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The Postoperative Pain Experience of Pediatric Patients With Obstructive Sleep Apnea Who Have Undergone a Corrective Tonsillectomy and Adenoidectomy
The Postoperative Pain Experience of Pediatric Patients With Obstructive Sleep Apnea Who Have Undergone a Corrective Tonsillectomy and Adenoidectomy
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202103507
- ISBN
- 9798315744207
- DDC
- 610
- 서명/저자
- The Postoperative Pain Experience of Pediatric Patients With Obstructive Sleep Apnea Who Have Undergone a Corrective Tonsillectomy and Adenoidectomy
- 발행사항
- [Sl] : University of Maryland, Baltimore, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 95 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 86-11, Section: A.
- 주기사항
- Advisor: Renn, Cynthia.
- 학위논문주기
- Thesis (Ph.D.)--University of Maryland, Baltimore, 2025.
- 초록/해제
- 요약Pediatric Obstructive Sleep Apnea (POSA) is characterized by episodes of nocturnal intermittent hypoxia. Untreated POSA can lead to a cascade of lifelong health issues. Tonsillectomy/adenoidectomy (T/A) is frequently used to address POSA. T/A carries acute risks in the postoperative phase of care and POSA patients can be a true challenge for healthcare providers.This study focuses on the significant issue of managing the pain of POSA patients following a corrective T/A. The objective of this study was to describe the population undergoing corrective T/A, to explore the postoperative pain experience of POSA patients and compare it with that of other patients following corrective T/A. These objectives were met through a retrospective chart review of 499 POSA and nonPOSA patients aged 3-14 years who had a corrective T/A between May 1, 2017 and May 1, 2023 at Johns Hopkins Hospital in Baltimore, Maryland. T/A surgeries were performed for POSA on 339 children and for other reasons (nonPOSA) on 160 patients. A descriptive analysis of the population was completed. The 2nd objective of exploring the postoperative pain experience was met through a comparative analysis of POSA and nonPOSA patients during their hospital encounter for T/A surgery. The results showed a significant difference in the demographics and health characteristics between POSA and nonPOSA patients. Additionally, the results showed that POSA patients spent more time in the operative and postoperative phases of care and received significantly less weight-based morphine milligram equivalents and had significantly lower postoperative pain scores than nonPOSA patients. POSA was an independent predictor of the dosage of opioid medication used after controlling demographic, other health, and surgical predictors. Interventions during the postoperative phase were more frequent in POSA than nonPOSA T/A patients. Maximum, first, last, and mean postoperative pain scores did not significantly differ between POSA and nonPOSA T/A patients. POSA was not an independent predictor of pain in the postoperative phase after controlling for operative medications, postoperative medications, and medical, health, and surgical characteristics. Additional research on pain and medication patterns in POSA T/A patients is warranted.
- 일반주제명
- Medicine
- 일반주제명
- Demography
- 일반주제명
- Pediatrics
- 키워드
- Pain
- 키워드
- Tonsillectomy
- 기타저자
- University of Maryland, Baltimore Nursing
- 기본자료저록
- Dissertations Abstracts International. 86-11A.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■020 ▼a9798315744207
■035 ▼a(MiAaPQ)AAI32002956
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a610
■1001 ▼aHorn, Clare Elizabeth.
■24510▼aThe Postoperative Pain Experience of Pediatric Patients With Obstructive Sleep Apnea Who Have Undergone a Corrective Tonsillectomy and Adenoidectomy
■260 ▼a[Sl]▼bUniversity of Maryland, Baltimore▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a95 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 86-11, Section: A.
■500 ▼aAdvisor: Renn, Cynthia.
■5021 ▼aThesis (Ph.D.)--University of Maryland, Baltimore, 2025.
■520 ▼aPediatric Obstructive Sleep Apnea (POSA) is characterized by episodes of nocturnal intermittent hypoxia. Untreated POSA can lead to a cascade of lifelong health issues. Tonsillectomy/adenoidectomy (T/A) is frequently used to address POSA. T/A carries acute risks in the postoperative phase of care and POSA patients can be a true challenge for healthcare providers.This study focuses on the significant issue of managing the pain of POSA patients following a corrective T/A. The objective of this study was to describe the population undergoing corrective T/A, to explore the postoperative pain experience of POSA patients and compare it with that of other patients following corrective T/A. These objectives were met through a retrospective chart review of 499 POSA and nonPOSA patients aged 3-14 years who had a corrective T/A between May 1, 2017 and May 1, 2023 at Johns Hopkins Hospital in Baltimore, Maryland. T/A surgeries were performed for POSA on 339 children and for other reasons (nonPOSA) on 160 patients. A descriptive analysis of the population was completed. The 2nd objective of exploring the postoperative pain experience was met through a comparative analysis of POSA and nonPOSA patients during their hospital encounter for T/A surgery. The results showed a significant difference in the demographics and health characteristics between POSA and nonPOSA patients. Additionally, the results showed that POSA patients spent more time in the operative and postoperative phases of care and received significantly less weight-based morphine milligram equivalents and had significantly lower postoperative pain scores than nonPOSA patients. POSA was an independent predictor of the dosage of opioid medication used after controlling demographic, other health, and surgical predictors. Interventions during the postoperative phase were more frequent in POSA than nonPOSA T/A patients. Maximum, first, last, and mean postoperative pain scores did not significantly differ between POSA and nonPOSA T/A patients. POSA was not an independent predictor of pain in the postoperative phase after controlling for operative medications, postoperative medications, and medical, health, and surgical characteristics. Additional research on pain and medication patterns in POSA T/A patients is warranted.
■590 ▼aSchool code: 0373.
■650 4▼aMedicine
■650 4▼aDemography
■650 4▼aPediatrics
■653 ▼aObstructive sleep apnea
■653 ▼aPain
■653 ▼aPediatric Obstructive Sleep Apnea
■653 ▼aTonsillectomy
■653 ▼aPostoperative phase
■690 ▼a0564
■690 ▼a0767
■690 ▼a0769
■690 ▼a0938
■71020▼aUniversity of Maryland, Baltimore▼bNursing.
■7730 ▼tDissertations Abstracts International▼g86-11A.
■790 ▼a0373
■791 ▼aPh.D.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17357409▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
