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Pediatric obstructive sleep apnea screening

Esengul Keleş, Arzu Gebeşçe, Filiz Turan, Fatma Fidan, Hamza Yazgan, Bülent Baştürk, Mehmet Demirdöven, Alparslan Tonbul, Mahmut Kaya
No abstract text is available yet for this article.
June 2016: Iranian Journal of Public Health
Stacey Ishman, Christine Heubi, Todd Jenkins, Marc Michalsky, Narong Simakajornboon, Thomas Inge
OBJECTIVE: Obstructive sleep apnea (OSA) is reported in 70% of adolescents who present for bariatric surgery. The Pediatric Sleep Questionnaire (PSQ) was developed to identify children at risk for OSA but is not validated in adolescents with obesity. The aims of this study were: (1) to assess validity of the PSQ to detect OSA and (2) to determine the correlation between anthropometric and polysomnography measurements. METHODS: A cross-sectional assessment of Teen-Longitudinal Assessment of Bariatric Surgery participants at high risk for OSA was performed...
September 15, 2016: Obesity
Ji Ho Choi, Seok Hyun Cho, Soo-Nyung Kim, Jeffrey D Suh, Jae Hoon Cho
OBJECTIVE: Uvulopalatopharyngoplasty (UPPP) remains one of the most common surgical treatments for patients with obstructive sleep apnea. However, the results after UPPP are unpredictable. The purpose of this meta-analysis is to identify predictors of success after UPPP. DATA SOURCES: A literature search was performed utilizing PubMed, EMBASE, SCOPUS, and the Cochrane Library. REVIEW METHODS: The keywords and medical subject heading terms used were uvulopalatopharyngoplasty and UPPP...
August 2, 2016: Otolaryngology—Head and Neck Surgery
Lisa E Schaeg, Jenny L Kaiser, Morgan E Crow
INTRODUCTION: Pediatric obstructive sleep apnea (OSA) is a common condition that can result in a range of adverse health outcomes if left untreated. A significant number of children who undergo adenotonsillectomy (T&A) for OSA will have persistent symptoms. METHODS: This prospective, descriptive, pilot study utilized a telephone screening method with the Pediatric Sleep Questionnaire (PSQ) Sleep-Disordered Breathing (SRBD) questionnaire to identify children with residual symptoms of OSA after T&A...
November 2016: Journal of Pediatric Health Care
Zhenhong Li, Jocelyn Celestin, Richard F Lockey
Obstructive sleep apnea syndrome (OSAS) may be central neurologic (<5%) or obstructive (>95%) in origin and is a relatively prevalent condition in children. It affects 1%-5% of children aged 2-8 years and is caused by a variety of different pathophysiologic abnormalities. Cardiovascular, metabolic, and neurocognitive comorbidities can occur in both children and adults when left untreated. It also can cause severe behavioral problems in children. The American Academy of Pediatrics recommends that all children be screened with an appropriate history and physical examination for symptoms and signs suggestive of OSAS...
September 2016: Journal of Allergy and Clinical Immunology in Practice
Zachary Farhood, Adrian A Ong, Shaun A Nguyen, M Boyd Gillespie, Christopher M Discolo, David R White
IMPORTANCE: Surgical intervention is the main treatment alternative for patients with severe laryngomalacia. Supraglottoplasty offers effective treatment results not only for laryngomalacia but also for concurrent obstructive sleep apnea (OSA). OBJECTIVE: To quantify the objective outcomes of supraglottoplasty for laryngomalacia with OSA via polysomnography data in the pediatric population. DATA SOURCES: A comprehensive literature search of the PubMed database was performed on May 20, 2015, using the search terms supraglottoplasty, epiglottoplasty, aryepiglottoplasty, laryngomalacia, obstructive sleep apnea, Apnea-Hypopnea Index (AHI), children, and polysomnography...
July 1, 2016: JAMA Otolaryngology—Head & Neck Surgery
Vidya T Raman, Mark Splaingard, Dmitry Tumin, Julie Rice, Kris R Jatana, Joseph D Tobias
BACKGROUND: Polysomnography (PSG) remains the gold standard for diagnosing obstructive sleep apnea (OSA) and sleep-disordered breathing in children. Yet, simple screening tools are needed as it is not feasible to perform PSG in all patients with possible OSA. AIM: The study adapted questions from the Pediatric Sleep Questionnaire-Sleep-Related Breathing Disorder (SRBD) Questionnaire to develop a predictive scale for OSA identified on PSG. We also tested whether adding anthropometric measurements (body mass index and neck circumference) improved prediction of OSA...
June 2016: Paediatric Anaesthesia
Robert M Wolfe, Jonathan Pomerantz, Deborah E Miller, Rebecca Weiss-Coleman, Tony Solomonides
The incidence of obstructive sleep apnea (OSA) has reached epidemic proportions, and it is an often unrecognized cause of perioperative morbidity and mortality. Profound hypoxic injury from apnea during the postoperative period is often misdiagnosed as cardiac arrest due to other causes. Almost a quarter of patients entering a hospital for elective surgery have OSA, and >80% of these cases are undiagnosed at the time of surgery. The perioperative period puts patients at high risk of apneic episodes because of drug effects from sedatives, narcotics, and general anesthesia, as well as from the effects of postoperative rapid eye movement sleep changes and postoperative positioning in the hospital bed...
March 2016: Journal of the American Board of Family Medicine: JABFM
Kimberly Hartzell, Kristin Avis, David Lozano, Daniel Feig
There is a reported association between hypertension (HTN) and sleep disorders. The American Academy of Pediatrics recommends screening children with HTN for sleep disorders because sleep disorders increase the risk for cardiovascular disease. We quantified the frequency and severity of sleep disorders within our institution's hypertensive pediatric population and evaluated the effectiveness of performing nocturnal polysomnography (NPSG). In the hypertensive pediatric population referred for NPSG at our institution, 64% were diagnosed with obstructive sleep apnea (OSA) and/or periodic limb movement disorder...
February 2016: Journal of the American Society of Hypertension: JASH
Maria Pia Villa, Nicoletta Pietropaoli, Maria Chiara Supino, Ottavio Vitelli, Jole Rabasco, Melania Evangelisti, Marco Del Pozzo, Athanasios G Kaditis
IMPORTANCE: Although polysomnographic (PSG) testing is the gold standard for the diagnosis of obstructive sleep apnea syndrome (OSAS) in children, the number of pediatric sleep laboratories is limited. Developing new screening methods for identifying OSAS may reduce the need for PSG testing. OBJECTIVE: To evaluate the combined use of the sleep clinical record (SCR) and nocturnal oximetry testing for predicting PSG results in children with clinically suspected OSAS...
November 2015: JAMA Otolaryngology—Head & Neck Surgery
Emma Sanders, Catherine Mary Hill, Hazel Jean Evans, Catherine Tuffrey
Obstructive sleep apnea is a condition which affects an estimated 50% of children with Down syndrome, particularly in their early years. It can cause serious sequelae in affected children but may not be recognized by parents or health professionals. Routine screening has been recommended in some countries, but is not standard practice. There are no validated questionnaire-based tools available to screen this population of children for this particular sleep-related disorder. Using existing validated sleep questionnaire items, we have developed a questionnaire to screen children with Down syndrome up to 6 years of age for obstructive sleep apnea, which corresponds with the recommendations made in UK national guidelines...
2015: Frontiers in Psychiatry
David Gozal, Leila Kheirandish-Gozal, Athanasios G Kaditis
PURPOSE OF REVIEW: The current paradigm shift in the diagnosis of sleep apnea in adults has further emphasized the urgent need for the development and validation of less inconvenient and laborious approaches than the in-laboratory nocturnal polysomnography for evaluation of children. RECENT FINDINGS: These efforts have been primarily centered around the following: first, refinements and validation of questionnaires; second, single-channel recordings such as oximetry, airflow, or ECG; third, home-based polysomnography and polygraphy; and fourth, biomarkers...
November 2015: Current Opinion in Pulmonary Medicine
Yu-Shu Huang, Fang-Ming Hwang, Cheng-Hui Lin, Li-Ang Lee, Po-Yu Huang, Szu-Tzu Chiu
AIMS: Childhood obstructive sleep apnea syndrome (OSA) affects not only the children's physical health, but also their mental development, behavioral problems and learning difficulties. Therefore, an early diagnosis is important. However, the assessment tools of polysomnography are demanding. The Obstructive Sleep Apnea Questionnaire-18 (OSA-18) is designed to screen OSA and has good reliability and validity. The goal of this study was to validate the Chinese version of the OSA-18, to analyze the frequency of symptoms and find the most common symptoms of OSA in Taiwanese children...
December 2015: Psychiatry and Clinical Neurosciences
Kun-Tai Kang, Wen-Chin Weng, Chia-Hsuan Lee, Tzu-Yu Hsiao, Pei-Lin Lee, Yungling Leo Lee, Wei-Chung Hsu
OBJECTIVE: To assess how history and/or anatomical findings differ in diagnosing pediatric obstructive sleep apnea (OSA). METHODS: Children aged 2-18 years were recruited and assessed for anatomical (ie, tonsil size, adenoid size, and obesity) and historical findings (ie, symptoms) using a standard sheet. History and anatomical findings, as well as those measures significantly correlated with OSA, were identified to establish the historical, anatomical, and the combined model...
May 2015: Sleep Medicine
Stacey L Ishman, Kareem O Tawfik, David F Smith, Kristin Cheung, Lauren M Pringle, Matthew J Stephen, Tiffany L Everett, Tracey L Stierer
PURPOSE: The American Society of Anesthesia practice guidelines recommend that pediatric and adult patients who undergo ambulatory surgery be screened for obstructive sleep apnea (OSA). With this in mind, our objective was to assess the frequency of screening by anesthesia providers for the signs and symptoms of OSA in children undergoing surgery in an ambulatory setting. METHODS: Prospective single-blinded observational study of anesthesia providers' preoperative interview of caregivers of consecutive patients younger than age 18 who were scheduled for ambulatory surgery...
July 2015: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
Martino Pavone, Valeria Caldarelli, Sonia Khirani, Marina Colella, Adriana Ramirez, Guillaume Aubertin, Antonino Crinò, Frédéric Brioude, Frédérique Gastaud, Nicole Beydon, Michèle Boulé, Lisa Giovannini-Chami, Renato Cutrera, Brigitte Fauroux
OBJECTIVES: Sleep disordered breathing (SDB) is common in patients with Prader-Willi syndrome (PWS) and systematic screening is recommended, especially before growth hormone treatment. The aim of the study was to describe the baseline SDB and therapeutic interventions in a large cohort of patients. STUDY DESIGN: Retrospective study. SUBJECT SELECTION: Eighty-eight patients with PWS, median [interquartile range] age of 5.1 [1.0-14.5] years old (range 0...
December 2015: Pediatric Pulmonology
Katalina Bertran, Tomas Mesa, Karina Rosso, Maria José Krakowiak, Eduardo Pincheira, Pablo E Brockmann
OBJECTIVES: We aimed to determine the diagnostic test accuracy of the Spanish version of the respiratory symptoms scale of the Pediatric Sleep Questionnaire (PSQ) in habitually snoring children for identifying obstructive sleep apnea (OSA). METHODS: Habitually snoring children referred for polysomnography (PSG) were recruited. Parents answered the PSQ prior to PSG. Based on an apnea-hypopnea index (AHI) >1.0 in PSG, children were divided into OSA and primary snorers...
May 2015: Sleep Medicine
Graziela De Luca Canto, Camila Pachêco-Pereira, Secil Aydinoz, Paul W Major, Carlos Flores-Mir, David Gozal
OBJECTIVE: To map potential biomarkers of obstructive sleep apnea (OSA)-associated morbidities in both adults and children, to identify gaps in current evidence, and to determine the value of conducting a full systematic review. METHODS: A scoping review was undertaken of studies in patients with OSA that evaluated the potential value of biological markers in identifying OSA-associated morbidities. Retained articles were only those studies whose main objective was to identify morbidity biomarkers in subjects with OSA, the latter being confirmed with a full overnight polysomnography (PSG) in a laboratory or at-home settings...
March 2015: Sleep Medicine
Kristin M Jensen, Carter J Sevick, Laura A S Seewald, Ann C Halbower, Matthew M Davis, Edward R B McCabe, Allison Kempe, Steven H Abman
BACKGROUND: Children with Down syndrome (DS) are at high risk for OSA. Increasing elevation is known to exacerbate underlying respiratory disorders and worsen sleep quality in people without DS, but whether altitude modulates the severity of OSA in DS is uncertain. In this study, we evaluate the impact of elevation (≤ 1,500 m vs > 1,500 m) on the proportion of hospitalizations involving OSA in children with and without DS. METHODS: Merging the 2009 Kids' Inpatient Database with zip-code linked elevation data, we analyzed differences in the proportion of pediatric hospitalizations (ages 2-20 years) involving OSA, pneumonia, and congenital heart disease (CHD), with and without DS...
May 2015: Chest
Jason Silvestre, Youssef Tahiri, J Thomas Paliga, Jesse A Taylor
OBJECTIVE: To determine the incidence of obstructive sleep apnea (OSA) in children with isolated cleft lip and/or palate (CL/P). METHODS: The present prospective study was performed at a pediatric tertiary care centre. Consecutive patients evaluated at the cleft clinic from January 2011 to August 2013 were identified. Patients' families prospectively completed the Pediatric Sleep Questionnaire (PSQ), a validated tool used to predict moderate to severe OSA. Patients with CL/P and an underlying syndrome or other craniofacial diagnosis were excluded...
2014: Plastic Surgery
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