Clinical Assessment of Pediatric Obstructive Sleep Apnea

Goldstein, Nira A.; Pugazhendhi, Vasanthi; Rao, Sumathi; Weedon, Jeremy; Campbell, Thomas F.; Goldman, Ariel; Post, J. Christopher; Rao, Madu

doi:10.1542/peds.114.1.33

Cited by 129 publications

(114 citation statements)

References 41 publications

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“…The disorder prevailed in pre-school children, similar to data already published in the literature 5,6,21 .…”

Section: Discussionsupporting

confidence: 88%

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SAHOS em crianças: perfil clínico e respiratório polissonográfico

Ramos¹,

Daltro

Gregório³

et al. 2006

Rev. Bras. Otorrinolaringol.

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Obst ructive sleep apnea and hypopnea syndrome in children (osas) has an estimated prevalence of up to 3% and can be associated with neurocognitive and behavioural abnormalities, and also cardiovascular complications. This study may help pediatricians, who are unaware of the problem, to recognize osas. Study design: series of cases. Aim: to describe the clinical characteristics and polysomnographic respiratory findings in a population of children with obstructive sleep apnea and hypopnea syndrome referred to the sleep laboratory from january 2002 up to july 2003. Methods: we studied 93 patients between 2 and 10 years of age with polysomnographic diagnosis of obstructive sleep apnea and hypopnea syndrome. Age, gender, racial group and questions about the children's health and sleep related disorders were evaluated. Apneahypopnea index, oxyhemoglobin desaturation, and arousal index were evaluated too. Results: males represented 61.3%, With a mean age of 5.2 ± 2.1 (Years-old). The complaints that most commonly lead to the exams were snoring in 24.7% And restless sleep in 24.7%. Associated medical conditions frequently reported were allergic rhinitis (98.9%) And adenoid hypertrophy (50.6%). Mild apnea was found in 66%. The mean and sd of spo2 nadir was 89.1 ± 3.5% And the mean and sd of the number of arousals was 8.4 ± 3.5/ Hour of sleep. Conclusion: the results suggest the possibility that obstructive sleep apnea and hypopnea syndrome should be suspected in children with allergic diseases and adenoid and tonsil hypertrophy with snoring and restless sleep complaints.

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“…The disorder prevailed in pre-school children, similar to data already published in the literature 5,6,21 .…”

Section: Discussionsupporting

confidence: 88%

“…When surgery fails, we usually indicate Upper Airway Continuous Positive Pressure therapy (CPAP) 12 . Long term childhood prognosis is unknown 5 .…”

Section: Introductionmentioning

confidence: 99%

SAHOS em crianças: perfil clínico e respiratório polissonográfico

Ramos¹,

Daltro

Gregório³

et al. 2006

Rev. Bras. Otorrinolaringol.

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“…SDB presented difference in prevalence between age range 2 (7.1 to 11 years old) with 67 (19.3%) children, and age range 3 (11.1 to 14 years old) with 27 (8.48%) children. These data agree with a study performed in the United States (Division of Pediatric Otolaryngology, State University of New York Downstate), in 2004 14 , on the evaluation of pediatric OSAS. In this study there was a higher prevalence of OSAS diagnosed through polisomnography in children around 7 years of age.…”

Section: Discussionsupporting

confidence: 91%

“…None of them took in account for example, the presence of upper airway resistance syndrome in their evaluations. The diagnosis of this problem would require esophageal pressure monitoring, a non-routine proceeding in the majority of sleep centers 14 .…”

Section: Discussionmentioning

confidence: 99%

Prevalence of sleep disorders in children of a public hospital in São Paulo

Potasz

Juliano

Varela

et al. 2010

Arq. Neuro-Psiquiatr.

