Sleep positions in children with Down syndrome and obstructive sleep apnea
| Autor: | Beth Osterbauer, Jonathan D. Santoro, Debra M. Don, Emily Gillett, Justin Del Rosario |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Supine position
medicine.medical_treatment Polysomnography Adenoidectomy 03 medical and health sciences 0302 clinical medicine medicine Humans Prospective Studies Child Retrospective Studies Tonsillectomy Sleep Apnea Obstructive Hypnogram medicine.diagnostic_test business.industry Apnea General Medicine medicine.disease respiratory tract diseases Obstructive sleep apnea 030228 respiratory system Anesthesia Median body medicine.symptom Down Syndrome business Sleep 030217 neurology & neurosurgery |
| Zdroj: | Sleep medicine. 81 |
| ISSN: | 1878-5506 |
| Popis: | To assess sleep positions in children with both Down syndrome (DS) and obstructive sleep apnea (OSA) and determine if there is a preferred sleep position by severity of apnea.A single-center retrospective review of patients with both DS and OSA was performed. Caregivers reported sleep position utilized greater than 50% of observed sleep time. Accuracy of this report was confirmed through review of hypnograms from polysomnography studies.Eighty-two patients met inclusion criteria. Median body mass index (BMI) was 26.6 and 56% of patients had a prior tonsillectomy and/or adenoidectomy. The mean obstructive AHI (OAHI) was 25.33 with 90.4% having severe OSA, 9.6% having moderate OSA, and no patients having mild OSA. Reported sleep positions were skewed towards lateral/decubitus (82.9%) compared to prone (11.0%) and supine (6.1%). This was consistent with hypnogram data where 71% of total sleep time in lateral/decubitus positions compared to prone (13%) and supine (6%). The median changes in sleep position per patient was 5 (IQR: 3-6). Lower BMI (p 0.001, 95% CI: 0.32-1.13) and tonsillectomy (p 0.001, 95% CI: 7.7-18.19) were associated with lower OAHI. Sleep position was not associated with age (p = 0.19), sex (p = 0.66), race (p = 0.10), ethnicity (p = 0.68) nor history of tonsillectomy (p = 0.34). Preferred sleep position was not correlated with OAHI (p = 0.78, r = 0.03) or OSA severity (p = 0.72, r = 0.03).This study highlights the possibility that children with DS may have preferential sleep positions that cater to optimized airflow in the context of OSA although further prospective study is needed. |
| Databáze: | OpenAIRE |
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