respiratory and Critical Care Medicine.

More information

The Nemours Foundation has information about sleep apnea in children.



-- Robert Preidt



SOURCE: American Thoracic Society, news release, March 14, 2008


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. One Surgery Often Enough for Peritonitis
2. Single-incision belly-button surgery to remove kidney performed first at UT Southwestern
3. Surgery for severe obesity saves lives
4. Some Epilepsy Patients Are Good Candidates for Surgery
5. Jefferson specialists studying innovative surgery for effectively treating sleep apnea
6. Hypnosis Eases Pain of Breast Cancer Surgery
7. PainCare Receives $14.4 Million in Cash From Completed Sale of South Florida Ambulatory Surgery Centers
8. Minimally Invasive Heart Surgery Research Wins N.I.H. Award
9. Cosmetic Surgery & Exotic Brazil
10. Small Incisions Make Heart Valve Surgery Safer
11. Accuray Receives FDA Clearance for New Dose Calculation Technique for Body Radiosurgery
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Surgery Only Works for Some Kids with Sleep Apnea
(Date:3/28/2017)... Fairfax, VA (PRWEB) , ... March 28, 2017 , ... ... T. Still, MHA, FRBMA, has begun to serve as its new executive director. Mr. ... and the Executive Search Committee. , “Bob, as he is known to our ...
(Date:3/28/2017)... Wethersfield, Conn. (PRWEB) , ... March 28, 2017 ... ... company based in Wethersfield, Conn., has relocated its corporate headquarters to a new, ... and clients. , In October 2016, Qualidigm purchased a distressed office building ...
(Date:3/28/2017)... MA (PRWEB) , ... March 28, 2017 , ... ... for direct measurement of corrosive ions found in power plant water and steam. ... components such as turbines and boilers, leading to extensive maintenance and unplanned shutdowns. ...
(Date:3/28/2017)... ... 28, 2017 , ... Columbus OH. Dr. Justin Harper, Founder of Juvly Aesthetics ... in the country to sit on the 2017 National Advisory Board for Allergan’s Facial ... Dr. Harper helped propel the clinic from a small start-up to number 78 in ...
(Date:3/28/2017)... ... March 28, 2017 , ... Prominant bariatric surgeon ... is thrilled to offer the recently FDA-approved Obalon Balloon System to his patients. ... SkyLex Advanced Surgical’s already comprehensive list of weight-loss services. Dr. Liu is ...
Breaking Medicine News(10 mins):
(Date:3/27/2017)... , March 27, 2017 The National ... health and data analytics company, signed a Memorandum ... improving healthcare delivery in the region. ... Global Health Research and Technology (BIGHEART) at NUS ... several topics related to healthcare IT and medical ...
(Date:3/27/2017)...  ImMAGE Biotherapeutics (OTCMKTS: IMMG), an early-stage biotechnology company, ... and efficacy studies. The company is harnessing the power ... MAGE A, in an effort to find a better ... After 4 weeks of treatment in transgenic mice, the ... in a full toxicology report of various organs. Cytotoxic ...
(Date:3/27/2017)... 27, 2017  Sanderling Ventures, portfolio company, Torax ... division of Johnson & Johnson. Torax manufactures and markets ... of gastro-esophageal reflux disease (GERD). The LINK device ... and the procedure is currently available in the ... Medical was founded by Sanderling Ventures, Mayo Medical ...
Breaking Medicine Technology: