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:6/27/2016)... ... June 27, 2016 , ... ePAY ... partnership with Connance, a healthcare industry leader providing predictive analytics to optimize ... combine to provide health systems, hospitals and ambulatory surgical centers with dramatic ...
(Date:6/26/2016)... , ... June 26, 2016 , ... Pixel Film Studios ... X. , "Film editors can give their videos a whole new perspective by using ... - CEO of Pixel Film Studios. , ProSlice Levels contains over 30 Different ...
(Date:6/25/2016)... ... ... Austin residents seeking Mohs surgery services, can now turn to Dr. Jessica Scruggs ... for medical and surgical dermatology. , Dr. Dorsey brings specialization to include Mohs surgery, ... Micrographic Surgery completed by Dr. Dorsey was under the direction of Glenn Goldstein, MD, ...
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. Calvin Johnson has ... he has implemented orthobiologic procedures as a method for treating his patients. The ... first doctors to perform the treatment. Orthobiologics are substances that orthopaedic surgeons use ...
(Date:6/24/2016)... Michigan (PRWEB) , ... June 24, 2016 , ... June ... about the dangers associated with chronic pain and the benefits of holistic treatments, ... individuals who are suffering with Sickle Cell Disease. , Sickle Cell Disease (SCD) is ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 2016  Consumers have taken a more active ... more emphasis on patient outcomes. ... the pharmaceutical industry have evolved beyond just providing ... are focusing on becoming more patient-oriented across their ... services that improve health. ...
(Date:6/24/2016)... 24, 2016 Research and ... "Structural Electronics 2015-2025: Applications, Technologies, Forecasts" report ... In-Mold Electronics, Smart Skin, Structural Health Monitoring, ... Structural electronics involves electronic and/or electrical components ... replacing dumb structures such as vehicle bodies or ...
(Date:6/24/2016)... , June 24, 2016 According ... by Type (Standard Pen Needles, Safety Pen Needles), Needle ... GLP-1, Growth Hormone), Mode of Purchase (Retail, Non-Retail) - ... This report studies the market for the forecast period ... reach USD 2.81 Billion by 2021 from USD 1.65 ...
Breaking Medicine Technology: