Research Square (Research Square),
Journal Year:
2024,
Volume and Issue:
unknown
Published: March 11, 2024
Abstract
Objective:
The
primary
objective
of
this
research
was
to
conduct
polysomnography
tests
on
individuals
diagnosed
with
Obstructive
Sleep
Apnea-Hypopnea
Syndrome
(OSAHS)
in
the
Qingpu
suburb
Shanghai,
China.
study
entailed
examination
diverse
sleep
monitoring
parameters
linked
age,
gender,
and
disease
severity
thoroughly
investigate
snoring
patterns
among
residents
District.
resulting
outcomes
are
intended
offer
significant
insights
for
formulating
successful
clinical
treatment
plans
strategies.
Methods:
Polysomnography
conducted
90
patients,
including
Index
(AHI),
Oxygen
Desaturation
(ODI),
Snoring
(SI),
AGE,
GENDER,
Body
Mass
(BMI)
were
statistically
evaluated.
Results:
Average
values
AHI,
ODI,
SI,
BMI
across
different
age
groups
relatively
high
without
variations.
When
examining
gender
differences,
it
found
that
both
men
women
exhibited
higher
average
(AHI)
while
notable
discrepancies
not
observed
Snore
or
between
women.When
stratified
by
OSAHS,
box
plots
AHI
ODI
revealed
a
progressive
rise
as
OSAHS
increased,
culminating
at
severe
stages.
correlation
analyses
indicated
robust
positive
relationship
coefficients
r
0.30,
0.55,
0.77,
0.84
normal,
mild,
moderate,
categories,
respectively.
Conclusion:
Age
did
significantly
impact
mean
Qingpu,
Shanghai.
No
substantial
disparities
concerning
index,
onset,
BMI.
However,
propensity
apnea
hypoxia
compared
women,
particularly
terms
ODI.
highlighted
association
strength
increasing
levels.
Sleep Medicine,
Journal Year:
2025,
Volume and Issue:
127, P. 43 - 48
Published: Jan. 7, 2025
It
is
unknown
whether
loudness
of
snoring
or
hypoxic
burden
are
related
to
higher
hyperactivity
scores
in
habitually
children
and
this
effect
impacted
by
the
severity
sleep-disordered
breathing
(SDB).
This
study
investigates
prevalence
with
habitual
independent
effects
snoring,
as
reported
parents,
obstructive
sleep
apnea
syndrome's
(OSAS)
on
hyperactivity,
measured
Conners'
Parent
Rating
Scale-Hyperactivity
Index
(CPRS-HI).
Children
aged
3-18
years
were
recruited
for
an
overnight
polysomnography
reporting
apnea-hypopnea
index
(AHI)
burden,
acoustic
rhinometry,
clinical
examination
parental
questionnaires
assessing
CPRS-HI.
The
analysis
included
512
(median
(25th;
75th
percentile)
age,
10.6
(7.6;
13.4)
years;
295
(58
%)
males),
whom
358
(70
overweight
obese
179
(35
had
AHI
>3/h.
Findings
revealed
that
36
%
[95
CI:
32%-41
%]
exhibited
increased
hyperactivity/impulsivity,
25
[21%-29
showed
emotional
lability.
Snoring
was
significantly
correlated
scores,
particularly
while
no
significant
association
(rhos
=
-0.09;
p
0.082).
Multivariate
presence
very
loud
compared
mildly
quiet
predictor
symptoms,
>3/h
associated
decreased
scores.
These
results
suggest
OSAS
severity,
contributes
children.
Jessie
P.
Bakker,
MS,
PhD;
Fang
Zhang,
Raouf
Amin,
MD;
Cristina
M.
Baldassari,
Ronald
D.
Chervin,
Susan
L.
Garetz,
Fauziya
Hassan,
Sally
Ibrahim,
Stacey
Ishman,
Erin
Kirkham,
MD,
MPH;
Ariel
Linden,
DrPH;
Ron
B.
Mitchell,
Kamal
Naqvi,
Carol
Rosen,
Kristie
Ross,
Ignacio
E.
Tapia,
Lisa
R.
Young,
Phoebe
K.
Yu,
MS;
Redline,
Rui
Wang,
PhD
JAMA Pediatrics,
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 17, 2025
Importance
The
literature
indicates
that
health
care
utilization
(HCU)
of
children
with
untreated
moderate-to-severe
obstructive
sleep
apnea
is
greater
than
matched
controls
before
diagnosis,
and
treatment
associated
a
decline
in
HCU
not
observed
those
who
remain
untreated.
Research
on
this
topic
has
been
limited
to
retrospective
analyses
observational
cohort
studies;
little
known
about
among
the
many
snoring
mild
sleep-disordered
breathing
(SDB).
Objective
To
determine
whether
adenotonsillectomy
comparison
watchful
waiting
supportive
fewer
encounters
prescriptions.
Design,
Setting,
Participants
This
randomized
clinical
trial,
Pediatric
Adenotonsillectomy
Trial
for
Snoring
(PATS),
was
12-month,
parallel-arm
trial
conducted
from
2016
2022
tertiary
centers
United
States.
were
recruited
otolaryngology,
sleep,
pulmonary,
or
general
pediatric
clinics;
aged
3
13
years;
diagnosed
SDB;
had
tonsillar
hypertrophy
grade
2
more;
body
mass
index
z
score
less
3.
Children
referred
clinician
outside
local
electronic
medical
record
system
excluded.
Data
analysis
June
April
2024.
Intervention
Early
adenotonsillectomy.
Main
Outcomes
Measures
Evaluation
prespecified
secondary
aim
PATS.
Total
total
prescriptions
over
12
months
after
randomization
analyzed.
Results
Among
459
randomized,
analytic
sample
included
381
children,
excluding
system.
median
(IQR)
age
6
(4-8)
192
participants
(50%)
female
189
male.
32%
reduction
(mean
difference,
−1.25
per
participant
year;
95%
CI,
−1.96
−0.53)
48%
−2.53
−4.12
−0.94).
difference
primarily
driven
by
office
visits
outpatient
procedures
rather
reduced
hospitalizations
urgent
visits.
Conclusions
Relevance
study
found
all-cause
SDB,
supporting
early
intervention
SDB.
Future
research
focused
cost
effectiveness
SDB
warranted.
Registration
ClinicalTrials.gov
Identifier:
NCT02562040
