{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T18:08:32Z","timestamp":1772302112778,"version":"3.50.1"},"reference-count":43,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,1,29]],"date-time":"2023-01-29T00:00:00Z","timestamp":1674950400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the risk factors of postoperative elevated blood pressure (BP) in children with childhood obstructive sleep apnea syndrome (OSAS) after adenotonsillectomy (AT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series with planned data collection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary referral center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two hundred forty\u2010five consecutive children (180 boys and 65 girls, median age 6.6 years) with polysomnography\u2010diagnosed OSAS who underwent AT between January 2010 and August 2019. Clinical, polysomnographic, and evening BP data were assessed preoperatively and postoperatively (\u22653 months after AT). Changes in the variables before and after AT and between individuals with and without hypertension were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Postoperatively, the median (interquartile range) apnea\u2010hypopnea index significantly decreased from 10.4 (5.3\u201022.6) to 2.2 (1.0\u20103.8)\u2009events\/h. In addition, the mean (standard deviation) evening diastolic BP <jats:italic>z<\/jats:italic>\u2010score significantly decreased from 0.7 (0.94) to 0.5 (0.81) in the overall cohort, and both systolic (2.1 [0.94]\u20101.0 [1.31]) and diastolic BP <jats:italic>z<\/jats:italic>\u2010scores (1.6 [0.98]\u20100.7 [0.85]) significantly decreased in the preoperative elevated BP subgroup. Multivariate logistic regression analysis showed that preoperative obesity (adjusted odds ratio\u2009=\u20094.36, 95% confidence interval\u2009=\u20092.24\u20108.49) and mean peripheral oxygen saturation &lt;95% during sleep (adjusted odds ratio\u2009=\u20092.73, 95% confidence interval\u2009=\u20091.29\u20105.79) were independently associated with postoperative elevated BP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Preoperative obesity and mean peripheral oxygen saturation &lt;95% during sleep were significantly associated with postoperative elevated BP in the children with OSAS, further indicating the importance of careful BP monitoring in this subgroup despite AT treatment.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ohn.184","type":"journal-article","created":{"date-parts":[[2023,1,29]],"date-time":"2023-01-29T10:19:08Z","timestamp":1674987548000},"page":"1197-1208","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Effect of Preoperative Weight Status and Disease Presentation on Postoperative Elevated Blood Pressure After Childhood Adenotonsillectomy"],"prefix":"10.1002","volume":"168","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4181-9798","authenticated-orcid":false,"given":"Hui\u2010Shan","family":"Hsieh","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou Main Branch Chang Gung University  Taoyuan Taiwan"},{"name":"Department of Otolaryngology Xiamen Chang Gung Hospital  Xiamen Fujian 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Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5782-8835","authenticated-orcid":false,"given":"Wan\u2010Ni","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou Main Branch Chang Gung University  Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5333-9396","authenticated-orcid":false,"given":"Chung\u2010Jan","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou Main Branch Chang Gung University  Taoyuan Taiwan"},{"name":"Department of Otolaryngology Xiamen Chang Gung Hospital  Xiamen Fujian China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming\u2010Ying","family":"Zhuo","sequence":"additional","affiliation":[{"name":"Department of 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