Partial and Total Tonsillectomy for Pediatric Sleep-Disordered Breathing: The Role of the CAS-15
Partial and Total Tonsillectomy for Pediatric Sleep-Disordered Breathing: The Role of the CAS-15
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20250211151054
- ISBN
- 9798382321363
- DDC
- 610
- 서명/저자
- Partial and Total Tonsillectomy for Pediatric Sleep-Disordered Breathing: The Role of the CAS-15
- 발행사항
- [Sl] : Yale University, 2024
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2024
- 형태사항
- 43 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 85-11, Section: B.
- 주기사항
- Advisor: Weinstock, Michael S.
- 학위논문주기
- Thesis (M.D.)--Yale University, 2024.
- 초록/해제
- 요약The Clinical Assessment Score-15 (CAS-15) is an office-based tool for assessing the risk of sleep disordered breathing (SDB), a relatively common condition in the pediatric population. Change in CAS-15 following total tonsillectomy (TT) has been shown to have a large effect size, but it is unclear how it varies following partial intracapsular tonsillectomy (PIT). Thus, the objective of the present study is to evaluate the utility of the CAS-15 score in assessing the effectiveness of PIT and how this compares to change after TT. Children ages 2-18 undergoing PIT (N=16) or TT (N=8) with or without adenoidectomy for SDB completed the CAS-15 before surgery and at their postoperative follow-up visit. Participants undergoing PIT did not differ significantly than those undergoing TT with regard to age, sex, BMI percentile, pre-op CAS-15 score or tonsil size, or admission rates following surgery (p0.05). The median follow-up after surgery was 5.2 (PIT) and 4.4 (TT) weeks. CAS-15 score improved significantly following PIT (42.8±12.3 vs. 9.4±5.6, p0.0001) and TT (45.5±13.3 vs. 7.9±5.8, p0.49). CAS15 decreases drastically following PIT and TT, indicating significant improvement of SDB symptoms. Because the change in CAS-15 after PIT was similar to TT, PIT may be preferred due to the decreased morbidity of the procedure. Given the cost, time required, inconvenience, and other limitations of overnight polysomnography (PSG), which is the gold standard method of diagnosing SDB, CAS-15 may be a suitable replacement or adjunct for the assessment of SDB following PIT in addition to TT.
- 일반주제명
- Medicine
- 일반주제명
- Surgery
- 일반주제명
- Pediatrics
- 키워드
- Polysomnography
- 기타저자
- Yale University Yale School of Medicine
- 기본자료저록
- Dissertations Abstracts International. 85-11B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■020 ▼a9798382321363
■035 ▼a(MiAaPQ)AAI31141955
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a610
■1001 ▼aMabey, Jacob Garn.
■24510▼aPartial and Total Tonsillectomy for Pediatric Sleep-Disordered Breathing: The Role of the CAS-15
■260 ▼a[Sl]▼bYale University▼c2024
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2024
■300 ▼a43 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 85-11, Section: B.
■500 ▼aAdvisor: Weinstock, Michael S.
■5021 ▼aThesis (M.D.)--Yale University, 2024.
■520 ▼aThe Clinical Assessment Score-15 (CAS-15) is an office-based tool for assessing the risk of sleep disordered breathing (SDB), a relatively common condition in the pediatric population. Change in CAS-15 following total tonsillectomy (TT) has been shown to have a large effect size, but it is unclear how it varies following partial intracapsular tonsillectomy (PIT). Thus, the objective of the present study is to evaluate the utility of the CAS-15 score in assessing the effectiveness of PIT and how this compares to change after TT. Children ages 2-18 undergoing PIT (N=16) or TT (N=8) with or without adenoidectomy for SDB completed the CAS-15 before surgery and at their postoperative follow-up visit. Participants undergoing PIT did not differ significantly than those undergoing TT with regard to age, sex, BMI percentile, pre-op CAS-15 score or tonsil size, or admission rates following surgery (p0.05). The median follow-up after surgery was 5.2 (PIT) and 4.4 (TT) weeks. CAS-15 score improved significantly following PIT (42.8±12.3 vs. 9.4±5.6, p0.0001) and TT (45.5±13.3 vs. 7.9±5.8, p0.49). CAS15 decreases drastically following PIT and TT, indicating significant improvement of SDB symptoms. Because the change in CAS-15 after PIT was similar to TT, PIT may be preferred due to the decreased morbidity of the procedure. Given the cost, time required, inconvenience, and other limitations of overnight polysomnography (PSG), which is the gold standard method of diagnosing SDB, CAS-15 may be a suitable replacement or adjunct for the assessment of SDB following PIT in addition to TT.
■590 ▼aSchool code: 0265.
■650 4▼aMedicine
■650 4▼aSurgery
■650 4▼aPediatrics
■653 ▼aSleep disordered breathing
■653 ▼aTotal tonsillectomy
■653 ▼aPartial intracapsular tonsillectomy
■653 ▼aPolysomnography
■690 ▼a0564
■690 ▼a0576
■690 ▼a0767
■71020▼aYale University▼bYale School of Medicine.
■7730 ▼tDissertations Abstracts International▼g85-11B.
■790 ▼a0265
■791 ▼aM.D.
■792 ▼a2024
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17160644▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
