Abstract
Background:Obstructive sleep-disordered breathing (OSDB) is a term for several chronic conditions in which partial or complete cessation of breathing occurs many times throughout the night, resulting in fatigue or daytime sleepiness that interferes with a person’s functions and reduces the quality of life.Objective:Comparing the effectiveness of surgical versus non-surgical treatment of OSDB in children in clinical trials through a meta-analysis study.Patients and Methods:A number of available studies and abstracts concerning the surgical versus non-surgical treatment of OSDB in children were identified through a comprehensive search of electronic databases. Data were abstracted from every study in the form of a risk estimate and its 95% confidence interval.Results:The current study revealed that there was a statistically significant improvement in the surgically treated patients rather than non-surgically treated patients regarding the quality of life.Conclusion:The current meta-analysis reports a significant clinical improvement in the surgical (adenotonsillectomy) group as compared to the non-surgical group, in terms of disease specific quality of life, and healthcare utilization in spite of the availability of only one study.
Highlights
Obstructive Sleep-Disordered Breathing (OSDB) can occur in both children and adults; it ranges in severity from simple snoring to Obstructive Sleep Apnea Syndrome (OSAS) [2]
The four pooled studies that evaluated the change in disease specific quality of life among children with obstructive sleep disordered breathing showed clear clinical improvement in the surgical group compared with the non-surgical group (Fig. 1)
One study measured Healthcare utilization, which states that adenotonsillectomy significantly reduces health care utilization in children with obstructive sleep apnea syndrome
Summary
OSDB can occur in both children and adults; it ranges in severity from simple snoring to Obstructive Sleep Apnea Syndrome (OSAS) [2]. Obstructive sleep apnea (OSA) is a common condition known to affect 1–4% of all children [3], the estimated prevalence of habitual snoring in children is 4.9 to 12.1% [4]. Infants often present with noisy breathing and disturbed nocturnal sleep, preschool-aged children with snoring and mouth breathing, and school-aged children present with behavioral and dental problems [2]. Obstructive sleep-disordered breathing (OSDB) is a term for several chronic conditions in which partial or complete cessation of breathing occurs many times throughout the night, resulting in fatigue or daytime sleepiness that interferes with a person’s functions and reduces the quality of life
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