Tonsillectomy, adenoidectomy and adenotonsillectomy rates in school-aged children: Relative contributions of socio-demographic and clinical features
International Journal of Pediatric Otorhinolaryngology, cilt.79, sa.7, ss.969-974, 2015 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 79 Sayı: 7
- Basım Tarihi: 2015
- Doi Numarası: 10.1016/j.ijporl.2015.03.005
- Dergi Adı: International Journal of Pediatric Otorhinolaryngology
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.969-974
- Anahtar Kelimeler: Tonsillectomy, Adenoidectomy, Adenotonsillectomy (T&A), Children
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objectives: The present study sought to investigate the frequencies of tonsillectomy, adenoidectomy and both adenotonsillectomy (T&A) among 6-12 years old children. In addition, we tried to find out the predictors associated with these previous upper respiratory tract (URT) surgeries. Methods: This cross-sectional study consisted of 1900 children educated in 3 different elementary schools in Ankara, Turkey. Data about demographics and health conditions were obtained from survey questionnaires completed by parents. Results: Of the 1900 children, 15 children (0.8%) previously underwent tonsillectomy, 43 children (2.3%) had adenoidectomy and 80 children (4.2%) had T&A surgical histories. Multiple logistic regression analysis revealed that older students compared to younger ones [odds ratio (OR). = 1.15, p= 0.011], and those who had parent-reported apnea compared to subjects without apnea were more likely to have URT surgery histories [OR. = 2.34, p= 0.001]. Those children with surgery histories were more likely to have fathers with a higher educational level [medium level: OR. = 2.07, p= 0.012; high level: OR. = 2.79, p= 0.001 vs. low level) and the subjects had greater BMI percentiles [overweight: OR. = 1.71, p= 0.036; obesity: OR. = 2.32, p= 0.003 vs. healthy weight]. Children who had 1-2 URT infections per year [OR. = 0.47, p= 0.019] had less probability of URT surgery histories, whereas those children with AOM ≥3 times per year [OR. = 2.52, p= 0.003] had more probability of URT surgery history. Conclusions: We conclude that a reasonable explanation for higher rates of URT surgery among children with a high level of paternal education may originate from their awareness about URT associated diseases and possibly due to the ease of access to health care services.