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Polysomnography for the diagnosis of sleep disordered breathing in children under 2 years of age
Pediatric pulmonology, 2015-12, Vol.50 (12), p.1346-1353
DeHaan, Kristie L.
Seton, Chris
Fitzgerald, Dominic A.
Waters, Karen A
MacLean, Joanna E.
2015
Details
Autor(en) / Beteiligte
DeHaan, Kristie L.
Seton, Chris
Fitzgerald, Dominic A.
Waters, Karen A
MacLean, Joanna E.
Titel
Polysomnography for the diagnosis of sleep disordered breathing in children under 2 years of age
Ist Teil von
Pediatric pulmonology, 2015-12, Vol.50 (12), p.1346-1353
Ort / Verlag
United States: Blackwell Publishing Ltd
Erscheinungsjahr
2015
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
Summary Objectives To describe clinical polysomnography (PSG) results, sleep physicians' diagnosis, and treatment of sleep disorder breathing in children less than 2 years of age. Study Design Retrospective clinical chart review at a pediatric tertiary care center, pediatric sleep laboratory. Subject Selection Children less than 2 years of age who underwent clinical PSG over a 3‐year period. Methodology PSG results and physician interpretations were identified for inclusions. Children were excluded if either PSG results or physician interpretations were unavailable for review. Infants were classified in three age groups for comparison: <6 months, 6–12 months, and >12 months. Results Matched records were available for 233 PSGs undertaken at a mean age 11.1 ± 7.0 months; 31% were <6 months, 23% were 6–12 months, and 46% were 12–24 months of age. Infants <6 months showed significant differences on sleep parameters and respiratory indicators compared to other groups. Compared to physician sleep disordered breathing (SDB) classification, current pediatric apnea–hypopnea index (AHI)‐based SDB severity classification overestimated SDB severity. Age and obstructive‐mixed AHI (OMAHI) were most closely associated with physician identification of SDB. Conclusion Children <6 months of age appear to represent a distinct group with respect to PSG. Experienced sleep physicians appear to incorporate age and respiratory event frequently when determining the presence of SDB. Further information about clinical significance of apnea in infancy is required, assisted by identification of factors that sleep physicians use to identify SDB in children <6 months of age. Pediatr Pulmonol. 2015; 50:1346–1353. © 2015 The Authors. Pediatric Pulmonology published by Wiley Periodicals, Inc.
Sprache
Englisch
Identifikatoren
ISSN: 8755-6863
eISSN: 1099-0496
DOI: 10.1002/ppul.23169
Titel-ID: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6680200
Format
–
Schlagworte
Age Factors
,
Child, Preschool
,
diagnosis
,
Female
,
Humans
,
Infant
,
Infant, Newborn
,
infants
,
Male
,
Original
,
Polysomnography
,
Retrospective Studies
,
Severity of Illness Index
,
Sleep Apnea Syndromes - diagnosis
,
sleep disordered breathing
,
treatment
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