The Journal of Pediatrics
Volume 150, Issue 5 , Pages 540-546.e1 , May 2007

Adenotonsillectomy Improves Sleep, Breathing, and Quality of Life But Not Behavior

  • Evelyn Constantin, MD

      Affiliations

    • Department of Pediatrics, Montreal Children’s Hospital, McGill University, Montreal, Canada
    • Corresponding Author InformationReprint requests: Dr Evelyn Constantin, Pediatric Sleep Laboratory, Montreal Children’s Hospital, 2300 Tupper Street, C508, Montreal, Quebec H3H 1P3, Canada.
    • ,
  • Andrea Kermack, BSc

      Affiliations

    • Department of Pediatrics, Montreal Children’s Hospital, McGill University, Montreal, Canada
    • ,
  • Gillian M. Nixon, MD

      Affiliations

    • Department of Respiratory and Sleep Medicine, Monash Medical Centre, and the Monash Institute of Medical Research, Monash University, Melbourne, Australia.
    • ,
  • Lee Tidmarsh, MD

      Affiliations

    • Department of Psychiatry, Montreal Children’s Hospital, McGill University, Montreal, Canada
    • ,
  • Francine M. Ducharme, MD

      Affiliations

    • Department of Pediatrics, Montreal Children’s Hospital, McGill University, Montreal, Canada
    • ,
  • Robert T. Brouillette, MD

      Affiliations

    • Department of Pediatrics, Montreal Children’s Hospital, McGill University, Montreal, Canada

Received 13 April 2006 ,Revised 1 December 2006 ,Accepted 19 January 2007.

  • Image Result

    Recruitment pathway. See text for description.

    Recruitment pathway. See text for description.

  • Image Result

    Short-term changes in the months after adenotonsillectomy or polysomnography in the Conners’ Parent Rating Scale-Revised (CPRS-R) Hyperactivity Index are plotted against baseline Hyperactivity Index.

    Short-term changes in the months after adenotonsillectomy or polysomnography in the Conners’ Parent Rating Scale-Revised (CPRS-R) Hyperactivity Index are plotted against baseline Hyperactivity Index. Data for 94 subjects ≥3 years of age are shown. Note that only two subjects had a decrease of 10 or more after adenotonsillectomy; a change in the CPRS-R score of 10 is usually considered significant (improvement or worsening).

  • Image Result
    Long-term changes in the CPRS-R Hyperactivity Index from baseline to the past few months are plotted against baseline Hyperactivity Index. A Hyperactivity Index >60 (vertical dashed line) is considere

    Long-term changes in the CPRS-R Hyperactivity Index from baseline to the past few months are plotted against baseline Hyperactivity Index. A Hyperactivity Index >60 (vertical dashed line) is considered to be consistent with a diagnosis of hyperactivity or ADHD. The horizontal dashed line at zero indicates no change in the Hyperactivity Index over time. Note that the majority of children had minimal difference in the Hyperactivity Index, irrespective of whether or not they had surgery. Four children in each group had a decrease of 10 or more.

 Evelyn Constantin was supported by a fellowship from the Fonds de Recherche en Sante du Quebec, the Montreal Children’s Hospital Research Institute and the Canadian Child Health Clinician Scientist Program. Gillian Nixon was supported by the Alan Ross fellowship of the Department of Pediatrics at the Montreal Children’s Hospital/McGill University.

PII: S0022-3476(07)00098-4

doi: 10.1016/j.jpeds.2007.01.026

The Journal of Pediatrics
Volume 150, Issue 5 , Pages 540-546.e1 , May 2007

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