Obstructive sleep apnoea syndrome

被引:5
|
作者
Garcia Castillo, Sergio [1 ]
Hoyos Vazquez, Maria del Perpetuo Socorro [2 ]
Coloma Navarro, Ramon [1 ]
Cruz Ruiz, Javier [1 ]
Callejas Gonzalez, Francisco Javier [1 ]
Godoy Mayoral, Raid [1 ]
Tarraga Lopez, Pedro Juan [3 ]
Rodriguez Montes, Jose Antonio [4 ]
机构
[1] Complejo Hosp Univ Albacete, Serv Neumol, Albacete, Spain
[2] Complejo Hosp Univ Albacete, Serv Pediat, Albacete, Spain
[3] Atenc Primaria Gerencia Atenc Integrada Albacete, Albacete, Spain
[4] Hosp Univ La Paz, Serv Cirug Gen & Aparato Digest, Madrid, Spain
来源
ANALES DE PEDIATRIA | 2018年 / 88卷 / 05期
关键词
Obstructive sleep apnoea syndrome; Child; Polysomnography; Tonsillectomy; MORBIDLY OBESE CHILDREN; HYPOPNEA SYNDROME; POPULATION; DIAGNOSIS; HISTORY;
D O I
10.1016/j.anpedi.2017.07.004
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Introduction: Obstructive sleep apnoea (OSA) is highly prevalent in children and a major public health problem. An attempt is made to determine the clinical and polysomnographic presentation of paediatric OSA in our area. Patients and methods: Retrospective descriptive study of sleep tests conducted on children up to 14 years-old from 1999 to 2012 in the Sleep Unit of the University Hospital of Albacete. Age, gender, anthropometric, clinical data, indication and variables of sleep study, treatment, and outcomes were collected. Results: The study included 234 children. OSA was found in 71.8%, with 42.3% moderate and 44.6% severe. The majority were male (60.7%) and the mean age 5 was years, of whom 78% were pre-school or school age. There was overweight/obesity in 44%, with 93.4% snoring, apnoea 84.5%, and 5.4% daytime sleepiness. There were 23 polysomnographies and 145 polygraphies, with a median apnoea/hypopnoea index (AHI) of 10, Sat.O2 minimum 84%, desaturation index 8, and mean sleep supine 53.65% and supine events 57.61%. Treatment was lifestyle modifications 29.2%, CPAP 6%, and surgery 42.9%. Improved snoring and/or apnoea 69.4%, and weight 32.4% of overweight/obesity children. Conclusions: Most of the studied children had a pathological AHI. Almost half were over-weight/obese, and a high percentage had moderate-severe OSA. Most frequent treatment was surgery. The clinical outcome was favourable in almost 70%. Less than a third with OSA and overweight/obesity improved weight. (C) 2016 Asociacion Espanola de Pediatria. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:266 / 272
页数:7
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