Qualidade de vida em crianças com distúrbios obstrutivos do sono: avaliação pelo OSA-18

• Autor(a) principal: Silva, Viviane Carvalho da [UNIFESP]
• Data de Publicação: 2006
• Outros Autores: Leite, Álvaro Jorge Madeiro [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0034-72992006000600005; http://repositorio.unifesp.br/handle/11600/3427
• topic: adenoid; Children; quality of life; sleep disturbance; adenóide; Crianças; qualidade de vida; transtornos do sono

Sleep-disordered breathing (SDB) is prevalent. There is evidence of their effect on quality of life. AIM: To assess the quality of life in children with SDB before and after adenoidectomy or adenotonsillectomy. METHODS: A prospective before and after interventional study, with a component for assessment. A consecutive sample of children referred to adenoidectomy or adenotonsillectomy was recruited from the otolaryngology clinic; guardians answered a specific survey for the evaluation of quality of life in children with SDB, the OSA-18, before and at least 30 days after surgery. Nasofibroscopic and otolaryngological exams and a semi-structured survey on the child s social and clinical profile were done on both appointments. RESULTS: 48 children with a mean age of 5.93 years (SD=2.43) were evaluated. The mean number of schooling years for guardians was 8.29 years (SD=3.14). The most frequent symptoms were: agitated sleep, apnea and snoring. The total mean score of the initial OSA-18 was 82.83 (major impact); following surgery, the total mean score was 34.15. The differences in the total scores and in the domains between the initial OSA-18 and post-surgery scores were all significant (p<0.00). CONCLUSION:SDB has a relevant impact on quality of life, and patients show dramatic improvements after surgical treatment.