Work

Overnight Monitoring After T&A for Children Ages 24–36 Months: Is It Always Necessary?

Year: 2025

Type: article

Abstract: OBJECTIVES: of ≥ 90% for 20 min during sleep, would be safe for discharge after tonsillectomy with or without adenoidectomy (T+/-A). METHODS: All children aged 24-36 months undergoing T+/-A from 2019 to 2021 were included. Demographic, clinical, and polysomnography (PSG) results were stratified based on the presence of a prolonged oxygen requirement (POR) and compared using the Kruskal-Wallis test for continuous variables and Chi-squared test or Fisher's Exact tests for categorical variables. Univariate and multiple logistic models were performed. RESULTS: A total of 645 children were included. Overall, 524 (81.2%) successfully weaned from oxygen within 3 h of surgery, and 517 (98.7%) of patients who were off oxygen within 3 h never went back on oxygen during the monitoring period. Patient sex (OR = 1.88 [95% CI, 1.19-2.96]; p = 0.006) and diagnosis of chronic lung disease (CLD) (OR = 13.41 [95% CI, 3.69-48.81]; p < 0.0001) were the only statistically significant risk factors associated with a POR. No association was found between any of the preoperative PSG variables and a POR. CONCLUSIONS: Children between the ages of 24- and 36-months undergoing T+/-A who have weaned off oxygen within 3 h after surgery and passed an AsRAC would be candidates for same-day surgery. CLD was the only clinically relevant risk factor for a POR, and no preoperative PSG variables predicted POR.

Source: The Laryngoscope

DOI: 10.1002/lary.70243

Authors: Tyler Van Heest, Luka Bahra, Suhong Tong, Regina Hofner‐Hnotz, Norman Friedman

Institutions: University of Minnesota, Children's Minnesota, University of Colorado Anschutz, Colorado School of Public Health, Children's Hospital Colorado

Language: English

Topic: Obstructive Sleep Apnea Research

Subfield: Physiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,840