Polysomnography in Pediatric Otolaryngology: If Not Obstructive Sleep Apnea, What Is It?
| Autor: | And Stacey L Ishman, Sally R. Shott, Christine H Heubi, Jareen Meinzen-Derr, David F. Smith |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Central sleep apnea Adolescent Polysomnography Severity of Illness Index Hypoxemia 03 medical and health sciences 0302 clinical medicine medicine Humans Laryngomalacia Child 030223 otorhinolaryngology Retrospective Studies Sleep Apnea Obstructive medicine.diagnostic_test business.industry Medical record Snoring Infant medicine.disease nervous system diseases respiratory tract diseases Hypoventilation Obstructive sleep apnea Otorhinolaryngology Child Preschool Female Surgery medicine.symptom Sleep business 030217 neurology & neurosurgery |
| Zdroj: | Otolaryngology–Head and Neck Surgery. 157:1053-1059 |
| ISSN: | 1097-6817 0194-5998 |
| DOI: | 10.1177/0194599817726977 |
| Popis: | Objective To determine common polysomnographic (PSG) diagnoses for children referred by otolaryngologists. Study Design Retrospective case series with chart review. Setting Single tertiary pediatric hospital (2010-2015). Subjects and Methods Review of the medical records of 1258 patients undergoing PSG by otolaryngology referral. Patients who underwent previous otolaryngologic surgery were excluded. Data distributions were evaluated using means with standard deviations for continuous variables and frequencies with percentages for categorical variables. Results A total of 1258 patients were included; 55.9% were male, 64.5% were Caucasian, 16.6% had Down syndrome, and 48% had public insurance. The median age at the time of PSG was 5.2 years (range = 0.2-18.94). Indications for PSG were sleep-disordered breathing (SDB; 69.4%), restless sleep (12.7%), airway anomalies (7.5%), and laryngomalacia (7.2%). SDB was seen in 73.4%, obstructive sleep apnea (OSA) in 53.2%, OSA + central sleep apnea (CSA) in 4.5%, CSA in 0.9%, and non-OSA snoring in 15%. Other diagnoses included periodic limb movements of sleep (PLMS; 7.4%), hypoventilation (6.8%), and nonapneic hypoxemia (2.6%). SDB was more common in younger children and seen in 91.4% of children |
| Databáze: | OpenAIRE |
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