[tri-med] FYI - Health outcome measurements in children with sleep disordered breathing

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Health outcome measurements in children with sleep disordered breathing 
Authors: Georgalas, C.; Babar-Craig, H.; Arora, A.; Narula, A.
Source: Clinical Otolaryngology, Volume 32, Number 4, August 2007 , pp. 
268-274(7)

Publisher: Blackwell Publishing

Clin. Otolaryngol. 2007, 32, 268-274 Objective:  

To validate the Child Health Questionnaire, measure quality of life in children 
with obstructive sleep apnoea and assess the impact of surgery. Methods:  

The primary carer of a consecutive series of 42 patients with sleep disordered 
breathing referred to a paediatric otolaryngology clinic completed the Child 
Health Questionnaire (version PF 28). Questionnaires were analysed for data 
quality and completeness, item/scale correlation, internal consistency and 
discriminant validity, interscale correlation and reliability. Following 
overnight pulse oximetry 37 children were diagnosed with obstructive sleep 
apnoea and underwent adenotonsillectomy. Results:  

Child Health Questionnaire Physical Functioning 28 demonstrated excellent 
measuring characteristics in our population. Compared with normative data, 
children with obstructive sleep apnoea and their carers suffer a significant 
quality of life deficit, involving 10 of 13 subscales of the Child Health 
Questionnaire. This was most prominent in parental emotional impact, general 
health perception and family activities. There was no correlation between the 
severity of obstructive sleep apnoea and quality of life indices. Following 
surgery, there was a significant improvement in all Child Health Questionnaire 
subscales, which became equivalent to healthy children. Conclusion:  

The Child Health Questionnaire Physical Functioning 28 is an accurate and 
reliable way of assessing the impact of obstructive sleep apnoea on the quality 
of life in children in Britain. This appears to be significant in most aspects 
of a child's life, but is fully reversed following surgery. 
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