scholarly journals Evaluation of Secondary Post-Tonsillectomy Bleeding among Children in Saudi Arabia: Risk Factor Analysis

2020 ◽  
pp. 014556132094466
Author(s):  
Turki Aldrees ◽  
Abdullah Alzuwayed ◽  
Abdullah Majed ◽  
Abdulrhman Alzamil ◽  
Mohammed Almutairi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Obstructive Sleep Apnea ◽  
Saudi Arabia ◽  
Risk Factor ◽  
Sleep Apnea ◽  
Sleep Disorder ◽  
Significant Risk ◽  
Peritonsillar Abscess ◽  
Recurrent Tonsillitis ◽  
Obstructive Sleep

Background: Tonsillectomy is one of the most widely recognized surgeries for tonsillitis. It is the default surgery option for obstructive sleep apnea, recurrent tonsillitis, and recurrent peritonsillar abscess. However, there are limited risk factor analyses in Saudi Arabia related to tonsillectomy. The goal of study is to evaluate and analyze the risk factors for secondary post-tonsillectomy bleeding in Saudi Arabia. Method: This retrospective review study was directed at King Abdullah Specialized Children’s Hospital, Riyadh, Saudi Arabia. Univariate and multivariate investigations were performed to decide the risk factors. Results: A total of 713 children were included. Post-tonsillectomy bleeding occurred in only 5.3% of tonsillectomies. There was no seasonal variation impact on post-tonsillectomy bleeding rate ( P = .8). The multivariate analysis showed a significant association between post-tonsillectomy bleeding and both age (odds ratio [OR] = 1.156; 95% CI: 1.007-1.326; P = .039) and sleep disorder breathing/obstructive sleep apnea (OR = 3.581; 95% CI: 1.454-8.820; P = .006). Conclusion: This study revealed that age, sleep disorder/obstructive sleep apnea, and longer hospital stay after tonsillectomy are significant risk factors for post-tonsillectomy bleeding. This study provides an important baseline for further local studies in the future.

scholarly journals Which oropharyngeal factors are significant risk factors for obstructive sleep apnea? An age-matched study and dentist perspectives

2016 ◽  
Vol Volume 8 ◽  
pp. 215-219 ◽  
Author(s):  
Kittisak Sawanyawisuth ◽  
Supanigar Ruangsri ◽  
Teekayu Plangkoon Jorns ◽  
Subin Puasiri ◽  
Thitisan Luecha ◽  
...  
Keyword(s):  
Risk Factors ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Significant Risk ◽  
Obstructive Sleep ◽  
Matched Study

scholarly journals PREVALENCE AND RISK FACTORS OF OBSTRUCTIVE SLEEP APNEA SYNDROME AMONG ADULT MALES IN WESTERN REGION POPULATION IN KINGDOM OF SAUDI ARABIA

2019 ◽  
Vol 7 (12) ◽  
pp. 1000-1007
Author(s):  
Manal Abdulaziz Murad ◽  
◽  
Hoda Jehad Abou sada ◽  
Mohammed Mohsen Algailani ◽  
Aseel Mohammed Sallam ◽  
...  
Keyword(s):  
Risk Factors ◽  
Obstructive Sleep Apnea ◽  
Saudi Arabia ◽  
Sleep Apnea ◽  
Sleep Apnea Syndrome ◽  
Western Region ◽  
Adult Males ◽  
Kingdom Of Saudi Arabia ◽  
Obstructive Sleep ◽  
Apnea Syndrome

scholarly journals Sleep Disorder Following Concussion

Concussion ◽  
2019 ◽  
pp. 93-96
Author(s):  
Brian Hainline ◽  
Lindsey J. Gurin ◽  
Daniel M. Torres
Keyword(s):  
Mental Health ◽  
Obstructive Sleep Apnea ◽  
Risk Factor ◽  
Sleep Apnea ◽  
Sleep Disorders ◽  
Sleep Disorder ◽  
Traumatic Stress ◽  
Post Traumatic Stress ◽  
Obstructive Sleep ◽  
Post Traumatic

Sleep disorders are common in athletes and are a risk factor for development of mental health symptoms and disorders. Sleep disorder is also a risk factor for prolonged, persistent post-concussive symptoms. Individuals who have a sleep disorder following concussion are more susceptible to developing prolonged post-concussive symptoms unless the sleep disorder is properly managed. Sleep disorders are divided into primary sleep disorders such as obstructive sleep apnea, and secondary sleep disorders that may result from other conditions such as pain and post-traumatic stress disorder. The particular type of sleep disorder must be diagnosed, and will guide both nonpharmacologic and pharmacologic strategies, as warranted.