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Objective: To investigate the prevalence of sleep disorders in a sample of children from a public hospital in the city of São Paulo, Brazil. Method: 330 children, who came to the clinical laboratory, were consecutively investigated for sleep disorders, using the sleep disturbance scale for children. Gender, age, and social/economical classification were considered. Results: Sleep disordered breathing (SDB) showed higher prevalence in our sample (55%) than in data found in the literature. Prevalence of sleep hyperhydrosis (SHY) was 27% considering the whole sample. Boys and children in age range 7.1 to 11 years old showed higher prevalence for SDB as well as children belonging to lower social/economic classifications who were also more prevalent for disorders in the transition of sleepwakefulness. Conclusion: Sleep disorders were highly prevailing in our study, mostly SDB and SHY which were exceedingly more prevalent in boys in relation to international literature. Key words: children, sleep disorders.Prevalência de distúrbios do sono em crianças de um hospital público em São Paulo RESUMO Objetivo: Investigar a prevalência de distúrbios do sono numa amostra de crianças de um hospital público da cidade de São Paulo, Brasil. Método: 330 crianças que compareceram ao laboratório clínico foram consecutivamente investigadas para a presença de distúrbios do sono, usando-se a Escala de Distúrbios do Sono para crianças. Foram consideradas variáveis como sexo, idade e classificação sócio econômica. Resultados: Os distúrbios respiratórios do sono (DRS) mostraram alta prevalência (55%) em nossa amostra em relação aos dados encontrados na literatura. A prevalência de hiper hidrose do sono (HHS) foi de 27%. Meninos e crianças da faixa etária compreendida entre 7,1 e 11 anos apresentaram prevalências mais altas para distúrbios respiratórios do sono assim como crianças pertencentes às classificações sócio econômicas mais baixas, que também foram mais prevalentes para desordens da transição sono-vigília. Conclusão: Os distúrbios do sono foram altamente presentes em nosso estudo, principalmente DRS e HHS, que foram mais prevalentes nos meninos, comparados com a literatura internacional. Palavras-chave: crianças, distúrbios do sono.

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“…-a decrease in growth both in height and weight 25,62 , resulting from fragmentation of the profound deep sleep that, when undisturbed, promotes the release of growth hormones; -problems in waking behavior 1,2,8,10,16,19,20,30,31,34,44,49,52,53,54,68,70,72,73,76,83,88,93,94 with pseudo-hyperactivity and an increase in psychiatric problems; -difficulties in concentration and learning, interference with control of functional activity with a lowered scores on intelligence tests, and difficulties in classroom performance. It should be noted that there is a 6 to 9 times greater risk of OSAS in the 3 lowest ranked students in the class 34 ;…”

Section: -Introductionmentioning

confidence: 99%

How to detect Obstructive Sleep Apnea Syndrome (OSAS) in children

Seailles¹,

Couloigner²,

Cohen-Lévy³

2009

J Dentofacial Anom Orthod

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Obstructive Sleep Apnea Syndrome (OSAS) is a frequently occurring childhood malady, whose is incidence is largely underestimated, that can lead to serious complications. Because of their understanding of the anatomy and physiology of the masticatory apparatus and of the upper airways, orthodontist are in a strategic position to detect in their young patients developing disorders in these regions; accordingly when they suspect the existence of OSAS they should ask systematic and well targeted questions of parents who may not be aware of the relationship between certain symptoms their children display and sleep breathing problems. The goal of this article is to provide practitioners with a better understanding of the symptoms and the physio-pathological mechanics of OSAS so that they can spare their afflicted patients the complications it provokes by seeing that early treatment is undertaken. KEYWORDSObstructive sleep apnea syndrome Children Diagnosis Polysomnography.

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Clinical Assessment of Pediatric Obstructive Sleep Apnea

Abstract: Children with a positive clinical assessment of OSA but negative PSG have significant improvement after T&A as compared with observation alone, thus validating the clinician's role in diagnosing upper airway obstruction.

Cited by 129 publications

References 41 publications

SAHOS em crianças: perfil clínico e respiratório polissonográfico

SAHOS em crianças: perfil clínico e respiratório polissonográfico

Prevalence of sleep disorders in children of a public hospital in São Paulo

How to detect Obstructive Sleep Apnea Syndrome (OSAS) in children

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