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Medline ® Abstracts for References 24,31,32

of 'Evaluation of suspected obstructive sleep apnea in children'

24
TI
A review of 50 children with obstructive sleep apnea syndrome.
AU
Guilleminault C, Korobkin R, Winkle R
SO
Lung. 1981;159(5):275.
 
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PMID
31
TI
Obstructive sleep apnea and its therapy: clinical and polysomnographic manifestations.
AU
Frank Y, Kravath RE, Pollak CP, Weitzman ED
SO
Pediatrics. 1983;71(5):737.
 
Obstructive sleep apnea syndrome was studied in 32 children, aged 2 to 14 years, in the sleep-wake disorders center at Montefiore Hospital and Medical Center during the years 1977 to 1980. All children underwent all-night polysomnograms; 17 of these children had surgery to relieve airway obstruction and seven had a repeat polysomnographic study 4 to 6 weeks following the surgery. There was a significant improvement in the number of obstructive apneas and in other apnea indices following surgery. There was no significant effect on the durations and the proportions of the various sleep stages, on sleep efficiency, or on the number of awakenings.
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PMID
32
TI
Clinical features of obstructive sleep apnea hypoventilation syndrome in otherwise healthy children.
AU
Rosen CL
SO
Pediatr Pulmonol. 1999;27(6):403.
 
Obstructive sleep apnea hypoventilation syndrome (OSAHS) is an important public health problem. However, major gaps exist in our knowledge about the clinical features of this disorder in the pediatric age group. The purpose of this study was to examine clinical features of OSAHS diagnosed by polysomnography in otherwise healthy children. In this cross-sectional study, 326 children without underlying medical conditions (5.8+/-3.0 years, range 1-12 years; 56% male) were recruited from patients referred by primary care and otorhinolaryngology physicians for evaluation of snoring and difficulty breathing. Ethnic group distribution was African-American (38%), Caucasian (30%), and Hispanic (31%). Complaints of daytime tiredness or sleepiness were reported in 29% of the children. All children underwent overnight polysomnography (N = 330 studies). OSAHS was diagnosed in 59% of the children, based on polysomnographic criteria. The remaining children had either primary snoring (25%); no snoring (10%), or upper airway resistance syndrome (6%). Neither male gender nor obesity increased the likelihood for the diagnosis of OSAHS. However, the incidence of obesity in the study population (28%) was more than twice that of the general pediatric population. African-American children had a greater likelihood for OSAHS diagnosis compared to Hispanic or Caucasian children. Daytime complaints of sleepiness or tiredness were not more common in children diagnosed with OSAHS than in the children without OSAHS. As expected, tonsillar hypertrophy increased the likelihood of OSAHS diagnosis. In summary, many of the clinical features of childhood OSAHS are in marked contrast to those in adults.
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Department of Pediatrics, Yale University School of Medicine and the Children's Sleep Laboratory in the Children's Clinical Research Center, Yale-New Haven Hospital, Connecticut 06520-8064, USA. carol.rosen@yale.edu
PMID