2009
DOI: 10.1111/j.1365-2869.2009.00760.x
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Sleep state distribution of obstructive events in children: is obstructive sleep apnoea really a rapid eye movement sleep‐related condition?

Abstract: SUMMAR Y Obstructive sleep apnoea (OSA) in children is commonly considered to occur predominantly in rapid eye movement (REM) sleep, but clinical experience suggests that this is not universally the case. We hypothesized that there would be a subgroup of children with OSA who have non-REM (NREM) predominance of obstructive events and that these children share certain clinical characteristics. Thus, we aimed to compare the obstructive apnoea-hypopnoea index (OAHI) in REM versus NREM sleep and to assess factors … Show more

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Cited by 31 publications
(35 citation statements)
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“…[4][5][6] In our adolescent cohort, the obstructive respiratory events were more prominent during REM sleep but there was a subgroup of adolescents (25.3%) that showed NREM predominance of the obstructive respiratory events that is consistent with prior findings in pediatric studies in which NREM predominance of the obstructive respiratory events ranged between 16.7% and 30.4%. 5,6 These studies showed different results regarding the characteristics of the children who had predominance of NREM obstructive events. Verginis et al 5 found that those children tend to be older, with higher arousal indices and less severe desaturations.…”
Section: Discussionsupporting
confidence: 89%
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“…[4][5][6] In our adolescent cohort, the obstructive respiratory events were more prominent during REM sleep but there was a subgroup of adolescents (25.3%) that showed NREM predominance of the obstructive respiratory events that is consistent with prior findings in pediatric studies in which NREM predominance of the obstructive respiratory events ranged between 16.7% and 30.4%. 5,6 These studies showed different results regarding the characteristics of the children who had predominance of NREM obstructive events. Verginis et al 5 found that those children tend to be older, with higher arousal indices and less severe desaturations.…”
Section: Discussionsupporting
confidence: 89%
“…These NREM events tend to be associated with more arousals but less desaturations. 4,5 At birth, the full-term infant has equal amounts of REM and NREM sleep. REM sleep time decreases with age to occupy almost 25% of the total sleep time, as in an adult person, by age 3 to 5 y.…”
Section: Discussionmentioning
confidence: 99%
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