{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:35:43Z","timestamp":1777656943664,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Pediatrics"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To determine the prevalence of pulmonary hypertension (PH), identify associated factors, and evaluate outcomes after adenotonsillectomy in children and adolescents with adeno-tonsillar hypertrophy (ATH) in a low-resource setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively analyzed 1500 patients\u2009\u2264\u200920\u2009years undergoing adenotonsillectomy for ATH in Hawassa, Ethiopia (2022-2025). Pulmonary pressure was estimated via tricuspid regurgitation or pulmonary acceleration time; right ventricular function was assessed with TAPSE and RVMPI. Logistic regression identified PH predictors, and the Friedman test compared pre- and 12-week postoperative measurements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      PH prevalence was 5.9%. Independent predictors included wasting, overweight\/obesity, AN ratio\u2009&gt;\u20090.75, daytime mouth breathing, stertor, and obstructive sleep apnea. Among 89 affected patients, 8 had longitudinal and 6 global RV dysfunction. PH and RV dysfunction resolved by 12\u2009weeks post-surgery (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>PH affects a subset of children with ATH but is showed significant improvement following adenotonsillectomy, emphasizing early detection and surgical intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/30502225261442815","type":"journal-article","created":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T09:50:17Z","timestamp":1777110617000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Reversibility of Pulmonary Hypertension and RV Dysfunction After Adenotonsillectomy in Children and Adolescents From Ethiopia"],"prefix":"10.1177","volume":"13","author":[{"given":"Mohammed","family":"Nasir","sequence":"first","affiliation":[{"name":"Hawassa University, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muluken","family":"Bekele","sequence":"additional","affiliation":[{"name":"Hawassa University, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2860-3937","authenticated-orcid":false,"given":"Sura","family":"Markos","sequence":"additional","affiliation":[{"name":"Hawassa University, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,25]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/children10081426"},{"key":"e_1_3_3_3_2","first-page":"11","article-title":"Understanding and managing adenotonsillar hypertrophy in pediatric otolaryngology","author":"Zagury-Orly I","year":"2024","unstructured":"Zagury-Orly I, MacLean J. Understanding and managing adenotonsillar hypertrophy in pediatric otolaryngology. Can Aller Immunol Today. 2024;11-15.","journal-title":"Can Aller Immunol Today"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2022-001710"},{"issue":"11","key":"e_1_3_3_5_2","first-page":"14","article-title":"Adenotonsillar hypertrophy and cardiopulmonary status: a correlative study","volume":"14","author":"Deshmukh P","year":"2022","unstructured":"Deshmukh P, Lakhotia P, Gaurkar SS, Ranjan A, Dash M. Adenotonsillar hypertrophy and cardiopulmonary status: a correlative study. 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