• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • 2MM Podcast
  • Write for us
  • Contact Us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Neurology

Adenotonsillectomy for obstructive sleep apnea in young children has no effect on cognition

byStephanie Harlow, MDandCordelia Ross
January 9, 2020
in Neurology, Pediatrics, Psychiatry, Pulmonology
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

1. Adenotonsillectomy done for obstructive sleep apnea (OSA) in children ages 3-5 years had no effect on cognition over time when compared to controls.

2. Those children who received an adenotonsillectomy did demonstrate improvements in sleep patterns on polysomnogram, improvement in parent-reported symptoms, as well as improvements in behavior, daytime napping, and overall health.

Evidence Rating Level: 1 (Excellent)

Study Rundown: Much investigation has been done on the effect of adenotonsillectomy for OSA on cognitive function in school-aged children, with many studies demonstrating a significant improvement in attention and executive function in children who underwent the procedure. In this study, researchers focus on cognitive outcomes after adenotonsillectomy for OSA in younger children, specifically those ages 3-5 years, with participants randomized to either adenotonsillectomy or no adenotonsillectomy (NoAT). The study demonstrated no difference in intellectual ability at the 12-month follow up between the 2 groups, though there was significant improvement in behavioral survey results and objective improvement in polysomnogram results in patients who underwent adenotonsillectomy. There was also signficiant improvement in parents’ report of symptoms, including difficulty sleeping, daytime sleeping, and snoring while sleeping, in the intervention group. Results also revealed significant parental report of overall health improvement in the post-surgical group as compared to controls. While much of the results are based on subjective parent reporting, specifically regarding behavior, rather on objective scales, an accompanying commentary does identify this study as one of the few randomized controlled trials assessing the effect of adenotonsillectomy on neurocognitive function, adding a important contribution to existing literature on the subject.

Click here to read the original article, published today in Pediatrics

Click here to read the accompanying commentary

RELATED REPORTS

Coffee consumption associated with better cognitive performance in patients with atrial fibrillation

Asthma may be associated with impaired memory function in children

Double dose extracorporeal shockwave may be more effective for plantar flexor spasticity of ankle in stroke patients

Relevant Reading: Cognitive and Behavioral Consequences of Sleep Disordered Breathing in Children

In-Depth [randomized controlled trial]: Participants included 190 children in 3 tertiary care centers across Australia; 99 children were randomized to undergo adenotonsillectomy, while 91 were randomized to NoAT. All children underwent standardized polysomnography, medical review, audiology, and cognitive and behavioral assessments at the start of the study as well as at the 12-month follow-up. Of those children initially randomized, 67 and 69 children in the adenotonsillectomy and NoAT groups, respectively, presented for follow up. Intellectual ability scores improved in both groups over time with no significant different in improvement between the adenotonsillectomy and NoAT groups (baseline scores = 448.36 vs 465.46 and 12 months = 451.3 vs 463.12, adenotonsillectomy versus NoAT, respectively; P = .29). Behavioral questionnaires showed improvements in adaptability (P = .003) and decreased rates of somatization (P = .05) in the post-surgical group as compared to the NoAT group. On polysomnogram, post-adenotonsillectomy patients demonstrated fewer periods of arousal per hour (P = .001) and lower obstructive apnea hypopnea index events per hour (P < .0001). Parents reported less snoring, less trouble sleeping at night or less trouble breathing while sleeping, less day time sleeping, and improved eating and overall health (scored out of 10) (all P < .001) in the post-surgical group.

Image: PD

©2019 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: Adenotonsillectomycognitionpolysomnographysomatization
Previous Post

Niraparib increases progression-free survival in patients with ovarian cancer

Next Post

#VisualAbstract: Overall Survival with Osimertinib in Untreated, EGFR-Mutated Advanced NSCLC

RelatedReports

European data showed coffee consumption associated with lower mortality
Cardiology

Coffee consumption associated with better cognitive performance in patients with atrial fibrillation

May 19, 2025
Chronic Disease

Asthma may be associated with impaired memory function in children

November 21, 2024
Chronic Disease

Double dose extracorporeal shockwave may be more effective for plantar flexor spasticity of ankle in stroke patients

October 8, 2024
Quick Take: Association of a Schizophrenia-Risk Nonsynonymous Variant With Putamen Volume in Adolescents A Voxelwise and Genome-Wide Association Study
Chronic Disease

Predicting adherence to gamified cognitive training using early phase game performance data

October 7, 2024
Next Post
#VisualAbstract: Overall Survival with Osimertinib in Untreated, EGFR-Mutated Advanced NSCLC

#VisualAbstract: Overall Survival with Osimertinib in Untreated, EGFR-Mutated Advanced NSCLC

Researchers validate scoring of postconcussive symptom measure to characterize duration 

Shorter time to clinic assessment linked to improved recovery time following concussion

#VisualAbstract: A Texting Intervention in Latino Families to Reduce ED Use

#VisualAbstract: A Texting Intervention in Latino Families to Reduce ED Use

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Weighted vests and resistance training confer similar outcomes for bone density in the elderly
  • Breast cancer survivors may have a lower risk of Alzheimer’s dementia
  • Evaluating scar outcomes in pediatric burn patients following skin grafting 
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
No Result
View All Result

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.