The characteristics and clinical significance of REM<10% in children with sleep-disordered breathing

Autor: Jianwen Zhong, Dabo Liu, Zhenyun Huang, Shuyao Qiu, Liqiang Yang
Rok vydání: 2018
Předmět:
Male
medicine.medical_specialty
Time Factors
Polysomnography
Oxygen pulse
Sleep
REM
Severity of Illness Index
03 medical and health sciences
0302 clinical medicine
Heart Rate
Predictive Value of Tests
Sleep Initiation and Maintenance Disorders
Internal medicine
mental disorders
medicine
Humans
Clinical significance
Child
Retrospective Studies
Obstructive apnea index
Sleep Apnea
Obstructive
Sleep quality
business.industry
musculoskeletal
neural
and ocular physiology
Retrospective cohort study
General Medicine
Sleep in non-human animals
nervous system diseases
respiratory tract diseases
Oxygen
030228 respiratory system
Otorhinolaryngology
Child
Preschool
Pediatrics
Perinatology and Child Health
Sleep disordered breathing
Cardiology
Female
business
psychological phenomena and processes
030217 neurology & neurosurgery
Zdroj: International Journal of Pediatric Otorhinolaryngology. 110:53-56
ISSN: 0165-5876
DOI: 10.1016/j.ijporl.2018.04.015
Popis: Fractional time in REM sleep20% ('little REM sleep') is indicative of more severe sleep-disordered breathing (SDB) in adults. We examined if other REM% is predictive of more severe SDB in children.In this retrospective study of 616 pediatric SDB patients, age, sex ratio, BMI, sleep efficiency, awakening frequency, sleep latency, apnea-hypopnea index (AHI), obstructive apnea index (OAI), and lowest oxygen pulse saturation (LSpOPediatric SDB patients with little REM sleep demonstrated poorer sleep quality than patients with REM≥20%, while patients with REM10% also exhibited more severe SDB. Specifically, the REM20% group exhibited higher number of awakenings and lower sleep efficiency than the REM≥20% group (both P ≤ 0.001), as did each REM%20% subgroup (lower sleep efficiency: all P 0.05; higher awakening frequency: all P 0.001). Moreover, compared to the REM≥20% group, the REM10% also exhibited higher AHI (P = 0.025) and lower LSpOREM%10% is associated with poor sleep quality and SDB severity in children, suggesting that this threshold should define "little REM sleep" in pediatric patients.
Databáze: OpenAIRE
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