The Impact of Adenotonsillectomy on HealthRelated Quality of Life in Pediatric Patients by Shuaib Kayode Aremu in SJO - Lupinepublishers
Objective: To determine the impact of Adenotonsillectomy on Health-related quality of life (HRQoL) in children’s before and
after surgery.
Study Design: Prospective, Observational, before and after trial. 142 children who underwent Adenotonsillectomy were
included in the study. Parents were made to fill pre and post-operative questionnaires which were customized from Tonsil and
Adenoid health status instrument (TAHSI) and HR-QoL (Health-related quality of life) forms, one day prior to the surgery and 6
months after the surgery respectively, and the results were tabulated and analysed.
Setting: Tertiary paediatric otolaryngology practices.
Result: Out of the 142 children in the study 80 were male and
62 were female. Male to Female ratio being 1.3:1. Age group
1-4 years had highest number of patients while age group 9-12 had the
least. Preoperatively the Mean score of domains for Sleep
disturbances, Physical Symptoms, Emotional distress, Daytime functions,
and Caregiver concern was 14.1, 15.83, 6.89, 7.54, and
13.78 respectively. After 6 months of the surgery, the score decreased
to 4.65, 4.22, 4.32, 3.1 and 4.2 respectively. This shows a
significant improvement in the symptom complex and the quality of the
life.
Conclusion: Adenotonsillectomy leads to an improvement in the
HRQoL in children as majority of parents were extremely
satisfied with the surgical outcome. Almost all the parents reported
decrease in Sleep disturbances, Physical Symptoms, Emotional
distress, Daytime functions, and Caregiver concern.
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