{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T21:37:38Z","timestamp":1767994658669,"version":"3.49.0"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,6,2]],"date-time":"2023-06-02T00:00:00Z","timestamp":1685664000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the fatigue levels of children with hearing loss (HL) and obstructive sleep apnea (OSA), hypothesizing that the fatigue experienced by children with HL is under\u2010recognized.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Cross\u2010sectional survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We identified children aged 2\u201318 with HL, OSA, sleep\u2010disordered breathing (SDB), and controls from a pediatric otolaryngology clinic and sleep center. Children and\/or parents completed the Pediatric Quality of Life Inventory Multidimensional Fatigue Scale (PedsQL MFS), Hearing Environments And Reflection on Quality of Life (HEAR\u2010QL), and OSA\u201018.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Responses of 50 children with HL, 79 with OSA, and 18 with SDB were compared with those of 49 recruited controls (RC) and literature controls (LC). Children with HL or OSA had higher fatigue than controls in the PedsQL MFS self\u2010reported (HL 65.4, OSA 54.7, RC 71.8, LC 80.5, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and parent\u2010reported (HL 64.6, OSA 59.3, RC 75.2, LC 89.6, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Children with HL had Cognitive Fatigue similar to that of children with OSA (self 60.4 vs. 49.5, <jats:italic>p<\/jats:italic>\u2009=\u20090.170; parent 56.0 vs. 56.7, p\u2009=\u20090.998), though with decreased Sleep\/Rest Fatigue (self 67.8 vs. 56.3, <jats:italic>p<\/jats:italic>\u2009=\u20090.033; parent 69.8 vs. 57.5, <jats:italic>p<\/jats:italic>\u2009=\u20090.001). Children with HL or OSA had lower disease\u2010related quality of life (QOL) than controls in the HEAR\u2010QL and OSA\u201018, respectively. Stratification with disease severity revealed no differences in fatigue.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Children with HL or OSA experience higher fatigue and lower QOL than controls. Similar Cognitive Fatigue in both groups suggests under\u2010recognized fatigue in children with HL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>3 <jats:italic>Laryngoscope<\/jats:italic>, 134:443\u2013451, 2024<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.30792","type":"journal-article","created":{"date-parts":[[2023,6,2]],"date-time":"2023-06-02T14:56:23Z","timestamp":1685717783000},"page":"443-451","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Fatigue and Quality of Life in Children with Hearing Loss or Obstructive Sleep Apnea"],"prefix":"10.1002","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2080-587X","authenticated-orcid":false,"given":"Amy L.","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Washington University School of Medicine  St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1469-0298","authenticated-orcid":false,"given":"Rebecca Z.","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Washington University School of Medicine  St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma K.","family":"Landes","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Washington University School of Medicine  St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy E.","family":"Ensing","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Washington University School of Medicine  St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henok","family":"Getahun","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Washington University School of Medicine  St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7933-5601","authenticated-orcid":false,"given":"Judith E. C.","family":"Lieu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Washington University School of Medicine  St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,6,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816640485"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(95)00112-K"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000289"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1044\/2017_AJA-17-0007"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599818782415"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-016-1475-3"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00385-2015"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1215881"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.9726"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2012.08.010"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2021.07.001"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/14992020600754583"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2020.1853261"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30104"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2022.111075"},{"issue":"7","key":"e_1_2_6_17_1","first-page":"493","article-title":"Uses and abuses of hearing loss classification","volume":"23","author":"Clark JG","year":"1981","journal-title":"ASHA."},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0b013e3181fa579f"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24336"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.10428"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.3766\/jaaa.22.10.3"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000003390"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(99)80138-7"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203771587"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0045204"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2014.08.002"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599819886122"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200108000-00006"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-0731"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2013.08.030"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2014.3049"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25098"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28146"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2020.110320"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10875-021-01013-7"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1044\/2019_LSHSS-OCHL-19-0017"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.30792","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,2]],"date-time":"2024-07-02T13:00:45Z","timestamp":1719925245000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.30792"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,2]]},"references-count":35,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1002\/lary.30792"],"URL":"https:\/\/doi.org\/10.1002\/lary.30792","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,2]]},"assertion":[{"value":"2023-01-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}