Evidence map›Paper›PMID 41190698›Full record

ArticleThe Laryngoscope2026

Overnight Monitoring After T&A for Children Ages 24-36 Months: Is It Always Necessary?

Tyler Van Heest, Luka Bahra, Suhong Tong, Regina Hofner-Hnotz, Norman Friedman

Abstract read
In one paragraph

Article in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Tyler Van HeestPediatric ENT and Facial Plastic Surgery, Children's Minnesota, Minneapolis, Minnesota, USA.
Luka BahraDepartment of Otolaryngology-Head and Neck Surgery, Anschutz School of Medicine, University of Colorado, Aurora, Colorado, USA.
Suhong TongDepartment of Biostatistics and Informatics, Colorado School of Public Health, Aurora, Colorado, USA.
Regina Hofner-HnotzChildren's Hospital Colorado, Aurora, Colorado, USA.
Norman FriedmanDepartment of Otolaryngology-Head and Neck Surgery, Anschutz School of Medicine, University of Colorado, Aurora, Colorado, USA.ORCID 0000-0002-3982-0650

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine whether children < 3 years of age who do not require oxygen beyond 3 h and pass an asleep room air challenge (AsRAC), defined as maintaining a SpO

methodsAll children aged 24-36 months undergoing T+/-A from 2019 to 2021 were included. Demographic, clinical, and polysomnography (PSG) results were stratified based on the presence of a prolonged oxygen requirement (POR) and compared using the Kruskal-Wallis test for continuous variables and Chi-squared test or Fisher's Exact tests for categorical variables. Univariate and multiple logistic models were performed.

resultsA total of 645 children were included. Overall, 524 (81.2%) successfully weaned from oxygen within 3 h of surgery, and 517 (98.7%) of patients who were off oxygen within 3 h never went back on oxygen during the monitoring period. Patient sex (OR = 1.88 [95% CI, 1.19-2.96]; p = 0.006) and diagnosis of chronic lung disease (CLD) (OR = 13.41 [95% CI, 3.69-48.81]; p < 0.0001) were the only statistically significant risk factors associated with a POR. No association was found between any of the preoperative PSG variables and a POR.

conclusionsChildren between the ages of 24- and 36-months undergoing T+/-A who have weaned off oxygen within 3 h after surgery and passed an AsRAC would be candidates for same-day surgery. CLD was the only clinically relevant risk factor for a POR, and no preoperative PSG variables predicted POR. LEVEL OF EVIDENCE: 4:

Indexed as

AdenoidectomyOxygen Inhalation TherapyPolysomnographyTonsillectomyChild, PreschoolFemaleHumansInfantMaleRetrospective Studieschildcomplicationsobstructive sleep apneaobstructive sleep‐disordered breathingovernight monitoringsame day surgerytonsillectomy

Identifiers

PMID41190698
PMCPMC12993111

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.