Screening for Obstructive Sleep Apnea in Preschool Children with Cleft Palate

2009 ◽  
Vol 46 (2) ◽  
pp. 117-123 ◽  
Author(s):  
J. E. MacLean ◽  
K. Waters ◽  
D. Fitzsimons ◽  
P. Hayward ◽  
D. A. Fitzgerald
Keyword(s):  
Risk Factors ◽  
Obstructive Sleep Apnea ◽  
Risk Factor ◽  
Preschool Children ◽  
Sleep Apnea ◽  
Cleft Lip ◽  
Clinical Risk Factor ◽  
Questionnaire Data ◽  
Clinical Risk ◽  
Obstructive Sleep

Objective: The objective of this study was to explore the prevalence, range of reported symptoms, and clinical risk factors of obstructive sleep apnea in preschool children with cleft lip and/or palate. Design: Questionnaires were distributed to parents/guardians of all children from birth to 5 years of age who were followed by the cleft clinic. Results: Questionnaire data and cleft classification were available for 248 children, with a mean age of 33.4 months. Obstructive sleep apnea was identified in 31.4% of the children. Only 29.5% of children with obstructive sleep apnea had undergone an investigation of these symptoms. The three most common symptoms reported in children with a questionnaire diagnosis of obstructive sleep apnea were (1) “heavy or loud breathing,” (2) “easily distracted,” and (3) “on the go” or “driven by a motor.” The only clinical risk factor associated with a questionnaire diagnosis of obstructive sleep apnea was the presence of a syndrome (χ2  =  3.5, p  =  .05). There were no significant differences in risk of obstructive sleep apnea by age, cleft classification, and surgical status. Conclusion: Preschool children with cleft lip and/or palate have a risk of obstructive sleep apnea that is as much as five times that of children without cleft. Obstructive sleep apnea appears to be underrecognized in this group of children. Further research is needed to investigate important risk factors for obstructive sleep apnea in children with cleft lip and/or palate.

scholarly journals Obstructive Sleep Apnea as a Risk Factor of Insulin Resistance in Nondiabetic Adults

Life ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 50
Author(s):  
Monika Michalek-Zrabkowska ◽  
Piotr Macek ◽  
Helena Martynowicz ◽  
Pawel Gac ◽  
Grzegorz Mazur ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Insulin Resistance ◽  
Obstructive Sleep Apnea ◽  
Risk Factor ◽  
Sleep Apnea ◽  
Glucose Concentration ◽  
Insulin Concentration ◽  
Fasting Insulin ◽  
Sleep Habits ◽  
Obstructive Sleep

Objective: The aim of this research was to assess the relationship between prevalence and severity of obstructive sleep apnea (OSA) and insulin resistance among patients with increased risk of OSA without diabetes mellitus. Method and materials: our study group involved 102 individuals with suspected OSA, mean age 53.02 ± 12.37 years. Data on medical history, medication usage, sleep habits, sleep quality and daytime sleepiness, were obtained using questionnaires. All patients underwent standardized full night polysomnography. Serum fasting insulin and glucose concentration were analyzed, the homeostatic model assessment-insulin resistance (HOMA-IR) index was calculated. Results: polysomnographic study indicated that in the group with OSA mean values of apnea–hypopnea index (AHI), oxygen desaturation index (ODI), duration of SpO2 < 90% and average desaturation drop were significantly higher compared to the group without OSA, while the minimum SpO2 was significantly lower. The carbohydrate metabolism parameters did not differ within those groups. Significantly higher fasting insulin concentration and HOMA-IR index were found in the group with AHI ≥ 15 compared to the group with AHI < 15 and in the group with AHI ≥ 30 compared to the group with AHI < 30. Higher AHI and ODI were independent risk factors for higher fasting insulin concentration and higher HOMA-IR index. Increased duration of SpO2 < 90% was an independent risk factor for higher fasting glucose concentration. Conclusions: Individuals with moderate to severe OSA without diabetes mellitus had a higher prevalence of insulin resistance.

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