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Journal of
Sleep Disorders and Management ISSN: 2572-4053

Citation

PHUA CQ, LIU YRL, FONG PY, FUNG KYW, TAN KKH (2019) Is Post-Operative High Dependency Admission Required for Children with Obstructive Sleep Apnea after Adenotonsillectomy?. J Sleep Disord Manag 5:020. doi.org/10.23937/2572-4053.1510020

Copyright

© 2019 PHUA CQ, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

RETROSPECTIVE STUDY | OPEN ACCESSDOI: 10.23937/2572-4053.1510020

Is Post-Operative High Dependency Admission Required for Children with Obstructive Sleep Apnea after Adenotonsillectomy?

Chu Qin PHUA1*, Yi Rong Leonora LIU2, Pei Yuan FONG1, Kay Yee Winnie FUNG3 and Kun Kiaang Henry TAN4

1Department of Otolaryngology, Sengkang General Hospital, Singapore

2Bukit Batok Polyclinic, Singapore

3Division of Surgery, Kandang Kerbau Women's and Children's Hospital, Singapore

4Department of Otolaryngology, Kandang Kerbau Women's and Children's Hospital, Singapore

Abstract

Background

Most clinical units admit paediatric obstructive sleep apnoea (OSA) patients to high dependency unit (HDU) following adenotonsillectomy.

Objective

We aim to assess the necessity of HDU admissions for paediatric OSA patients following adenotonsillectomy.

Methods

A retrospective cohort study was performed for paediatric OSA patients who underwent adenotonsillectomy between 2010 to 2014.

Results

285 patients were included in the study. 64 out of 285 (22.5%) patients suffered post-operative morbidity, which were all respiratory adverse events (RAE). Amongst these patients, 56 out of 64 required interventions. However, majority of these patients (48/64) required simple interventions. Only a minority (8/64) received interventions for severe RAE. Multivariate analysis shows that patients with perioperative anaesthetic events and high BMI are more likely to develop post-operative RAE.

Conclusion

Our results suggest that routine HDU admission is not necessary for paediatric OSA patients undergoing adenotonsillectomy. Selective HDU admission is advocated for at-risk patients.