Table 5: Summary of research studies investigating risk factors for post-adenotonsillectomy respiratory adverse events in paediatric OSA patients.

Authors Statistically significant risk factorsa
Kieran, et al. [13] Univariate analysis:
Age < 2
Age < 3
Weight < 20 kg
Weight < 15 kg
OSA
Tonsillitis

Multivariate analysis:
Weight < 20 kg
OSA (clinical diagnosis)
Neurologic disease
Cardiac disease
Pulmonary disease
Trisomy 21
Other syndrome
Statham, et al. [14] Age < 3
Age < 2
Brown, et al. [10] Associated medical condition
SaO2 nadir < 80%
Wilson, et al. [16] SaO2 nadir ≤ 80%
OAH ≥ 5/hr
Biavati, et al. [17] 1) Associated medical condition:
a) Cerebral palsy
b) Seizures
c) Congenital heart disease
2) Age ≤ 3
3) Prematurity
Rosen, et al. [19] 1) Age (< 2)
2) Associated medical problems
(eg craniofacial abnormalities, hypotonia, morbid obesity)
3) Polysomnogram RDI (> 40)
4) Polysomnogram O2 saturation nadir (< 70%)
5) UPPP performed with T&A
McColley, et al. [20] Univariate Analysis:
1) Age < 3
2) Obstructive Event Index > 10/hr
3) Failure to thrive
4) Cardiac abnormality
5) Craniofacial abnormality
6) Chest film abnormality

Multivariate logistic regression
1) Age < 3
2) OEI > 10/h

a: p-value ≤ 0.05, OEI = Obstructive Event Index; RDI = Respiratory Disturbance Index; UPPP = Uvulopalatopharyngoplasty; T&A = Tonsillectomy and Adenoidectomy; SaO2 = Arterial Saturation of Oxygen; OAH index = Obstructive Apnoea-Hypopnea index.