{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:51:23Z","timestamp":1753883483527,"version":"3.41.2"},"reference-count":18,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> Obstructive sleep apnea (OSA) is the most common indication for adenotonsillectomy in children. Home-based sleep oximetry continues to be used in the diagnosis of pediatric OSA despite a lack of correlation with lab-based polysomnography. This study investigates whether factors influence surgeons in selecting patients for home-based sleep oximetry, how the study findings are used in patient management, and whether abnormal oximetry findings are associated with post-operative complications. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> A retrospective review was performed on children with suspected OSA who had undergone a tonsillectomy and\/or an adenoidectomy over a three-year period. Demographic features, comorbidities, pre-operative oximetry results, and post-operative complications were recorded. Data analysis consisting primarily of logistic regression was performed using Stata 12.0 (College Station, Texas). <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Data was collected from 389 children. Two hundred and seventy-one children underwent pre-operative oximetry (69.7%). There was no significant association between age or the presence of comorbidities and the likelihood of undergoing pre-operative sleep oximetry. The post-operative complication rate was 0.8%. There was no significant association between abnormal sleep oximetry parameters and post-operative complications. Children with one or more abnormal sleep oximetry parameters were more likely to be observed in hospital for at least one night (OR 2.4, p\u2009&lt;\u20090.0001). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> Our study suggests that surgeons are using home-based sleep oximetry findings to inform the post-operative care of children with suspected OSA, as those with abnormal home-based sleep oximetry findings were more likely to be observed in hospital. These hospital admissions may be unnecessary given the poor correlation of home-based oximetry and PSG as well as the low rate of serious post-operative complications. <\/jats:p><\/jats:sec>","DOI":"10.1186\/s40463-019-0391-2","type":"journal-article","created":{"date-parts":[[2019,12,3]],"date-time":"2019-12-03T11:03:11Z","timestamp":1575370991000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Overnight oximetry in children undergoing adenotonsillectomy: A single center experience"],"prefix":"10.1177","volume":"48","author":[{"given":"C. Carrie","family":"Liu","sequence":"first","affiliation":[{"name":"Sections of Otolaryngology - Head and Neck Surgery and Pediatric Surgery, Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen H.","family":"Chaput","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valerie","family":"Kirk","sequence":"additional","affiliation":[{"name":"Division of Pediatric Respirology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Warren","family":"Yunker","sequence":"additional","affiliation":[{"name":"Sections of Otolaryngology - Head and Neck Surgery and Pediatric Surgery, Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,1,1]]},"reference":[{"key":"bibr1-s40463-019-0391-2","doi-asserted-by":"publisher","DOI":"10.1513\/pats.200708-135MG"},{"key":"bibr2-s40463-019-0391-2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2012.05.028"},{"key":"bibr3-s40463-019-0391-2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.114.1.44"},{"key":"bibr4-s40463-019-0391-2","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/29.9.1115"},{"key":"bibr5-s40463-019-0391-2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.11-1777"},{"key":"bibr6-s40463-019-0391-2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-1671"},{"key":"bibr7-s40463-019-0391-2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.15-1365"},{"key":"bibr8-s40463-019-0391-2","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/19.7.367"},{"key":"bibr9-s40463-019-0391-2","doi-asserted-by":"publisher","DOI":"10.1186\/s12890-015-0017-z"},{"key":"bibr10-s40463-019-0391-2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.124.5.1702"},{"key":"bibr11-s40463-019-0391-2","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.6772"},{"key":"bibr12-s40463-019-0391-2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2014.778"},{"key":"bibr13-s40463-019-0391-2","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.23440"},{"key":"bibr14-s40463-019-0391-2","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-017-2868-1"},{"key":"bibr15-s40463-019-0391-2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215116000980"},{"key":"bibr16-s40463-019-0391-2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811409837"},{"key":"bibr17-s40463-019-0391-2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.1.e19"},{"key":"bibr18-s40463-019-0391-2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2015.3634"}],"container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1186\/s40463-019-0391-2","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s40463-019-0391-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1186\/s40463-019-0391-2","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40463-019-0391-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1186\/s40463-019-0391-2","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T19:11:12Z","timestamp":1741633872000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1186\/s40463-019-0391-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,1]]}},"alternative-id":["10.1186\/s40463-019-0391-2"],"URL":"https:\/\/doi.org\/10.1186\/s40463-019-0391-2","relation":{},"ISSN":["1916-0216","1916-0216"],"issn-type":[{"type":"print","value":"1916-0216"},{"type":"electronic","value":"1916-0216"}],"subject":[],"published":{"date-parts":[[2019,1]]},"article-number":"69"}}