Holmes Emma M, Singh Heena H K, Kirk Valerie G, Brindle Mary, Luntley Jeremy, Weber Bryce A, Yunker Warren K
Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
J Pediatr Surg. 2017 Nov;52(11):1791-1794. doi: 10.1016/j.jpedsurg.2017.05.020. Epub 2017 May 28.
The purpose of this study was to evaluate the prevalence of sleep-related breathing disorders (SRBD) in children undergoing elective day surgery procedures.
A validated Pediatric Sleep Questionnaire (PSQ) was distributed to the parents of children aged 2months to 18 years who met inclusion criteria and were undergoing urologic, otolaryngologic, and general surgical day surgery procedures a 3-month period of time. The prevalence of children at risk for pediatric SRBD was determined from PSQ results.
From a total of 288 PSQ Questionnaires, 9.1% of urology, 11.1% of general surgery, and 51.9% of otolaryngology patients admitted to day surgery were found to be at risk for sleep disordered breathing. The median PSQ score for the children at risk was 9.2 for urological surgeries, 10.9 for general surgery, and 11.3 for otolaryngological procedures.
There is an increased prevalence of children at risk of SRBD awaiting common day surgery procedures than previously expected based on existing literature. Patients undergoing otolaryngological procedures were at greater risk of sleep-related breathing disorders when compared with patients undergoing urological or general surgical procedures. There may be a role for screening of pediatric patients with a PSQ prior to day-surgery.
Type of study: prognosis study, level IV.
本研究旨在评估接受择期日间手术的儿童睡眠相关呼吸障碍（SRBD）的患病率。
在3个月的时间内，向符合纳入标准且正在接受泌尿外科、耳鼻喉科和普通外科日间手术的2个月至18岁儿童的父母发放经过验证的儿童睡眠问卷（PSQ）。根据PSQ结果确定有小儿SRBD风险的儿童患病率。
在总共288份PSQ问卷中，接受日间手术的泌尿外科患者中有9.1%、普通外科患者中有11.1%、耳鼻喉科患者中有51.9%被发现有睡眠呼吸障碍风险。有风险的儿童的PSQ中位数得分在泌尿外科手术中为9.2，普通外科手术中为10.9，耳鼻喉科手术中为11.3。
与现有文献预期相比，等待进行常见日间手术的有SRBD风险的儿童患病率有所增加。与接受泌尿外科或普通外科手术的患者相比，接受耳鼻喉科手术的患者有更高的睡眠相关呼吸障碍风险。在日间手术前用PSQ对儿科患者进行筛查可能会起到作用。
研究类型：预后研究，IV级。
