Risk Stratification of Post Tonsillectomy Respiratory Complications in the Pediatric Population

Hadassah Medical Center

Status: Unknown

Conditions: Post Tonsillectomy Respiratory Complications

Study type: Observational

Funder types: Other

Identifiers

NCT01257321

OSA-HMO-CTIL

Details and patient eligibility

About

Obstructive sleep apnea syndrome (OSAS) is the most common indication for tonsillectomy and adenoidectomy in young children. According to previous studies, as much as 8 to 20% of patients will develop post operative respiratory complications requiring medical intervention. The pre-operative risk factors that could predict respiratory complications retrospectively analyzed were young age, obesity and high preoperative apnea-hypopnea index. Despite the removal of obstructing lymphoid tissue, upper airway obstruction occurs on the first postoperative night in children with OSA. There is a debate regarding the post-operative duration and monitoring needed in children with OSA.

Hypothesis:

Pre-operative, operative and immediate post-operative parameters could predict post tonsillectomy respiratory complications.

Enrollment: 200 estimated patients

Sex: All

Ages: Under 14 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Pediatric patient < 14 years old
2. Obstructive sleep apnea according to polysomnography
3. Surgery: Tonsillectomy/Tonsillotomy

Exclusion criteria

1. Patient suffering from known respiratory disease

Trial design

200 participants in 1 patient group

post tonsillectomy

Description:

children