Department of Otorhinolaryngology, Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska University Hospital, University of Gothenburg, Gröna Stråket 9, 413 45, Göteborg, Sweden.
Mary McKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia.
Eur Arch Otorhinolaryngol. 2021 Jan;278(1):265-270. doi: 10.1007/s00405-020-06243-w. Epub 2020 Aug 7.
Sleep-disordered breathing, SDB, in children is associated with morbidity that can result in caregivers having to stay at home from work. The aim of this study was to investigate whether the number of days when caregivers are reimbursed, temporary parental benefit (TPB) to stay at home from work to care for their sick child is increased among children with SDB before and after tonsil surgery.
This is a retrospective, cross-sectional study of children (n = 440), aged 2-11 years, that underwent tonsil surgery for SDB in day surgery at Sahlgrenska University Hospital in 2014 and 2015. TPB, was provided by the Swedish Social Insurance Agency. The expected days of TPB in the general population of the region were calculated. The number of days with TPB was compared 2 years before and 2 years after surgery and compared with the expected days of TPB.
Two years before surgery, the children had no more days of TPB than expected. Two years after surgery, the children with SDB had 4.8 more days with TPB (p < 0.001) than expected, but, when the 1st month after surgery was excluded from the analysis, there was no difference in days of TPB compared with the general population.
Children with SDB who had tonsil surgery had no more days of parental benefits 2 years before and 2 years after surgery than expected. SDB is associated with increased morbidity, but it does not appear to cause caregivers to stay at home in the majority of children.
儿童睡眠呼吸障碍（SDB）与发病率有关，这可能导致照顾者不得不请假在家。本研究旨在调查患有 SDB 的儿童在扁桃体切除术前后，因照顾生病的孩子而获得的临时父母津贴（TPB）天数是否会增加。
这是一项回顾性、横断面研究，纳入了 2014 年至 2015 年在萨尔格伦斯卡大学医院日间手术接受扁桃体切除术治疗 SDB 的 440 名 2-11 岁儿童。TPB 由瑞典社会保险局提供。计算了该地区普通人群中预计的 TPB 天数。比较了手术前 2 年和手术后 2 年的 TPB 天数，并与预期的 TPB 天数进行比较。
手术前 2 年，患儿的 TPB 天数与预期天数相同。手术后 2 年，患有 SDB 的儿童 TPB 天数比预期多 4.8 天（p<0.001），但如果将手术后第 1 个月排除在分析之外，与普通人群相比，TPB 天数无差异。
接受扁桃体切除术的 SDB 儿童在手术前 2 年和手术后 2 年的 TPB 天数均未超过预期。SDB 与发病率增加有关，但似乎并未导致大多数儿童的照顾者请假在家。
