A review of 50 children with obstructive sleep apnea syndrome

Guilleminault, Christian; Korobkin, Rowena; Winkle, Roger A.

doi:10.1007/bf02713925

Cited by 438 publications

(255 citation statements)

References 10 publications

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“…Furthermore, this study was not able to provide any information regarding symptoms of breathing problems (SBD) or restless leg syndrome. The symptoms of primary sleep diseases, such as SBD, can in some cases appear very similar to those of ADHD, and treatment of SBD can diminish or cure ADHD symptoms [1,9,11,22,23].…”

Section: J Limitationsmentioning

confidence: 99%

Parental rating of sleep in children with attention deficit/hyperactivity disorder

Hvolby¹,

Jørgensen

Bilenberg

2009

Eur Child Adolesc Psychiatry

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Objective: Sleep problems have often been associated with attention deficit/hyperactivity disorder (ADHD). Parents of those with ADHD and children with ADHD report sleep difficulties more frequently than healthy children and their parents. The primary objective of this paper is to describe sleep patterns and problems of 5 to 11-year-old children suffering from ADHD as described by parental reports and sleep questionnaires. Method: The study included 321 children aged 5–11 years (average age 8.4 years); 45 were diagnosed with ADHD, 64 had other psychiatric diagnoses, and 212 were healthy. One hundred and ninety-six of the test subjects were boys and 125 were girls. A semi-structured interview (Kiddie-SADS-PL) was used to DSM-IV diagnose ADHD and comorbidity in the clinical group. Sleep difficulties were rated using a structured sleep questionnaire (Children Sleep Behaviour Scale). Results: Children diagnosed with ADHD had a significantly increased occurrence of sleep problems. Difficulties relating to bedtime and unsettled sleep were significantly more frequent in the ADHD group than in the other groups. Children with ADHD showed prolonged sleep onset latency, but no difference was shown regarding numbers of awakenings per night and total sleep time per night. Comorbid oppositional defiant disorder appeared not to have an added effect on problematic behaviour around bedtime. Conclusion: Parents of children with ADHD report that their children do not sleep properly more often than other parents. The ADHD group report problems with bedtime resistance, problems with sleep onset latency, unsettled sleep and nightmares more often than the control groups. It may therefore be relevant for clinicians to initiate a closer examination of those cases reporting sleep difficulties

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Section: J Limitationsmentioning

confidence: 99%

Parental rating of sleep in children with attention deficit/hyperactivity disorder

Hvolby¹,

Jørgensen

Bilenberg

2009

Eur Child Adolesc Psychiatry

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“…Five years later, Guilleminault et al 4 published a review paper describing 50 children and teenagers with obstructive sleep apnea, concluding that the syndrome was not so rare and its cardiovascular and intellectual impact should be considered.…”

Section: Introductionmentioning

confidence: 99%

SAHOS em crianças: perfil clínico e respiratório polissonográfico

Ramos¹,

Daltro

Gregório³

et al. 2006

Rev. Bras. Otorrinolaringol.

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Obst ructive sleep apnea and hypopnea syndrome in children (osas) has an estimated prevalence of up to 3% and can be associated with neurocognitive and behavioural abnormalities, and also cardiovascular complications. This study may help pediatricians, who are unaware of the problem, to recognize osas. Study design: series of cases. Aim: to describe the clinical characteristics and polysomnographic respiratory findings in a population of children with obstructive sleep apnea and hypopnea syndrome referred to the sleep laboratory from january 2002 up to july 2003. Methods: we studied 93 patients between 2 and 10 years of age with polysomnographic diagnosis of obstructive sleep apnea and hypopnea syndrome. Age, gender, racial group and questions about the children's health and sleep related disorders were evaluated. Apneahypopnea index, oxyhemoglobin desaturation, and arousal index were evaluated too. Results: males represented 61.3%, With a mean age of 5.2 ± 2.1 (Years-old). The complaints that most commonly lead to the exams were snoring in 24.7% And restless sleep in 24.7%. Associated medical conditions frequently reported were allergic rhinitis (98.9%) And adenoid hypertrophy (50.6%). Mild apnea was found in 66%. The mean and sd of spo2 nadir was 89.1 ± 3.5% And the mean and sd of the number of arousals was 8.4 ± 3.5/ Hour of sleep. Conclusion: the results suggest the possibility that obstructive sleep apnea and hypopnea syndrome should be suspected in children with allergic diseases and adenoid and tonsil hypertrophy with snoring and restless sleep complaints.

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“…Current knowledge shows that this group of diseases have negative effects on children in whom an early diagnosis is not made, [3][4][5][6][7][8] causing major loss of quality of life for the patients and concerns for their caretakers.…”

Section: Resultsmentioning

confidence: 99%

“…It is estimated that up to 3% of children have OSAHS, 1 and that a higher percentage has UARS. 2 OSDs cause a variety of physical conditions and affect the child's quality of life, leading to low weight gain, altered cranio-facial development, [3][4][5] cardiopulmonary sequelae, 3,4 behavioral changes, 3,4,6,7 and poor school performance, 8 all of which have been well documented. Thus an early diagnosis and treatment of OSDs in pediatric patients is paramount to revert or avoid these conditions.…”

Section: Introductionmentioning

confidence: 99%

Resultados na qualidade de vida em longo prazo de crianças submetidas à adenoidectomia/adenotonsilectomia por distúrbios obstrutivos do sono

Júnior

Silva

Freitas

2008

Rev. Bras. Otorrinolaringol.

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Obst ructive Sleep Disorders (OSD) affect mostly the pediatric population. Within this group, its main etiology is adenotonsillar hyperplasia, being adenoidectomy or adenotonsillectomy the best treatment option for quality of life improvement. Aim: To asses quality of life of children with OSD after adenoidectomy/adenotonsillectomy. Method: A prospective study was carried out with 48 children, between 2 and 11 years, with clinical manifestations of OSD and obstructive adenotonsillar hyperplasia. The OSA18 questionnaire was answered by the parents to evaluate their children's quality of life before surgery; at about thirty days and at least eleven months after the procedure. A higher score meant a worse quality of life. Results: Before surgery, the average OSA18 score was 82.83(SD=12.57), with an average global score for quality of life of 6.04(SD=1.66). Within thirty days after surgery, the average OSA18 score was 34.3 (SD=9.95) with an average global score of 9.6(SD=0.81), both showing significant reduction (p< 0.001). Thirty-four children (70.83%) were re-evaluated between 11 and 30 months (average=16.85; SD=5.16). The average OSA18 score was 35.44 (SD=19.95) with an average global score of 9.28 (SD=1.78). The postoperative evaluations weren't significantly different. Conclusion: surgery improves the quality of life of children with OSD, and such improvement maintains for the long run.

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A review of 50 children with obstructive sleep apnea syndrome

Cited by 438 publications

References 10 publications

Parental rating of sleep in children with attention deficit/hyperactivity disorder

Parental rating of sleep in children with attention deficit/hyperactivity disorder

SAHOS em crianças: perfil clínico e respiratório polissonográfico

Resultados na qualidade de vida em longo prazo de crianças submetidas à adenoidectomia/adenotonsilectomia por distúrbios obstrutivos do sono

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