Department of Otolaryngology, University of Colorado School of Medicine, Aurora, Colorado, U.S.A.
Department of Pediatric Otolaryngology, Children's Hospital Colorado, Aurora, Colorado, U.S.A.
Laryngoscope. 2021 Sep;131(9):2121-2125. doi: 10.1002/lary.29445. Epub 2021 Feb 11.
Weight status can affect outcomes in pediatric adenotonsillectomy performed for obstructive sleep disordered breathing. Parents frequently underestimate their child's weight and are unaware weight status may affect adenotonsillectomy success. Accurate understanding of a child's weight status is important for shared decision making with the family and perioperative care. The purpose of this study is to analyze the accuracy of the parent's perception of their child's weight status.
A retrospective analysis was performed of prospective data collected from families of children undergoing adenotonsillectomy from June 2018 through June 2019.
A total of 522 children met the inclusion criteria. Two hundred and thirty-two children were either overweight (n = 46, 9%) or obese (n = 186, 36%). Among parents of this cohort whose children were overweight or obese, 74 (32%) erroneously reported that their child was normal weight. For the 290 nonoverweight children, 99% of parents accurately reported weight status. After adjusting for ethnicity, race, BMI%, and sex, for every 1-year increase in age of the child, the odds of the parent correctly identifying their child as overweight increased by a factor of 1.18 (95% CI: 1.09, 1.27).
One-third of families with children who were overweight or obese undergoing adenotonsillectomy for obstructive sleep disordered breathing underestimated their child's weight. This study highlights the need to facilitate family understanding of weight status' potential impact on both obstructive sleep disordered breathing severity and adenotonsillectomy success, especially for younger children.
4 Laryngoscope, 131:2121-2125, 2021.
体重状况可能会影响因阻塞性睡眠呼吸障碍而行腺样体扁桃体切除术的儿科患者的结局。家长通常会低估孩子的体重，而且不知道体重状况可能会影响腺样体扁桃体切除术的成功率。准确了解孩子的体重状况对于与家庭共同做出决策和围手术期护理都很重要。本研究旨在分析家长对孩子体重状况的感知的准确性。
对 2018 年 6 月至 2019 年 6 月期间接受腺样体扁桃体切除术的儿童的家庭进行了前瞻性数据的回顾性分析。
共有 522 名儿童符合纳入标准。232 名儿童超重（n=46，9%）或肥胖（n=186，36%）。在该队列中，超重或肥胖儿童的家长中，有 74 名（32%）错误地报告其孩子体重正常。对于 290 名非超重儿童，99%的家长准确报告了体重状况。在调整了种族、民族、BMI%和性别后，孩子每增加 1 岁，家长正确识别其孩子超重的几率增加 1.18 倍（95%CI：1.09，1.27）。
三分之一的超重或肥胖且因阻塞性睡眠呼吸障碍而行腺样体扁桃体切除术的儿童的家长低估了其孩子的体重。本研究强调需要帮助家庭了解体重状况对阻塞性睡眠呼吸障碍严重程度和腺样体扁桃体切除术成功率的潜在影响，尤其是对年龄较小的儿童。
4 Laryngoscope, 131:2121-2125, 2021.
