Polysomnographic Oxygen Saturation Findings for Preteen Children versus Adolescents
| Autor: | Stacey L. Ishman, Jareen Meinzen-Derr, Shan He, Colin Cotton, David F. Smith, Gordon Shott, Keith McConnell, Nathan D. Wiebracht |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Percentile Adolescent Polysomnography Severity of Illness Index 03 medical and health sciences 0302 clinical medicine Disease severity 030225 pediatrics Humans Medicine Child 030223 otorhinolaryngology Oxygen saturation Retrospective Studies Sleep Apnea Obstructive medicine.diagnostic_test business.industry Significant difference medicine.disease Sleep time Oxygen Obstructive sleep apnea Otorhinolaryngology Female Surgery business Body mass index |
| Zdroj: | Otolaryngology–Head and Neck Surgery. 158:187-193 |
| ISSN: | 1097-6817 0194-5998 |
| Popis: | Objective Home oximetry is commonly used to screen for obstructive sleep apnea (OSA) in children; however, normal oxygen desaturation levels by disease severity are not well known. It was our objective to determine if oxygen saturation levels differed by OSA severity category in children and if these differences were similar for preteen children and adolescents. Study Design Retrospective case series of children undergoing polysomnography from September 2011 to July 2015. Setting Tertiary pediatric hospital. Subjects and Methods Six- to 18-year-olds (preteen, 6-12 years old; adolescent, 13-18 years old). Chi-square, Wilcoxon rank sum test, and Kruskal-Wallis testing were used to compare variables between age groups. Results The study included 342 children with a mean age of 11.3 ± 2.4 years (range, 6.5-17.5) and a mean body mass index of 25.6 ± 9.2 kg/m2 (78 ± 29 percentile); 61% were white, 35% were black, and 4% were other or unknown. Of the children, 48% were female, and this was not a significant difference between age groups ( P = .81). Overall, 50% of the children had no OSA, 32% mild, 10% moderate, and 8% severe. When compared with the younger children, the adolescents had a longer sleep time ( P = .014) and a higher mean obstructive apnea-hypopnea index (3.53 ± 5.1 vs 3.03 ± 6.1 events per hour, P = .02). The 3% and 4% oxygen desaturation indices were not significantly different between age groups when accounting for OSA severity. Conclusion Adolescents have longer sleep times and higher obstructive apnea-hypopnea indexes than preteens, but oxygen saturations and desaturation indices were similar. This supports current triage algorithms for children with OSA, as we found no significant age-based differences. |
| Databáze: | OpenAIRE |
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