Impact of Chronic Adenoid Hypertrophy on Quality of Life Index in Children and Role of Adenoidectomy.

IF 0.7 Q4 ENGINEERING, BIOMEDICAL International Journal of Biomedical Engineering and Technology Pub Date : 2023-12-01 Epub Date: 2023-06-24 DOI:10.1007/s12070-023-04000-z
Deepa Shivnani, Mallikarjun R Kobal, E V Raman, M S Shruthi
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Abstract

Objectives: To analyze the effects of chronic adenoid hypertrophy on quality of life (QOL) of children and caregivers and compare quality of life of child before and after adenoidectomy. Materials & Methods: Prospective, observational before and after questionnaire based assessment study at a pediatric otorhinolaryngology specialty center in a metropolitan quaternary care hospital. Children aged between 2 and 12 years undergoing adenoidectomy were included. Parents were asked to fill the Obstructive Sleep Apnea-18 (OSA-18) Quality of Life Index Questionnaire one day before surgery and after one month of surgery during their scheduled follow-up visit. The study was conducted over a period of 1 year and total of 40 children's assessment was done. Results were tabulated and analyzed. Results: The mean age of presentation was 6 years. Based on OSA-18 quality of life assessment scoring the total pre-operative mean score was 73.3 and post-operative was 40.5. There was significant change in OSA-18 total score and individual domain scores post-operatively indicating significant improvement in QOL post adenoidectomy. The domains most affected due to chronic adenoid hypertrophy were physical suffering, caregiver concerns and sleep disturbance (p value < 0.001).Conclusion: Chronic adenoid hypertrophy has major impact on quality of life of a child along with caregiver concern and they show significant improvement after adenoidectomy.

Supplementary information: The online version contains supplementary material available at 10.1007/s12070-023-04000-z.

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慢性腺样体肥大对儿童生活质量指数的影响及腺样体切除术的作用。
目的:分析慢性腺样体肥大对儿童及护理人员生活质量的影响,比较腺样体切除术前后儿童生活质量的差异。材料与方法:在某都市四科医院儿童耳鼻喉科专科中心进行前瞻性、观察性问卷评估前后研究。接受腺样体切除术的儿童年龄在2至12岁之间。要求家长在手术前一天和术后一个月随访期间填写阻塞性睡眠呼吸暂停-18 (OSA-18)生活质量指数问卷。这项研究进行了1年,共对40名儿童进行了评估。将结果制成表格并进行分析。结果:患者平均发病年龄6岁。根据OSA-18生活质量评分,两组患者术前平均得分为73.3分,术后平均得分为40.5分。术后OSA-18总分和个体域评分均有显著变化,表明腺样体切除术后生活质量有显著改善。慢性腺样体肥大影响最大的领域是身体痛苦、照顾者担忧和睡眠障碍(p值)。结论:慢性腺样体肥大和照顾者担忧对儿童的生活质量有重大影响,并在腺样体切除术后显著改善。补充资料:在线版本包含补充资料,网址为10.1007/s12070-023-04000-z。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
73
期刊介绍: IJBET addresses cutting-edge research in the multi-disciplinary area of biomedical engineering and technology. Medical science incorporates scientific/technological advances combining to produce more accurate diagnoses, effective treatments with fewer side effects, and improved ability to prevent disease and provide superior-quality healthcare. A key field here is biomedical engineering/technology, offering a synthesis of physical, chemical, mathematical and computational sciences combined with engineering principles to enhance R&D in biology, medicine, behaviour, and health. Topics covered include Artificial organs Automated patient monitoring Advanced therapeutic and surgical devices Application of expert systems and AI to clinical decision making Biomaterials design Biomechanics of injury and wound healing Blood chemistry sensors Computer modelling of physiologic systems Design of optimal clinical laboratories Medical imaging systems Sports medicine.
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