Health Care Services Utilization in Children With Obstructive Sleep Apnea Syndrome

Reuveni, Haim; Simon, Tzahit; Tal, Asher; Elhayany, Asher; Tarasiuk, Ariel

doi:10.1542/peds.110.1.68

Cited by 124 publications

(85 citation statements)

References 19 publications

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“…It is a severe condition in children and differs from its adult counterpart in its physiology, clinical presentation, polysomnographic characteristics and sequels. The estimated prevalence is of 1 to 3% in children; however, it is difficult to measure it, because of subdiagnosis [6][7][8][9][10] . Lack of community awareness about the negative sleep-related effects on children daily functioning together with parents underestimation of the problem when they talk to the physician are factors that contribute to this underestimation 7 .…”

Section: Introductionmentioning

confidence: 99%

“…The most prevalent age group is in pre-school age children, between 3 and 5 years -time of the greatest lymphoid tissue growth, and also in adolescence 7,8 . Its etiology is multifactorial and is specially associated to adenotonsillar hypertrophy 8,9 .…”

Section: Introductionmentioning

confidence: 99%

“…Its etiology is multifactorial and is specially associated to adenotonsillar hypertrophy 8,9 . There is no Brazilian data about OSHAS prevalence in children.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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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“…-early onset of cardio-vascular difficulties, primarily arterial hypertension, and changes in the dimensions of the cardiac chambers 4,5,6,23,24,40,56,57,58,63,98 ; -metabolic changes, which are the most recently identified complications 55,82,86 ;…”

Section: -Introductionmentioning

confidence: 99%

“…-an abundance of therapeutic interventions that double medical expenses before a diagnosis has been made 82,89 ;…”

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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