Abstract

Several studies have documented that children gain more weight than expected after adenotonsillectomy.To examine patterns of change in weight and stature percentiles in children after adenotonsillectomy and to analyze clinical and demographic correlates of shifts in the growth curve.In this retrospective medical record review, we studied patients 18 years and younger who underwent adenotonsillectomy at an academic pediatric tertiary medical center and had at least one height and weight measurement recorded at each of the following time points: within 3 months before surgery, within 3 to 9 months after surgery, and within 12 to 27 months after surgery. Data were procured from all children from January 1, 2007, through October 31, 2012, and initially included 2893 surgical patients and 161,458 height and weight measurements. The final database consisted of 815 patients with adequate growth data and multiple time points. Logistic regression analysis was performed to examine patient age at surgery, preoperative weight, sex, and ethnic background for correlations with changes in weight, height, and body mass index percentiles.Change in weight, height, and body mass index percentile before and after surgery.At 18 months after surgery, weight percentiles in the study group increased by a mean of 6.3 percentile points (P?

View details for DOI 10.1001/jamaoto.2014.411

View details for Web of Science ID 000337888400001