Sleep Medicine, Год журнала: 2024, Номер 119, С. 73 - 79
Опубликована: Апрель 15, 2024
Most children treated for obstructive sleep disordered breathing (oSDB) are not systematically assessed by polysomnography (PSG) nor structuredsymptom quantification before surgical treatment. The main objective of this study wasto investigate the effect adeno-tonsillotomy (ATO) on symptom burden and PSGparameters.
Язык: Английский
Sleep Medicine, Год журнала: 2025, Номер 127, С. 43 - 48
Опубликована: Янв. 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.
Язык: Английский
Процитировано
1
Otolaryngologic Clinics of North America, Год журнала: 2024, Номер 57(3), С. 407 - 419
Опубликована: Апрель 4, 2024
Язык: Английский
Процитировано
8
European Archives of Oto-Rhino-Laryngology, Год журнала: 2025, Номер unknown
Опубликована: Апрель 7, 2025
Abstract Background Adenotonsillar hypertrophy is the leading cause of obstructive sleep apnea (OSA) in children, with adenotonsillectomy (AT) being most common surgical treatment. Although AT widely performed, its efficacy treating mild OSA remains uncertain. Current literature suggests that children might benefit from non-surgical management, but there a lack evidence ND studies evaluating outcomes specifically for OSA. The aim this systematic review and meta-analysis to provide conclusive insights into effectiveness improving health quality life apnea. Methods PubMed, Scopus, Embase, Cochrane, Web Science databases have been searched relevant studies. We included original evaluated safety or management among pediatric patients. For quantitative analysis, data were synthesized using random-effects model R (version 4.3.3), heterogeneity was assessed statistical methods including restricted maximum-likelihood estimator I2 statistic. also conducted analyses change scores covariance estimate effect on severity OSAS. Results Our 27 after screening 1851 citations. demonstrated significant improvements Pediatric Sleep Questionnaire improved mean difference (MD) -0.32 (95% CI [-0.39; -0.25], p < 0.001). AHI decreased significantly an MD -1.45 [-2.11; -0.80], Comparison watchful waiting revealed be more effective: showed -1.22 [-1.92; -0.53], 0.001), arousal index had -1.73 [-2.95; -0.51], = 0.005). Safety indicated while generally safe, it associated minor complications such as postoperative desaturation occasional bleeding. Long-term serious adverse events rare. Conclusion effectively improves symptoms OSA, outperforming several key metrics. This supports viable option underscores importance considering individual patient factors treatment decisions.
Язык: Английский
Процитировано
1
Clinics in Chest Medicine, Год журнала: 2024, Номер 45(3), С. 651 - 662
Опубликована: Июль 26, 2024
Язык: Английский
Процитировано
6
The International Journal of Cardiovascular Imaging, Год журнала: 2024, Номер 40(10), С. 2227 - 2228
Опубликована: Апрель 23, 2024
Язык: Английский
Процитировано
4
Journal of Dental Sleep Medicine, Год журнала: 2024, Номер 11(2)
Опубликована: Апрель 10, 2024
Novel Therapies for Preventing, Managing and Treating Obstructive Sleep Apnea
Язык: Английский
Процитировано
3
JAMA Otolaryngology–Head & Neck Surgery, Год журнала: 2024, Номер 150(10), С. 859 - 859
Опубликована: Авг. 22, 2024
It is unknown whether adenotonsillectomy causes undesirable weight gain in children with mild obstructive sleep-disordered breathing (oSDB).
Язык: Английский
Процитировано
3
Médecine du Sommeil, Год журнала: 2025, Номер unknown
Опубликована: Янв. 1, 2025
Процитировано
0
European Journal of Pediatrics, Год журнала: 2025, Номер 184(2)
Опубликована: Фев. 7, 2025
Язык: Английский
Процитировано
0
International Journal of Pediatric Otorhinolaryngology, Год журнала: 2025, Номер 190, С. 112271 - 112271
Опубликована: Фев. 10, 2025
Язык: Английский
Процитировано
0