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108615

Management of Children Referred to ENT with Suspected Obstructive Sleep Apnea Following Overnight Oximetry.

Article

Last updated: 22 Jan 2023

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Abstract

Background: Obstructive sleep apnea (OSA) has been associated with increased risk of respiratory complications after adenotonsillectomy in children. Not all such children require overnight admission, and same-day surgery is appropriate for some patients. Selection of those that are suitable for same day discharge relies on accurate identification of OSA severity.
Guidelines about ‘Day Care Adenotonsillectomy in presence of Sleep Apnea'' provided by Nottingham Children's Hospital, the UK, published in 2014, and applies to those children who had a sleep study performed pre-operatively.
A typical cost-effective practical sleep study entails at-home overnight pulse oximetry.
Aim: The aim of audit study was to see if suspected OSA is appropriately managed at Trafford General Hospital (TGH), the UK, according to the standards provided by Nottingham Children's Hospital, in addition to taking one standard from the Royal College of Pediatrics and Child Health report, on Standards for Services for Children with Disorders of Sleep Physiology, published in 2009.
Study Design: This is a retrospective local audit study focused on children who were referred to ENT at TGH for suspected OSA or who were suspected of OSA during ENT follow-up for another non-OSA reason.
Conclusion: There is good practice in excluding insufficiently analyzed oximetry.
Non-compliance was mostly due to mild OSA being ruled in on an inconclusive study. The listing and referral for adenotonsillectomy is appropriate despite conflicting local practice to refer all children with suspected OSA to a specialized centre.

DOI

10.21608/ejentas.2020.13603.1120

Keywords

Adenotonsillectomy, Obstructive sleep apnea, overnight admission, sleep study

Authors

First Name

Ahmed

Last Name

Hussein

MiddleName

Yehia

Affiliation

Otorhinolaryngology department, Faculty of Medicine, Ain Shams University

Email

ahmedyz76@gmail.com

City

-

Orcid

-

First Name

Bradley

Last Name

Story

MiddleName

-

Affiliation

Manchester University of Medicine

Email

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City

-

Orcid

-

First Name

Goubran

Last Name

Eskander

MiddleName

-

Affiliation

3St Helens and Knowsley NHS Trust

Email

goubranfikry@gmail.com

City

-

Orcid

-

First Name

Amr

Last Name

Abdelhamid

MiddleName

-

Affiliation

Department of Otorhinolaryngology, Ain Shams University/Manchester University NHS Foundation Trust

Email

amrhamid11@gmail.com

City

-

Orcid

0000-0002-8268-8405

First Name

Atef

Last Name

El-kholy

MiddleName

-

Affiliation

Manchester University NHS Foundation Trust

Email

-

City

-

Orcid

-

Volume

21

Article Issue

2

Related Issue

16429

Issue Date

2020-08-01

Receive Date

2019-09-07

Publish Date

2020-08-01

Page Start

44

Page End

50

Print ISSN

2090-0740

Online ISSN

2090-3405

Link

https://ejentas.journals.ekb.eg/article_108615.html

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https://ejentas.journals.ekb.eg/service?article_code=108615

Order

2

Type

Original Article

Type Code

467

Publication Type

Journal

Publication Title

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

Publication Link

https://ejentas.journals.ekb.eg/

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Details

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Article

Created At

22 Jan 2023