Polysomnographic Outcomes After Observation for Mild Obstructive Sleep Apnea in Children Younger Than 3 Years
| Autor: | Raisa Tikhtman, David F. Smith, Kathleen M. Sarber, Wenwen Yu, Stacey L. Ishman, Douglas C von Allmen, Narong Simakajornboon, Javier J M Howard |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Polysomnography Article Adenoidectomy 03 medical and health sciences 0302 clinical medicine medicine Humans Postoperative Period Retrospective Studies Tonsillectomy Sleep Apnea Obstructive business.industry Infant medicine.disease respiratory tract diseases Airway Obstruction Obstructive sleep apnea 030228 respiratory system Otorhinolaryngology Child Preschool Female Surgery business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Otolaryngol Head Neck Surg |
| ISSN: | 1097-6817 0194-5998 |
| DOI: | 10.1177/0194599820954383 |
| Popis: | OBJECTIVE. Mild obstructive sleep apnea (OSA), particularly in young children, is often treated with observation. However, there is little evidence regarding the outcomes with this approach. Our aim was to assess the impact of observation on sleep for children aged 50 mm Hg (baseline, 0 minutes; P = .34). OSA resolved in 8 patients (31%) and worsened in 1 (3.8%). Only race was a significant predictor of resolution per regression analysis; however, only 2 non-White children were included. CONCLUSION. In our cohort, resolution of mild OSA occurred in 31% of patients treated with 3 to 12 months of observation. The presence of laryngomalacia, asthma, and allergies did not affect resolution. Larger studies are needed to better identify factors (including race) associated with persistent OSA and optimal timing of intervention for these children. |
| Databáze: | OpenAIRE |
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