Pediatras e os distúrbios respiratórios do sono na criança

Balbani, A. P. S.; Weber, Silke Anna Theresa; Montovani, Jair Cortez; Carvalho, Lídia Raquel de

doi:10.1590/s0104-42302005000200014

Cited by 7 publications

(4 citation statements)

References 13 publications

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“…Therefore, the early diagnosis and treatment of OSA should be emphasized, not only because of the possible implications for oral language, as demonstrated in the reviewed studies, which tend to worsen as the chronological age increases, 27 but also for the benefits in neurocognitive performance and quality of life of these children. 18 , 42 , 43 , 44 …”

Section: Discussionmentioning

confidence: 99%

Obstructive sleep apnea and oral language disorders

Corrêa

Cavalheiro

Maximino

et al. 2017

Brazilian Journal of Otorhinolaryngology

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Section: Discussionmentioning

confidence: 99%

Obstructive sleep apnea and oral language disorders

Corrêa

Cavalheiro

Maximino

et al. 2017

Brazilian Journal of Otorhinolaryngology

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“…During the day, they can present aggressive behavior, symptoms of hyperactivity, attention deficit and cognitive and intellectual problems that will interfere in school learning 11 . In a study in which we assessed the problems related to sleep-disordered breathing, mouth breathing was one of the most common disorders 12 .…”

Section: Samplementioning

confidence: 99%

Habilidades cognitivo-linguísticas e sua relação com características respiratórias

Perilo¹,

Freitas²,

Cardoso

et al. 2012

Rev. CEFAC

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OBJETIVO: relacionar características respiratórias com o desempenho em habilidades cognitivo-linguísticas de crianças de uma escola pública da grande Belo Horizonte. MÉTODO: estudo transversal, observacional e descritivo. Das 180 crianças recrutadas 131 atenderam aos critérios de inclusão e exclusão. Foram avaliadas 66 crianças da 4ª série e 65 da 3ª série do ensino fundamental, de ambos os gêneros, com idades entre nove e dez anos. Foi utilizado um questionário para investigação das características respiratórias e um protocolo previamente publicado e adaptado a população brasileira para avaliação das habilidades cognitivo-linguísticas. As informações coletadas foram analisadas por meio dos testes de Mann-Whitney e Kruskal Wallis, ao nível de significância de 1%. RESULTADOS: não foi observado valor de p<0,01 na comparação entre as características respiratórias e as pontuações obtidas por cada série no teste das habilidades cognitivo-linguísticas. Observou-se que 59,1% dos alunos apresentaram escores no questionário de pesquisa das características respiratórias entre zero e quatro pontos, indicando pouco comprometimento respiratório. CONCLUSÃO: não foi encontrada relação significante entre o desempenho de habilidades cognitivo-linguísticas e a presença de características respiratórias em escolares de uma escola pública de Belo Horizonte, sendo que as crianças que apresentaram sinais e sintomas de alterações respiratórias não obtiveram desempenho abaixo daquelas sem estas alterações nas habilidades avaliadas.

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“…9 One study that evaluated 112 pediatricians demonstrated that the majority of them (62%) consider that information about SDB during medical school and residency are scarce, albeit children with SDB are frequently attended at the pediatric office. 10 Adenotonsillectomy (AT) is the first line of treatment for OSA secondary to adenotonsillar hypertrophy in children. 2 Data, in 1993, from the National Hospital Discharge Survey noted a decrease of 0.50% in inpatient tonsillectomy rates from 1977 to 1989, 11 and similar reports from 1978 to 1986 showed that the rate of tonsillectomy for treatment of throat infections declined; however, the frequency of SDB as the primary indication for the procedure increased, especially in children under 3 years of age.…”

Section: Introductionmentioning

confidence: 99%

Long-term Impact of Adenotonsillectomy on the Quality of Life of Children with Sleep-disordered breathing

Caixeta

Sampaio

Costa

et al. 2020

Int Arch Otorhinolaryngol

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Introduction Adenotonsillectomy is the first-line treatment for obstructive sleep apnea secondary to adenotonsillar hypertrophy in children. The physical benefits of this surgery are well known as well as its impact on the quality of life (QoL), mainly according to short-term evaluations. However, the long-term effects of this surgery are still unclear. Objective To evaluate the long-term impact of adenotonsillectomy on the QoL of children with sleep-disordered breathing (SDB). Method This was a prospective non-controlled study. Children between 3 and 13 years of age with symptoms of SDB for whom adenotonsillectomy had been indicated were included. Children with comorbities were excluded. Quality of life was evaluated using the obstructive sleep apnea questionnaire (OSA-18), which was completed prior to, 10 days, 6 months, 12 months and, at least, 18 months after the procedure. For statistical analysis, p-values lower than 0.05 were defined as statistically significant. Results A total of 31 patients were enrolled in the study. The average age was 5.2 years, and 16 patients were male. The OSA-18 scores improved after the procedure in all domains, and this result was maintained until the last evaluation, done 22 ± 3 months after the procedure. Improvement in each domain was not superior to achieved in other domains. No correlation was found between tonsil or adenoid size and OSA-18 scores. Conclusion This is the largest prospective study that evaluated the long-term effects of the surgery on the QoL of children with SDB using the OSA-18. Our results show adenotonsillectomy has a positive impact in children's QoL.

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Pediatras e os distúrbios respiratórios do sono na criança

Abstract: There is a gap between research on SDB in childhood and pediatric practice.

Cited by 7 publications

References 13 publications

Obstructive sleep apnea and oral language disorders

Obstructive sleep apnea and oral language disorders

Habilidades cognitivo-linguísticas e sua relação com características respiratórias

Long-term Impact of Adenotonsillectomy on the Quality of Life of Children with Sleep-disordered breathing

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