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Chronic adenotonsillitis is a chronic inflammation of the adenoid and tonsils, which is characterized by tonsillar enlargement accompanied by dilated crypts with or without exudate. The most common cause of breathing disorders during sleep in children is adenoid hypertrophy or chronic adenotonsillitis. Breathing disorders during sleep in children will cause lack of concentration during learning which in turn affects the learning process and results. This research is an analytic observational study using cross-sectional design. Subjects in this study were 4th, 5th and 6th grade elementary school students as many as 324 consisting of 118 students with chronic adenotonsillitis and 206 controls. The samples done the Pediatric Daytime Sleepiness Scale (PDSS) questionnaire and collected student report card data for the last semester and the previous 1 year (2 semester). Based on the comparison of student report card in chronic adenotonsillitis patients, 1 year (2 semesters) before with the latest report card obtained a decrease with a difference of -0.8 which statistically significant with a significance value of p=0.000 (p<0.05). From the PDSS score of students with chronic adenotonsillitis, the results were 16.8 where this score was worse compared to control which was 10.8 which means that there is a statistically significant difference with value of p=0.000 (p<0.05).Based on the effect of chronic adenotonsillitis status on the difference in student report card, a pure influence was obtained by calculating the variables of age, sex and body mass index which is -2.007 while the increase in PDSS score was 5.903 which means that there is a statistically significant effect on the value p=0,000 (p<0,05). Chronic adenotonsillitis affects the decrease in learning achievement of elementary school student as seen from the decrease in report card and also affects the decrease in sleep quality seen from an increase in PDSS score.

Effect of Chronic Adenotonsillitis on Learning Achievement and Sleep Quality in Students of SD Negeri 1 and SD Negeri 5 Ubung, Denpasar